Effect of an educational intervention on women's healthcare provider knowledge gaps about breast density, breast cancer risk, and screening

Seitzman, Robin L; Pushkin, JoAnn; Berg, Wendie A.

doi:10.1097/gme.0000000000001780

Cited by 4 publications

(1 citation statement)

References 50 publications

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“…Furthermore, there is a lack of understanding of the purpose of risk assessment models and the application of screening guidelines based on risk stratification. 27 Future work may consider exploring methods to increase awareness regarding the use and application of risk assessment models by referring physicians, in addition to examining barriers faced when adopting the use of such models (Table 2). 28,29…”

Section: Risk Assessment Model Utilizationmentioning

confidence: 99%

Breast Cancer Screening in the Intermediate-Risk Population: Falling Through the Cracks?

Zaki-Metias,

Wang,

Tawil

et al. 2024

Can Assoc Radiol J

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Breast cancer screening guidelines vary for women at intermediate risk (15%-20% lifetime risk) for developing breast cancer across jurisdictions. Currently available risk assessment models have differing strengths and weaknesses, creating difficulty and ambiguity in selecting the most appropriate model to utilize. Clarifying which model to utilize in individual circumstances may help determine the best screening guidelines to use for each individual.

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Section: Risk Assessment Model Utilizationmentioning

confidence: 99%

Breast Cancer Screening in the Intermediate-Risk Population: Falling Through the Cracks?

Zaki-Metias,

Wang,

Tawil

et al. 2024

Can Assoc Radiol J

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Analytic Hierarchy Process Analysis of Patient Preferences for Contrast-Enhanced Mammography Versus MRI as Supplemental Screening Options for Breast Cancer

Berg

Bandos

Sava

2023

Journal of the American College of Radiology

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Effect of an Educational Intervention on Women’s Health Care Provider Knowledge Gaps About Breast Cancer Risk Model Use and High-risk Screening Recommendations

Seitzman¹,

Pushkin²,

Berg

2023

Journal of Breast Imaging

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Objective To assess effectiveness of a web-based educational intervention on women’s health care provider knowledge of breast cancer risk models and high-risk screening recommendations. Methods A web-based pre- and post-test study including 177 U.S.-based women’s health care providers was conducted in 2019. Knowledge gaps were defined as fewer than 75% of respondents answering correctly. Pre- and post-test knowledge differences (McNemar test) and associations of baseline characteristics with pre-test knowledge gaps (logistic regression) were evaluated. Results Respondents included 131/177 (74.0%) physicians; 127/177 (71.8%) practiced obstetrics/gynecology. Pre-test, 118/177 (66.7%) knew the Gail model predicts lifetime invasive breast cancer risk; this knowledge gap persisted post-test [(121/177, 68.4%); P = 0.77]. Just 39.0% (69/177) knew the Gail model identifies women eligible for risk-reducing medications; this knowledge gap resolved. Only 48.6% (86/177) knew the Gail model should not be used to identify women meeting high-risk MRI screening guidelines; this deficiency decreased to 66.1% (117/177) post-test (P = 0.001). Pre-test, 47.5% (84/177) knew the Tyrer-Cuzick model is used to identify women meeting high-risk screening MRI criteria, 42.9% (76/177) to predict BRCA1/2 pathogenic mutation risk, and 26.0% (46/177) to predict lifetime invasive breast cancer risk. These knowledge gaps persisted but improved. For a high-risk 30-year-old, 67.8% (120/177) and 54.2% (96/177) pre-test knew screening MRI and mammography/tomosynthesis are recommended, respectively; 19.2% (34/177) knew both are recommended; and 53% (94/177) knew US is not recommended. These knowledge gaps resolved or reduced. Conclusion Web-based education can reduce important provider knowledge gaps about breast cancer risk models and high-risk screening recommendations.

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Effect of an educational intervention on women's healthcare provider knowledge gaps about breast density, breast cancer risk, and screening

Abstract: Supplemental Digital Content is available in the text

Cited by 4 publications

References 50 publications

Breast Cancer Screening in the Intermediate-Risk Population: Falling Through the Cracks?

Breast Cancer Screening in the Intermediate-Risk Population: Falling Through the Cracks?

Analytic Hierarchy Process Analysis of Patient Preferences for Contrast-Enhanced Mammography Versus MRI as Supplemental Screening Options for Breast Cancer

Effect of an Educational Intervention on Women’s Health Care Provider Knowledge Gaps About Breast Cancer Risk Model Use and High-risk Screening Recommendations

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