Evidence map›Paper›PMID 40533203›Full record

ArticleBMJ open2025

Evaluation of a telehealth service to support breast cancer prevention medication uptake: a protocol of a mixed methods study.

Katrina Louise West, Tim Spelman, Wanda Cui, Sarah Latham, Sabine Deij, Sandy Minck, Sarah Mason, Christobel Saunders, Catherine Poliness, Paul A James and 4 more

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Katrina Louise WestDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.ORCID http://orcid.org/0009-0009-2229-0313
Tim SpelmanCentre for Health Services Research and Implementation Science, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Wanda CuiDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Sarah LathamDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Sabine DeijThe Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia.
Sandy MinckDivision of Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-8369-8875
Sarah MasonDepartment of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Christobel SaundersDepartment of Surgery, The University of Melbourne Melbourne Medical School, Melbourne, Victoria, Australia.
Catherine PolinessThe Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia.
Paul A JamesThe Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-4361-4657
Greg WheelerThe Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia.
Louise A KeoghCentre for Health Equity, The University of Melbourne School of Population and Global Health, Melbourne, Victoria, Australia.
Stephanie Best *Centre for Health Services Research and Implementation Science, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Kelly Anne Phillips *Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia Kelly.phillips@petermac.org.ORCID http://orcid.org/0000-0002-0475-1771

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBreast cancer risk can be substantially reduced with risk-reducing medications (RRMeds). Despite their efficacy, and guidelines which support their use for women at substantially increased risk of breast cancer, they are underused. Barriers to their use in Australia include a lack of awareness of RRMeds by women and clinicians, and a primary care workforce that reports a lack of knowledge and confidence in discussing and/or prescribing these medications. In contrast, Australian clinicians have reported specialist support and guidance as a key facilitator. The Preventing Cancer with Medications (PCMed) Telehealth Service was therefore developed to provide this specialist support and to bridge the evidence-implementation gap. The PCMed Service endeavours to increase the appropriate use of RRMeds and support women and their doctors throughout treatment. The aim of this research is to evaluate the effectiveness, adoption, acceptability, feasibility, fidelity and cost of this new Service, and to determine any adaptations that might be required. METHODS AND ANALYSIS: The research uses a mixed methods approach. Effectiveness of the PCMed Service will be evaluated by determining whether the PCMed Service is associated with increased uptake of RRMeds compared with historical data. Secondary outcomes include: adoption of the Service, specifically, the proportion of women who attend a PCMed Service consultation; acceptability of the Service for clients and referring clinicians (using a brief survey and semistructured interviews); feasibility and fidelity by evaluating the adherence to the planned Service processes; and the cost, by reporting the difference between funding received per woman and the cost for service delivery. ETHICS AND DISSEMINATION: This study was approved by the institutional Human Research Ethics Committee (EC00235): HREC/101142/PMCC. The findings will inform future iterations of the Service prior to scaling up. Research findings will be disseminated at scientific meetings and in peer-reviewed journals. TRIAL REGISTRATION NUMBER: ISRCTN15718519.

Indexed as

Breast NeoplasmsTelemedicineAustraliaFemaleHumansResearch DesignBreast tumoursPreventive Health ServicesPrimary PreventionTelemedicine

Identifiers

PMID40533203
PMCPMC12182191

What OpenQuestion holds

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Registered trials

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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.