Compliance and satisfaction with BRCA surveillance in specialized clinics versus community follow-up.
Eur J Cancer Prev
; 2024 Jun 14.
Article
en En
| MEDLINE
| ID: mdl-38870036
ABSTRACT
OBJECTIVE:
To assess adherence to medical follow-up protocols among BRCA1/2 carriers and compare outcomes between dedicated carrier clinics and community healthcare settings.METHODS:
This cross-sectional study was conducted by distributing an anonymous questionnaire within the 'Good BRCA Genes - Support and Information Group for BRCA Carriers' association. The questionnaire assessed adherence to recommended surveillance and satisfaction with various aspects of the follow-up.RESULTS:
Of the 682 BRCA carriers surveyed, 68.5% reported fully adhering to recommended medical follow-up. Those not fully adhering cited bureaucracy challenges, scheduling difficulties, timing uncertainties, and difficulty remembering examination dates. Less than 50% were satisfied with appointment availability, scheduling, contact persons, and general practitioners' knowledge of BRCA carrier risks and follow-up. The 417 women monitored in dedicated breast clinics reported notably higher optimal adherence to recommended surveillance (78.3 vs. 53.6%, Pâ <â 0.0001). In addition, they noted greater satisfaction with appointment availability (63.7 vs. 25.0%, Pâ <â 0.0001), appointment scheduling process (58.1 vs. 24.7%, Pâ <â 0.0001), availability of breast surgeons/gynecology specialists (67.4 vs. 50.8%, Pâ <â 0.0001), and availability of a contact person for consultations between appointments (53.5 vs. 20.8%, Pâ <â 0.0001).DISCUSSION:
Our findings highlight the advantages of surveillance in dedicated BRCA1/2 clinics, including closer monitoring and increased satisfaction. Given the limited availability of such clinics and the growing number of BRCA1/2 carriers, the opening of additional dedicated clinics and the consideration of alternative surveillance-enhancing solutions, such as training healthcare professionals, using digital tools, and employing artificial intelligence, are essential.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Eur J Cancer Prev
Asunto de la revista:
NEOPLASIAS
/
SAUDE PUBLICA
Año:
2024
Tipo del documento:
Article