Primary care provider attitudes about and tendency to use non-recommended surveillance tests after curative breast cancer treatment

Details

• Alternative Title:
  Breast Cancer Res Treat
• Personal Author:
  Mullins, Megan A. ; Atluri, Namratha ; Abrahamse, Paul ; Radhakrishnan, Archana ; Hamilton, Ann S. ; Ward, Kevin C. ; Hawley, Sarah T. ; Katz, Steven J. ; Wallner, Lauren P.
• Description:
  Purpose:
  
  Little is known about factors contributing to receipt of non-recommended surveillance testing among early-stage breast cancer survivors. We assessed primary care providers (PCP) attitudes about and tendency to order non-recommended surveillance testing for asymptomatic early-stage breast cancer survivors post-adjuvant chemotherapy.
  
  Methods:
  
  A stratified random sample of PCPs identified by early-stage breast cancer survivors were surveyed (N=518, 61% response rate). PCPs were asked how likely they would be to order bone scans, imaging and/or tumor marker testing using a clinical vignette of an early-stage asymptomatic patient where these tests are non-recommended. A composite tendency to order score was created and categorized by tertiles (low, moderate, high). PCP-reported factors associated with high and moderate tendency to order non-recommended testing (vs. low) were estimated using multivariable, multinomial logistic regression.
  
  Results:
  
  In this sample, 26% reported a high tendency to order non-recommended surveillance tests during survivorship for early-stage breast cancer survivors. PCPs who identified as family practice physicians and PCPs reporting more confidence in ordering surveillance testing were more likely to report a high tendency to order non-recommended testing (vs. low) ((aOR family practice 2.09, CI 1.2, 3.8; aOR more confidence 1.9, CI 1.1, 3.3).
  
  Conclusions:
  
  In this population-based sample of PCPs caring for breast cancer survivors, over a quarter of PCPs reported they would order non-recommended surveillance testing for asymptomatic early-stage breast cancer survivors. Efforts to better support PCPs and disseminate information about appropriate surveillance for cancer survivors are warranted.
  
  
• Subjects:
  Attitude Of Health Personnel Breast Neoplasms Female Humans Physicians, Primary Care Primary Health Care Survivors
• Keywords:
  Breast Cancer Primary Care Surveillance Survivorship
• Source:
  Breast Cancer Res Treat. 200(3):391-398
• Pubmed ID:
  37296280
• Pubmed Central ID:
  PMC10706825
• Document Type:
  Journal Article
• Funding:
  P30 CA046592/CA/NCI NIH HHSUnited States/ ; P01CA163233/CA/NCI NIH HHSUnited States/ ; T32-CA-236621/CA/NCI NIH HHSUnited States/ ; T32 CA236621/CA/NCI NIH HHSUnited States/ ; U58 DP003862/DP/NCCDPHP CDC HHSUnited States/ ; P01 CA163233/CA/NCI NIH HHSUnited States/ ; U58 DP003875/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  200
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:29ad310b347a983e7b8952ea5db9fd133feda0be461b01c97b33433458ba3f193a79b2bf139326e51900a042a99e278d2759206c8ddae304cd0c393bedd7373f
• Download URL:
  https://stacks.cdc.gov/view/cdc/136416/cdc_136416_DS1.pdf
• File Type:
  [PDF - 368.58 KB ]