Patient and Physician Perspectives on Using Risk Prediction to Support Breast Cancer Surveillance Decision Making

作者：Christine M. Gunn, Nancy Boyer, S. Sheikh, Janie M. Lee, Steven Woloshin, Jennifer M. Specht, Rebecca A. Hubbard, Erin J. Aiello Bowles, Yu‐Ru Su, Anna N.A. Tosteson · 发表于：Medical Decision Making · 年份：2025 · DOI：10.1177/0272989x251379888 · 被引用次数：2 · 研究领域：Global Cancer Incidence and Screening、Breast Cancer Treatment Studies、BRCA gene mutations in cancer

IntroductionBreast cancer survivors have a higher risk of interval cancers relative to the screening population. Patient characteristics including features of the primary cancer and its treatment can help predict interval second breast cancer risk, but patient and physician perspectives on how risk prediction tools might enhance surveillance decision making are not well characterized.DesignWe conducted a qualitative study of women with breast cancer who had completed primary treatment and multispecialty physicians recruited through Breast Cancer Surveillance Consortium registries. We conducted semi-structured focus groups with 5 to 7 breast cancer survivors and individual physician interviews. All participants were presented with information about an interval cancer risk prediction tool. We elicited participant perspectives on aspects of the tool's design, relevance, and use for surveillance decision making. Data coding, thematic analysis, and interpretation were guided by the principles of theoretical thematic analysis.ResultsForty physician interviews and 4 focus groups involving 23 breast cancer survivors were analyzed. Two prominent areas of focus emerged: 1) perspectives on how a risk prediction tool would enhance and add value to patient-centered care and 2) risk prediction tools can be a means to improve communication about risk of in-breast recurrence or new breast cancer.ConclusionsThis study provides data on breast cancer survivor and physician perceptions of a new ...