Physicians attitudes and perceived barriers to adherence to the national breast cancer clinical practice guidelines in Mexico: a survey study
Clin. transl. oncol. (Print)
; 25(1): 151-159, ene. 2023.
Article
em En
| IBECS
| ID: ibc-215829
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
Background Adherence to clinical practice guidelines improves outcomes for patients with breast cancer. However, their implementation may not be feasible in low- and middle-income countries. This study aimed to evaluate physicians adherence, attitudes, and barriers towards the Colima Consensus, which is the Mexican national breast cancer clinical practice guideline. Methods A cross-sectional, 31-item survey was e-mailed to Consensus attendees and members of the Mexican Society of Oncology and Mexican Mastology Association. Descriptive statistics, univariate, and multivariate analysis were used to analyze the associations between participants characteristics, adherence, attitudes, and barriers. Result Of 439 respondents, 78% percent adhered to Consensus recommendations and 94% believed it was applicable to their clinical practice. Forty percent reported using the Consensus as their sole breast cancer guideline. This was associated with being a surgical oncologist (OR 3.3, 95% CI 2.05.3) and practicing at a public hospital (OR 2.1, 95% CI 1.23.7). The most common barriers to adherence were lack of resources and logistical problems. Regarding attitudes towards the Consensus, 90% considered it a good educational tool, 89% considered it a reliable source of information, and 90% thought it improved quality of care. Conclusions We showed high levels of adherence and positive attitudes towards the Colima Consensus, with a significant proportion of physicians using it as their only guideline. Lack of resources and logistical issues were the main barriers to adherence. Our results highlight the relevance of local breast cancer guidelines and suggest a need for the creation of resource-stratified guidelines (AU)
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Base de dados:
IBECS
Assunto principal:
Padrões de Prática Médica
/
Neoplasias da Mama
/
Atitude do Pessoal de Saúde
Limite:
Female
/
Humans
País como assunto:
Mexico
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article