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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Are primary care providers implementing evidence-based care for breast cancer survivors?</title><author><name sortKey="Luctkar Flude, Marian" sort="Luctkar Flude, Marian" uniqKey="Luctkar Flude M" first="Marian" last="Luctkar-Flude">Marian Luctkar-Flude</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26889509</idno><idno type="pmc">4642911</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642911</idno><idno type="RBID">PMC:4642911</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000259</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000259</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Are primary care providers implementing evidence-based care for breast cancer survivors?</title><author><name sortKey="Luctkar Flude, Marian" sort="Luctkar Flude, Marian" uniqKey="Luctkar Flude M" first="Marian" last="Luctkar-Flude">Marian Luctkar-Flude</name></author></analytic><series><title level="j">Canadian Family Physician</title><idno type="ISSN">0008-350X</idno><idno type="eISSN">1715-5258</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec><title>Objective</title><p>To describe the implementation of key best practice guideline recommendations for posttreatment breast cancer survivorship care by primary care providers (PCPs).</p></sec><sec><title>Design</title><p>Descriptive cross-sectional survey.</p></sec><sec><title>Setting</title><p>Southeastern Ontario.</p></sec><sec><title>Participants</title><p>Eighty-two PCPs: 62 family physicians (FPs) and 20 primary health care nurse practitioners (PHCNPs).</p></sec><sec><title>Main outcome measures</title><p>Twenty-one “need-to-know” breast cancer survivorship care guideline recommendations rated by participants as “implemented routinely,” “aware of guideline recommendation but not implemented routinely,” or “not aware of guideline recommendation.”</p></sec><sec><title>Results</title><p>Overall, FPs and PHCNPs in our sample reported similar practice patterns in terms of implementation of breast cancer survivorship guideline recommendations. The PCPs reported routinely implementing approximately half (46.4%, 9.7 of 21) of the key guideline recommendations with breast cancer survivors in their practices. Implementation rates were higher for recommendations related to prevention and surveillance aspects of survivorship care, such as mammography and weight management. Knowledge and practice gaps were highest for recommendations related to screening for and management of long-term effects such as fatigue and distress. There were only a few minor differences reported between FPs and PHCNPs.</p></sec><sec><title>Conclusion</title><p>There are knowledge and practice gaps related to implementation of the key guideline recommendations for breast cancer survivorship care in the primary care setting that could be targeted for improvement through educational or other interventions.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Can Fam Physician</journal-id><journal-id journal-id-type="iso-abbrev">Can Fam Physician</journal-id><journal-id journal-id-type="hwp">cfp</journal-id><journal-id journal-id-type="publisher-id">CFP</journal-id><journal-title-group><journal-title>Canadian Family Physician</journal-title></journal-title-group><issn pub-type="ppub">0008-350X</issn><issn pub-type="epub">1715-5258</issn><publisher><publisher-name>College of Family Physicians of Canada</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26889509</article-id><article-id pub-id-type="pmc">4642911</article-id><article-id pub-id-type="publisher-id">978</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research</subject></subj-group></article-categories><title-group><article-title>Are primary care providers implementing evidence-based care for breast cancer survivors?</article-title><trans-title-group xml:lang="fr"><trans-title>Les intervenants de première ligne donnent-ils aux survivantes du cancer du sein des soins basés sur des données probantes?</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name><surname>Luctkar-Flude</surname><given-names>Marian</given-names></name><degrees>RN MScN</degrees><xref ref-type="corresp" rid="c1-0610978"></xref></contrib><aff id="af1-0610978">Lecturer in the School of Nursing and a doctoral candidate in the Rehabilitation Sciences Program at Queen’s University in Kingston, Ont.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Aiken</surname><given-names>Alice</given-names></name><degrees>PhD MSc</degrees></contrib><aff id="af2-0610978">Associate Professor and Associate Director of the Physical Therapy Program in the School of Rehabilitation Sciences at Queen’s University and Scientific Director of the Canadian Institute for Military and Veterans Health Research.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>McColl</surname><given-names>Mary Ann</given-names></name><degrees>MHSc PhD MTS</degrees></contrib><aff id="af3-0610978">Professor in the School of Rehabilitation Therapy and Associate Director of the Centre for Health Services and Policy Research at Queen’s University.