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J Natl Compr Canc Netw ; 13(8): 1005-11, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26285246

RESUMO

CHAMBER was a regional educational initiative for providers of care to patients with HER2+ breast cancer. The study goals were to (1) enhance testing for HER2/neu overexpression in patients with invasive breast cancer; (2) increase the appropriate use of targeted therapy for patients with HER2+ breast cancer; and (3) enhance patients' coping ability. This Performance Improvement Continuing Medical Education (PI-CME) initiative included clinical practice assessment, educational activities, and reassessment. Chart review revealed a high rate of HER2 testing (98%) before and after education. Targeted therapy for patients with HER2+ breast cancer declined after the program (from 96% to 61%), perhaps attributable to an increase in awareness of medical reasons to avoid use of targeted therapy. Assessment for patients' emotional coping ability increased after education (from 55% to 76%; P=.01). Rates of testing for HER2 amplification and assessment of emotional well-being after education were consistent with ASCO Quality Oncology Practice Initiative benchmark values. Documentation of actions to address emotional problems remained an area for improvement.


Assuntos
Neoplasias da Mama/diagnóstico , Neoplasias da Mama/terapia , Educação Médica Continuada , Pessoal de Saúde , Melhoria de Qualidade , Adaptação Psicológica , Neoplasias da Mama/metabolismo , Feminino , Fidelidade a Diretrizes , Pessoal de Saúde/educação , Pessoal de Saúde/normas , Humanos , Adesão à Medicação , Receptor ErbB-2/metabolismo
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