Lapointe Julie, Côté Jean-Martin, Mbuya-Bienge Cynthia, Dorval Michel, Pashayan Nora, Chiquette Jocelyne, Eloy Laurence, Turgeon Annie, Lambert-Côté Laurence, Brooks Jennifer D, Walker Meghan J, Blackmore Kristina Maria, Joly Yann, Knoppers Bartha Maria, Chiarelli Anna Maria, Simard Jacques, Nabi Hermann
Oncology Division, CHU de Québec-Université Laval Research Center, 1050, Chemin Sainte-Foy, Québec City, QC G1S 4L8, Canada.
Department of Social and Preventive Medicine, Faculty of Medicine, Université Laval, 1050, Av de la Médecine, Québec City, QC G1V 0A6, Canada.
J Pers Med. 2023 Jun 21;13(7):1027. doi: 10.3390/jpm13071027.
Given the controversy over the effectiveness of age-based breast cancer (BC) screening, offering risk-stratified screening to women may be a way to improve patient outcomes with detection of earlier-stage disease. While this approach seems promising, its integration requires the buy-in of many stakeholders. In this cross-sectional study, we surveyed Canadian healthcare professionals about their views and attitudes toward a risk-stratified BC screening approach. An anonymous online questionnaire was disseminated through Canadian healthcare professional associations between November 2020 and May 2021. Information collected included attitudes toward BC screening recommendations based on individual risk, comfort and perceived readiness related to the possible implementation of this approach. Close to 90% of the 593 respondents agreed with increased frequency and earlier initiation of BC screening for women at high risk. However, only 9% agreed with the idea of not offering BC screening to women at very low risk. Respondents indicated that primary care physicians and nurse practitioners should play a leading role in the risk-stratified BC screening approach. This survey identifies health services and policy enhancements that would be needed to support future implementation of a risk-stratified BC screening approach in healthcare systems in Canada and other countries.
鉴于基于年龄的乳腺癌筛查有效性存在争议，为女性提供风险分层筛查可能是一种通过检测早期疾病来改善患者预后的方法。虽然这种方法似乎很有前景，但要将其整合需要许多利益相关者的支持。在这项横断面研究中，我们调查了加拿大医疗保健专业人员对风险分层乳腺癌筛查方法的看法和态度。2020年11月至2021年5月期间，通过加拿大医疗保健专业协会分发了一份匿名在线问卷。收集的信息包括对基于个体风险的乳腺癌筛查建议的态度、对这种方法可能实施的舒适度和感知准备情况。593名受访者中近90%同意增加高危女性乳腺癌筛查的频率并提前开始筛查。然而，只有9%的人同意不对极低风险女性进行乳腺癌筛查的观点。受访者表示，初级保健医生和执业护士应在风险分层乳腺癌筛查方法中发挥主导作用。这项调查确定了在加拿大和其他国家的医疗保健系统中支持未来实施风险分层乳腺癌筛查方法所需的卫生服务和政策改进措施。
