Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting.
Identifieur interne : 002121 ( PubMed/Checkpoint ); précédent : 002120; suivant : 002122Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting.
Auteurs : Emily K. Tam [États-Unis] ; Ling Shen ; Julie R. Munneke ; Lynn M. Ackerson ; Paula N. Partee ; Carol P. Somkin ; Mary André ; Susan E. Kutner ; Saskia R J. Thiadens ; Marilyn L. KwanSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2012.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Californie (épidémiologie), Compétence clinique, Connaissances, attitudes et pratiques en santé, Enquêtes de santé, Enquêtes et questionnaires, Facteurs de confusion (épidémiologie), Femelle, Humains, Internet, Lymphoedème (), Lymphoedème (épidémiologie), Mâle, Orientation vers un spécialiste, Prestation intégrée de soins de santé (), Sujet âgé, Survivants, Tumeurs du sein (), Tumeurs du sein (épidémiologie).
- MESH :
- épidémiologie : Californie, Lymphoedème, Tumeurs du sein.
- Adulte, Adulte d'âge moyen, Compétence clinique, Connaissances, attitudes et pratiques en santé, Enquêtes de santé, Enquêtes et questionnaires, Facteurs de confusion (épidémiologie), Femelle, Humains, Internet, Lymphoedème, Mâle, Orientation vers un spécialiste, Prestation intégrée de soins de santé, Sujet âgé, Survivants, Tumeurs du sein.
English descriptors
- KwdEn :
- Adult, Aged, Breast Neoplasms (complications), Breast Neoplasms (epidemiology), Breast Neoplasms (surgery), California (epidemiology), Clinical Competence, Confounding Factors (Epidemiology), Delivery of Health Care, Integrated (statistics & numerical data), Female, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Internet, Lymphedema (complications), Lymphedema (epidemiology), Male, Middle Aged, Referral and Consultation, Surveys and Questionnaires, Survivors.
- MESH :
- geographic , epidemiology : California.
- complications : Breast Neoplasms, Lymphedema.
- epidemiology : Breast Neoplasms, Lymphedema.
- statistics & numerical data : Delivery of Health Care, Integrated.
- surgery : Breast Neoplasms.
- Adult, Aged, Clinical Competence, Confounding Factors (Epidemiology), Female, Health Knowledge, Attitudes, Practice, Health Surveys, Humans, Internet, Male, Middle Aged, Referral and Consultation, Surveys and Questionnaires, Survivors.
Abstract
Breast cancer survivors have reported dissatisfaction regarding their education on risk of breast cancer-related lymphedema (BCRL) from clinicians. We describe clinician knowledge and treatment referral of patients with BCRL among active oncologists, surgeons, and primary care physicians in the Kaiser Permanente Northern California Medical Care Program. A total of 887 oncologists, surgeons, and primary care clinicians completed a 10-minute web survey from May 2, 2010 to December 31, 2010 on BCRL knowledge, education, and referral patterns. A knowledge score of BCRL was calculated based on clinician responses. Multivariable regression models were used to determine the associations of selected covariates with BCRL knowledge score and clinician referral, respectively. Compared with primary care clinicians, oncologists had the highest mean score followed closely by surgeons (P < 0.0001). In multivariable analyses, being female, an oncologist or surgeon, and recently receiving BCRL materials were each significantly associated with higher BCRL knowledge scores. About 44% of clinicians (n = 381) indicated they had ever made a BCRL referral (100% oncologists, 79% surgeons, and 36% primary care clinicians). Clinicians with a higher knowledge score were more likely to make referrals. In stratified analyses by specialty, the significant associated factors remained for primary care but became non-significant for oncology and surgery. These results can inform educational interventions to strengthen clinician knowledge of the clinical management of BCRL, especially among primary care clinicians. With the growing number of breast cancer survivors, increasing clinician education about BCRL across all specialties is warranted.
DOI: 10.1007/s10549-011-1829-z
PubMed: 22037785
Affiliations:
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We describe clinician knowledge and treatment referral of patients with BCRL among active oncologists, surgeons, and primary care physicians in the Kaiser Permanente Northern California Medical Care Program. A total of 887 oncologists, surgeons, and primary care clinicians completed a 10-minute web survey from May 2, 2010 to December 31, 2010 on BCRL knowledge, education, and referral patterns. A knowledge score of BCRL was calculated based on clinician responses. Multivariable regression models were used to determine the associations of selected covariates with BCRL knowledge score and clinician referral, respectively. Compared with primary care clinicians, oncologists had the highest mean score followed closely by surgeons (P < 0.0001). In multivariable analyses, being female, an oncologist or surgeon, and recently receiving BCRL materials were each significantly associated with higher BCRL knowledge scores. About 44% of clinicians (n = 381) indicated they had ever made a BCRL referral (100% oncologists, 79% surgeons, and 36% primary care clinicians). Clinicians with a higher knowledge score were more likely to make referrals. In stratified analyses by specialty, the significant associated factors remained for primary care but became non-significant for oncology and surgery. These results can inform educational interventions to strengthen clinician knowledge of the clinical management of BCRL, especially among primary care clinicians. With the growing number of breast cancer survivors, increasing clinician education about BCRL across all specialties is warranted.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">22037785</PMID><DateCreated><Year>2012</Year><Month>01</Month><Day>20</Day></DateCreated><DateCompleted><Year>2012</Year><Month>05</Month><Day>15</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-7217</ISSN><JournalIssue CitedMedium="Internet"><Volume>131</Volume><Issue>3</Issue><PubDate><Year>2012</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Breast cancer research and treatment</Title><ISOAbbreviation>Breast Cancer Res. Treat.