Clinician awareness and knowledge of breast cancer-related lymphedema in a large, integrated health care delivery setting

Breast cancer survivors have reported dissatisfaction regarding their education on risk of breast cancer-related lymphedema (BCRL) from clinicians. We describe clinician knowledge and treatment referral of patients with BCRL among active oncologists, surgeons, and primary care physicians in the Kais...

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Bibliographic Details
Published in:Breast cancer research and treatment 2012-02, Vol.131 (3), p.1029-1038
Main Authors: Tam, Emily K., Shen, Ling, Munneke, Julie R., Ackerson, Lynn M., Partee, Paula N., Somkin, Carol P., André, Mary, Kutner, Susan E., Thiadens, Saskia R. J., Kwan, Marilyn L.
Format: Article
Language:English
Subjects:
Adult
Aged
Analysis
Biological and medical sciences
Blood and lymphatic vessels
Breast cancer
Breast Neoplasms - complications
Breast Neoplasms - epidemiology
Breast Neoplasms - surgery
California - epidemiology
Cancer research
Cancer therapies
Cardiology. Vascular system
Care and treatment
Clinical Competence
Confounding Factors (Epidemiology)
Delivery of Health Care, Integrated - statistics & numerical data
Diseases of the lymphatic vessels
Epidemiology
Female
Gynecology. Andrology. Obstetrics
Health aspects
Health care industry
Health Knowledge, Attitudes, Practice
Health maintenance organizations
Health Surveys
Humans
Internet
Knowledge
Lymphatic system
Lymphedema
Lymphedema - complications
Lymphedema - epidemiology
Male
Mammary gland diseases
Medical disorders
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Oncology
Physicians
Primary nursing
Referral and Consultation
Surgeons
Surveys
Surveys and Questionnaires
Survivors
Tumors
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Description
Summary:Breast cancer survivors have reported dissatisfaction regarding their education on risk of breast cancer-related lymphedema (BCRL) from clinicians. We describe clinician knowledge and treatment referral of patients with BCRL among active oncologists, surgeons, and primary care physicians in the Kaiser Permanente Northern California Medical Care Program. A total of 887 oncologists, surgeons, and primary care clinicians completed a 10-minute web survey from May 2, 2010 to December 31, 2010 on BCRL knowledge, education, and referral patterns. A knowledge score of BCRL was calculated based on clinician responses. Multivariable regression models were used to determine the associations of selected covariates with BCRL knowledge score and clinician referral, respectively. Compared with primary care clinicians, oncologists had the highest mean score followed closely by surgeons ( P  
ISSN:0167-6806
1573-7217
DOI:10.1007/s10549-011-1829-z