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Tranmer</surname><given-names>Joan</given-names></name><degrees>RN PhD</degrees></contrib><aff id="af4-0610978">Professor in the School of Nursing and the Department of Public Health Sciences at Queen’s University.</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Langley</surname><given-names>Hugh</given-names></name><degrees>MD CCFP</degrees></contrib><aff id="af5-0610978">Adjunct Assistant Professor in the Family Medicine Program at Queen’s University, Regional Primary Care Lead of the South East Regional Cancer Program, and Senior Medical Advisor for the Ministry of Health and Long-Term Care.</aff></contrib-group><author-notes><corresp id="c1-0610978">Correspondence: <bold>Ms Marian Luctkar-Flude</bold>; e-mail <email>mfl1@queensu.ca</email></corresp></author-notes><pub-date pub-type="ppub"><month>11</month><year>2015</year></pub-date><volume>61</volume><issue>11</issue><fpage>978</fpage><lpage>984</lpage><permissions><copyright-statement>Copyright© the College of Family Physicians of Canada</copyright-statement><copyright-year>2015</copyright-year></permissions><self-uri content-type="pdf" xlink:type="simple" xlink:href="978.pdf"></self-uri><abstract><title>Abstract</title><sec><title>Objective</title><p>To describe the implementation of key best practice guideline recommendations for posttreatment breast cancer survivorship care by primary care providers (PCPs).</p></sec><sec><title>Design</title><p>Descriptive cross-sectional survey.</p></sec><sec><title>Setting</title><p>Southeastern Ontario.</p></sec><sec><title>Participants</title><p>Eighty-two PCPs: 62 family physicians (FPs) and 20 primary health care nurse practitioners (PHCNPs).</p></sec><sec><title>Main outcome measures</title><p>Twenty-one “need-to-know” breast cancer survivorship care guideline recommendations rated by participants as “implemented routinely,” “aware of guideline recommendation but not implemented routinely,” or “not aware of guideline recommendation.”</p></sec><sec><title>Results</title><p>Overall, FPs and PHCNPs in our sample reported similar practice patterns in terms of implementation of breast cancer survivorship guideline recommendations. The PCPs reported routinely implementing approximately half (46.4%, 9.7 of 21) of the key guideline recommendations with breast cancer survivors in their practices. Implementation rates were higher for recommendations related to prevention and surveillance aspects of survivorship care, such as mammography and weight management. Knowledge and practice gaps were highest for recommendations related to screening for and management of long-term effects such as fatigue and distress. There were only a few minor differences reported between FPs and PHCNPs.</p></sec><sec><title>Conclusion</title><p>There are knowledge and practice gaps related to implementation of the key guideline recommendations for breast cancer survivorship care in the primary care setting that could be targeted for improvement through educational or other interventions.</p></sec></abstract><trans-abstract xml:lang="fr"><title>Résumé</title><sec><title>Objectif</title><p>Vérifier si les intervenants de première ligne (IPL) suivent les directives de pratique dans le suivi post-traitement des survivantes du cancer du sein.</p></sec><sec><title>Type d’étude</title><p>Enquête descriptive transversale.</p></sec><sec><title>Contexte</title><p>Le sud-ouest de l’Ontario.</p></sec><sec><title>Participants</title><p>Un total de 82 IPL, soit 62 médecins de famille (MF) et 20 infirmières praticiennes des soins primaires (IPSP).</p></sec><sec><title>Principaux paramètres à l’étude</title><p>Vingt-et-une directives essentielles à connaître pour le suivi des survivantes du cancer du sein, qui ont été cotées par les participants comme régulièrement appliquées, connues mais non appliquées régulièrement ou non connues.</p></sec><sec><title>Résultats</title><p>Dans l’ensemble, les MF et les IPSP participants ont rapporté des modèles de pratique semblables pour ce qui est de l’application des directives de pratique pour le suivi des survivantes du cancer du sein. Les IPL disaient utiliser régulièrement environ la moitié (46,4 %, 9,7 sur 21) des recommandations clés dans leur pratique. Les taux d’application des directives étaient plus élevés pour celles qui concernaient les aspects de prévention et de surveillance, tels que la mammographie et la gestion du poids corporel. On observait les plus grands manques de connaissances et d’application des recommandations dans le cas du dépistage et du traitement des effets à long terme, comme la fatigue et la détresse. On rapportait seulement quelques différences mineures entre les MF et les IPSP.</p></sec><sec><title>Conclusion</title><p>Il existe un manque de connaissances et de mise en application des directives clés chez les IPL qui font le suivi des survivantes du cancer du sein; des séances de formation ou d’autres types d’intervention seraient donc souhaitables.</p></sec></trans-abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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