</ISOAbbreviation></Journal><ArticleTitle>Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting.</ArticleTitle><Pagination><MedlinePgn>1029-38</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10549-011-1829-z</ELocationID><Abstract><AbstractText>Breast cancer survivors have reported dissatisfaction regarding their education on risk of breast cancer-related lymphedema (BCRL) from clinicians. We describe clinician knowledge and treatment referral of patients with BCRL among active oncologists, surgeons, and primary care physicians in the Kaiser Permanente Northern California Medical Care Program. A total of 887 oncologists, surgeons, and primary care clinicians completed a 10-minute web survey from May 2, 2010 to December 31, 2010 on BCRL knowledge, education, and referral patterns. A knowledge score of BCRL was calculated based on clinician responses. Multivariable regression models were used to determine the associations of selected covariates with BCRL knowledge score and clinician referral, respectively. Compared with primary care clinicians, oncologists had the highest mean score followed closely by surgeons (P < 0.0001). In multivariable analyses, being female, an oncologist or surgeon, and recently receiving BCRL materials were each significantly associated with higher BCRL knowledge scores. About 44% of clinicians (n = 381) indicated they had ever made a BCRL referral (100% oncologists, 79% surgeons, and 36% primary care clinicians). Clinicians with a higher knowledge score were more likely to make referrals. In stratified analyses by specialty, the significant associated factors remained for primary care but became non-significant for oncology and surgery. These results can inform educational interventions to strengthen clinician knowledge of the clinical management of BCRL, especially among primary care clinicians. With the growing number of breast cancer survivors, increasing clinician education about BCRL across all specialties is warranted.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tam</LastName><ForeName>Emily K</ForeName><Initials>EK</Initials><AffiliationInfo><Affiliation>Division of Research, Kaiser Permanente, 2000 Broadway, Oakland, CA 94612, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shen</LastName><ForeName>Ling</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Munneke</LastName><ForeName>Julie R</ForeName><Initials>JR</Initials></Author><Author ValidYN="Y"><LastName>Ackerson</LastName><ForeName>Lynn M</ForeName><Initials>LM</Initials></Author><Author ValidYN="Y"><LastName>Partee</LastName><ForeName>Paula N</ForeName><Initials>PN</Initials></Author><Author ValidYN="Y"><LastName>Somkin</LastName><ForeName>Carol P</ForeName><Initials>CP</Initials></Author><Author ValidYN="Y"><LastName>André</LastName><ForeName>Mary</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Kutner</LastName><ForeName>Susan E</ForeName><Initials>SE</Initials></Author><Author ValidYN="Y"><LastName>Thiadens</LastName><ForeName>Saskia R J</ForeName><Initials>SR</Initials></Author><Author ValidYN="Y"><LastName>Kwan</LastName><ForeName>Marilyn L</ForeName><Initials>ML</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2011</Year><Month>10</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Breast Cancer Res Treat</MedlineTA><NlmUniqueID>8111104</NlmUniqueID><ISSNLinking>0167-6806</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002140" MajorTopicYN="N" Type="Geographic">California</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002983" MajorTopicYN="Y">Clinical Competence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015986" MajorTopicYN="N">Confounding Factors (Epidemiology)</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019033" MajorTopicYN="N">Delivery of Health Care, Integrated</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006306" MajorTopicYN="N">Health Surveys</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020407" MajorTopicYN="N">Internet</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017741" MajorTopicYN="N">Survivors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2011</Year><Month>10</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2011</Year><Month>10</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>11</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>11</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2012</Year><Month>5</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">22037785</ArticleId><ArticleId IdType="doi">10.1007/s10549-011-1829-z</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li></region></list><tree><noCountry><name sortKey="Ackerson, Lynn M" sort="Ackerson, Lynn M" uniqKey="Ackerson L" first="Lynn M" last="Ackerson">Lynn M. Ackerson</name><name sortKey="Andre, Mary" sort="Andre, Mary" uniqKey="Andre M" first="Mary" last="André">Mary André</name><name sortKey="Kutner, Susan E" sort="Kutner, Susan E" uniqKey="Kutner S" first="Susan E" last="Kutner">Susan E. Kutner</name><name sortKey="Kwan, Marilyn L" sort="Kwan, Marilyn L" uniqKey="Kwan M" first="Marilyn L" last="Kwan">Marilyn L. Kwan</name><name sortKey="Munneke, Julie R" sort="Munneke, Julie R" uniqKey="Munneke J" first="Julie R" last="Munneke">Julie R. Munneke</name><name sortKey="Partee, Paula N" sort="Partee, Paula N" uniqKey="Partee P" first="Paula N" last="Partee">Paula N. Partee</name><name sortKey="Shen, Ling" sort="Shen, Ling" uniqKey="Shen L" first="Ling" last="Shen">Ling Shen</name><name sortKey="Somkin, Carol P" sort="Somkin, Carol P" uniqKey="Somkin C" first="Carol P" last="Somkin">Carol P. Somkin</name><name sortKey="Thiadens, Saskia R J" sort="Thiadens, Saskia R J" uniqKey="Thiadens S" first="Saskia R J" last="Thiadens">Saskia R J. Thiadens</name></noCountry><country name="États-Unis"><region name="Californie"><name sortKey="Tam, Emily K" sort="Tam, Emily K" uniqKey="Tam E" first="Emily K" last="Tam">Emily K. Tam</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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