Evidence map›Paper›PMID 36922108›Full record

ArticleJournal of the American College of Radiology : JACR2023

Barriers to Implementation of Breast Cancer Risk Assessment: The Health Care Team Perspective.

Lucy B Spalluto, Kemberlee Bonnet, Chiamaka Sonubi, Laura L Ernst, Rifat Wahab, Sonya A Reid, Pooja Agrawal, Kris Gregory, Katie M Davis, Jennifer A Lewis and 6 more

Abstract read
In one paragraph

Article in Journal of the American College of Radiology : JACR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Implementation of risk assessment process for breast cancer risk in primary care.Journal of cancer prevention & current research · 2024
    Article
  7. Article
  8. A Framework for Developing Health Equity Initiatives in Radiology.Journal of the American College of Radiology : JACR · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Lucy B SpallutoVice Chair of Health Equity, Associate Director of Diversity and Inclusion, Department of Radiology, Vanderbilt University Medical Center, Nashville, Tennessee; Vanderbilt-Ingram Cancer Center, Nashville, Tennessee; and Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tennessee; RSNA Cochair, Health Equity Committee. Electronic address: lucy.b.spalluto@vumc.org.
Kemberlee BonnetDepartment of Psychology, Vanderbilt University, Nashville, Tennessee.
Chiamaka SonubiDepartment of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, Georgia.
Laura L ErnstVanderbilt University School of Medicine, Nashville, Tennessee.
Rifat WahabDepartment of Radiology, University of Cincinnati, Cincinnati, Ohio. Electronic address: https://twitter.com/RifatWahab.
Sonya A ReidVanderbilt-Ingram Cancer Center, Nashville, Tennessee, and Division of Hematology and Oncology, Vanderbilt University Medical Center, Nashville, Tennessee.
Pooja AgrawalUniversity of Texas Medical Branch, John Sealy School of Medicine, Galveston, Texas.
Kris GregoryR. Ken Coit College of Pharmacy, University of Arizona, Tucson, Arizona.
Katie M DavisSection Chief, Breast Imaging, Department of Radiology, Vanderbilt University Medical Center, Nashville, Tennessee.
Jennifer A LewisVanderbilt-Ingram Cancer Center, Nashville, Tennessee; Co-director clinical lung screening program, Veterans Health Administration-Tennessee Valley Health Care System Geriatric Research, Education and Clinical Center (GRECC), Nashville, Tennessee; and Division of Hematology and Oncology, Vanderbilt University Medical Center, Nashville, Tennessee; Rescue Lung Rescue Life Society Board Member.
Elizabeth BerardiProgram Director, Tennessee Breast and Cervical Screening Program, Tennessee Department of Health, Nashville, Tennessee.
Crissy HartsfieldClinical Programs Administrator, Division of Family Health and Wellness, Tennessee Department of Health, Nashville, Tennessee.
Rebecca SeloveVanderbilt-Ingram Cancer Center, Nashville, Tennessee, and Director, Center for Prevention Research, Tennessee State University, Nashville, Tennessee.
Maureen SandersonVanderbilt-Ingram Cancer Center, Nashville, Tennessee, and Department of Family and Community Medicine, Meharry Medical College, Nashville, Tennessee.
David SchlundtDepartment of Psychology, Vanderbilt University, Nashville, Tennessee.
Carolyn M AudetDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee; Associate Director of the Vanderbilt Center for Clinical Quality and Implementation Research and Associate Director of Research in Vanderbilt Institute for Global Health.

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI STACIE B DUSETZINA · 1995 to 2026
$172.8M
Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
TISSUE CoreP50CA098131 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PARK, BEN HO, PIETENPOL, JENNIFER A · 2003 to 2024
$48.7M
Structural Biology Facility CoreP30ES000267 · NIEHS · VANDERBILT UNIVERSITY · PI GUENGERICH, F PETER · 1985 to 2014
$20.3M
TrainingU54CA163072 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Tuya Pal, Karen Marie Winkfield · 2011 to 2026
$20.1M
Vanderbilt Clinical Oncology Research Career Development ProgramK12CA090625 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Paula Jill Hurley · 2001 to 2026
$16.9M
Vanderbilt Scholars in T4 Translational Research (V-STTaR) ProgramK12HL137943 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KRIPALANI, SUNIL, ROUMIE, CHRISTIANNE L. · 2017 to 2021
$2.9M
NCATS NIH HHS UL1 TR002243NCI NIH HHS K12 CA090625NCI NIH HHS P30 CA068485NCI NIH HHS P50 CA098131NCI NIH HHS U54 CA163072NHLBI NIH HHS K12 HL137943NIEHS NIH HHS P30 ES000267
6 · The paper itself

Abstract

purposeTo assess health care professionals' perceptions of barriers to the utilization of breast cancer risk assessment tools in the public health setting through a series of one-on-one interviews with health care team members.

methodsWe conducted a cross-sectional qualitative study consisting of one-on-one semistructured telephone interviews with health care team members in the public health setting in the state of Tennessee between May 2020 and October 2020. An iterative inductive-deductive approach was used for qualitative analysis of interview data, resulting in the development of a conceptual framework to depict influences of provider behavior in the utilization of breast cancer risk assessment.

resultsA total of 24 interviews were completed, and a framework of influences of provider behavior in the utilization of breast cancer risk assessment was developed. Participants identified barriers to the utilization of breast cancer risk assessment (knowledge and understanding of risk assessment tools, workflow challenges, and availability of personnel); patient-level barriers as perceived by health care team members (psychological, economic, educational, and environmental); and strategies to increase the utilization of breast cancer risk assessment at the provider level (leadership buy-in, training, supportive policies, and incentives) and patient level (improved communication and better understanding of patients' perceived cancer risk and severity of cancer).

conclusionsUnderstanding barriers to implementation of breast cancer risk assessment and strategies to overcome these barriers as perceived by health care team members offers an opportunity to improve implementation of risk assessment and to identify a racially, geographically, and socioeconomically diverse population of young women at high risk for breast cancer.

Indexed as

Breast NeoplasmsCross-Sectional StudiesFemaleHealth PersonnelHumansMotivationPatient Care TeamQualitative ResearchRisk AssessmentBreast cancerimplementation sciencemammographyrisk assessment

Identifiers

PMID36922108
PMCPMC10042588

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.