Use of an Online Breast Cancer Risk Assessment and Patient Decision Aid in Primary Care Practices

Eden, Karen; Ivlev, Ilya; Bensching, Katherine L; Franta, Gabriel J.; Hersh, Alyssa R.; Case, James T.; Fu, Rongwei; Nelson, Heidi D

doi:10.1089/jwh.2019.8143

Cited by 20 publications

(27 citation statements)

References 23 publications

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“…Having an interactive online tool that combines the age and smoking eligibility criteria was utilized in only a few of these websites, but provides a tangible tool for potential participants of lung cancer screening to determine their eligibility quickly. Online decision support tools have been shown to be efficiently implemented in breast cancer risk assessment, as well as in facilitating shared decision-making [ 27 ]. Providing these online tools can empower potential participants to determine their eligibility prior to approaching their family physician.…”

Section: Discussionmentioning

confidence: 99%

Assessing Information Available for Health Professionals and Potential Participants on Lung Cancer Screening Program Websites: Cross-sectional Study

Dodd¹,

Zhang²,

Sharman³

et al. 2022

JMIR Cancer

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Background Lung cancer is the leading cause of cancer death worldwide. The US Preventive Services Task Force (USPSTF) updated recommendations for lung cancer screening in 2021, adjusting the age of screening to 50 years (from 55 years) and reducing the number of pack-years used to estimate total firsthand cigarette smoke exposure to 20 (from 30). With many individuals using the internet to find health care information, it is important to understand what information is available for individuals contemplating lung cancer screening. Objective This study aimed to assess the eligibility criteria and information available on lung cancer screening program websites for both health professionals and potential screening participants. Methods A descriptive cross-sectional analysis of 151 lung cancer screening program websites of academic (n=76) and community medical centers (n=75) in the United States with information for health professionals and potential screening participants was conducted in March 2021. Presentation of eligibility criteria for potential screening participants and presence of information available specific to health professionals about lung cancer screening were the primary outcomes. Secondary outcomes included presentation of information about cost and smoking cessation, inclusion of an online risk assessment tool, mention of any clinical guidelines, and use of multimedia to present information. Results Eligibility criteria for lung cancer screening was included in nearly all 151 websites (n=142, 94%), as well as age range (n=139, 92.1%) and smoking history (n=141, 93.4%). Age was only consistent with the latest recommendations in 14.5% (n=22) of websites, and no websites had updated smoking history. Half the websites (n=76, 50.3%) mentioned screening costs as related to the type of insurance held. A total of 23 (15.2%) websites featured an online assessment tool to determine eligibility. The same proportion (n=23, 15.2%) hosted information specifically for health professionals. In total, 44 (29.1%) websites referred to smoking cessation, and 46 (30.5%) websites used multimedia to present information, such as short videos or podcasts. Conclusions Most websites of US lung cancer screening programs provide information about eligibility criteria, but this is not consistent and has not been updated across all websites following the latest USPSTF recommendations. Online resources require updating to present standardized information that is accessible for all.

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Section: Discussionmentioning

confidence: 99%

Assessing Information Available for Health Professionals and Potential Participants on Lung Cancer Screening Program Websites: Cross-sectional Study

Dodd¹,

Zhang²,

Sharman³

et al. 2022

JMIR Cancer

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“…To identify such patients, specific treatment algorithms in EHRs can group patients with similar tumor phenotypes. For example, ICD-9 codes have been used to predict aggressive breast cancers and genetic risk [ 27 , 28 ]. Based on genetic testing guidelines from the National Comprehensive Cancer Network, other factors could also determine eligibility for genetic testing.…”

Section: Increasing Patient Engagement In Health Carementioning

confidence: 99%

Leveraging Electronic Health Records to Address Breast Cancer Disparities

Bayard

Fasano

Tamimi

et al. 2022

Curr Breast Cancer Rep

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Purpose of Review Breast cancer is the most commonly diagnosed cancer in women, and the leading cause of cancer death. However, racial and ethnic minority groups, as well as rural and underserved populations, face disparities that limit their access to specialty care for breast cancer. To address these disparities, health care providers can leverage an electronic health record (EHR). Recent Findings Few studies have evaluated the potential benefits of using EHRs to address breast cancer disparities, and none of them outlines a standard approach for this effort. However, these studies outline that EHRs can be used to identify and notify patients at risk for breast cancer. These systems can also automate referrals and scheduling for screening and genetic testing, as well as recruit eligible patients for clinical trials. EHRs can also provide educational materials to reduce risks associated with modifiable risk factors, such as physical activity, obesity, and smoking. These systems can also support telemedicine visits and centralize inter-institutional communication to improve treatment adherence and the quality of care. Summary EHRs have tremendous potential to increase accessibility and communication for patients with breast cancer by augmenting patient engagement, improving communication between patients and providers, and strengthening communication among providers. These efforts can reduce breast cancer disparities by increasing breast cancer screening, improving treatment adherence, expanding access to specialty care, and promoting risk-reducing habits among racial and ethnic minority groups and other underserved populations.

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“…The risk assessment process (see [4][5][6][7][8][9] ). These factors include having a history of chest radiation between the ages of 10 and 30, a history of breast biopsy with either lobular carcinoma in situ (LCIS) or atypical ductal hyperplasia (ADH), past breast and/or ovarian cancer, and either a family or personal history of a high penetrant genetic variant for breast cancer.…”

Section: Risk Assessmentmentioning

confidence: 99%

“…These factors include having a history of chest radiation between the ages of 10 and 30, a history of breast biopsy with either lobular carcinoma in situ (LCIS) or atypical ductal hyperplasia (ADH), past breast and/or ovarian cancer, and either a family or personal history of a high penetrant genetic variant for breast cancer. [4][5][6][7][8][9] In women with previous chest radiation, breast cancer risk correlates with the total dose of radiation. 5 For women with a personal history of breast cancer, the younger the age at diagnosis, the higher the risk of contralateral breast cancer.…”

Section: Risk Assessmentmentioning

confidence: 99%

How to better identify and manage women with elevated breast cancer risk

Schrager¹

2022

The Journal of Family Practice

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PRACTICE RECOMMENDATIONS❯ Assess breast cancer risk in all women starting at age 35. C ❯ Perform enhanced screening in all women with a lifetime risk of breast cancer > 20%. A ❯ Discuss chemoprevention for all women at elevated risk for breast cancer. B How to better identify and manage women with elevated breast cancer risk This case-based review details screening and management strategies that can maximize the care you provide to women at heightened risk.

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Use of an Online Breast Cancer Risk Assessment and Patient Decision Aid in Primary Care Practices

Cited by 20 publications

References 23 publications

Assessing Information Available for Health Professionals and Potential Participants on Lung Cancer Screening Program Websites: Cross-sectional Study

Assessing Information Available for Health Professionals and Potential Participants on Lung Cancer Screening Program Websites: Cross-sectional Study

Leveraging Electronic Health Records to Address Breast Cancer Disparities

How to better identify and manage women with elevated breast cancer risk

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