Women's decision-making regarding risk-stratified breast cancer screening and prevention from the perspective of international healthcare professionals
| Autor: | Yvonne Wengström, Daniëlle van der Waal, D. Gareth Evans, Louise S Donnelly, Linda Rainey, Mireille J. M. Broeders |
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| Rok vydání: | 2018 |
| Předmět: |
European People
lcsh:Medicine Social Sciences risk stratification Geographical locations Breast cancer screening 0302 clinical medicine Cognition prevention Cancer screening Breast Tumors Medicine and Health Sciences Psychology Ethnicities 030212 general & internal medicine lcsh:Science Early Detection of Cancer media_common Netherlands Multidisciplinary medicine.diagnostic_test Middle Aged Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] Europe Oncology 030220 oncology & carcinogenesis Anxiety Female medicine.symptom Worry Risk assessment Cancer Prevention Cancer Screening Mammography Research Article Adult medicine.medical_specialty media_common.quotation_subject Health Personnel Decision Making MEDLINE Breast Neoplasms Risk Assessment 03 medical and health sciences breast cancer Breast cancer Diagnostic Medicine acceptability Breast Cancer medicine Cancer Detection and Diagnosis Humans European Union Dutch People Sweden Cancer prevention Health Care Policy screening lcsh:R Cognitive Psychology Cancers and Neoplasms Biology and Life Sciences medicine.disease United Kingdom Health Care Family medicine Cognitive Science lcsh:Q Population Groupings People and places Screening Guidelines Neuroscience |
| Zdroj: | PLoS ONE PLoS ONE, Vol 13, Iss 6, p e0197772 (2018) PLoS One, 13, 6 Rainey, L, van der Waal, D, Gorman, L, Evans, D G, Wengström, Y & Broeders, M JM 2018, ' Women's decision-making regarding risk-stratified breast cancer screening and prevention from the perspective of international healthcare professionals ', PLoS ONE . https://doi.org/10.1371/journal.pone.0197772 PLoS One, 13 |
| ISSN: | 1932-6203 |
| Popis: | Contains fulltext : 193315.pdf (Publisher’s version ) (Open Access) INTRODUCTION: Increased knowledge of breast cancer risk factors may enable a paradigm shift from one-size-fits-all breast cancer screening to screening and subsequent prevention guided by a woman's individual risk of breast cancer. Professionals will play a key role in informing women about this new personalised screening and prevention programme. Therefore, it is essential to explore professionals' views of the acceptability of this new programme, since this may affect shared decision-making. METHODS: Professionals from three European countries (the Netherlands, United Kingdom, and Sweden) participated in digital concept mapping, a systematic mixed methods approach used to explore complex multidimensional constructs. RESULTS: Across the three countries, professionals prioritised the following five themes which may impact decision-making from the perspective of eligible women: (1) Anxiety/worry; (2) Proactive approach; (3) Reassurance; (4) Lack of knowledge; and (5) Organisation of risk assessment and feedback. Furthermore, Dutch and British professionals expressed concerns regarding the acceptability of a heterogeneous screening policy, suggesting women will question their risk feedback and assigned pathway of care. Swedish professionals emphasised the potential impact of the programme on family relations. CONCLUSIONS: The perspectives of Dutch, British, and Swedish professionals of women's decision-making regarding personalised breast cancer screening and prevention generally appear in line with women's own views of acceptability as previously reported. This will facilitate shared decision-making. However, concerns regarding potential consequences of this new programme for screening outcomes and organisation need to be addressed, since this may affect how professionals communicate the programme to eligible women. |
| Databáze: | OpenAIRE |
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