PTOTSurveyArchives of rehabilitation research and clinical translation2019

Differences in Perceived Risk at Which Clinician and Patient Stakeholders Initiate Activities to Prevent Late Effects Among Breast Cancer Survivors.

Isabella Alvarado, Eric Wisotzky, Andrea L Cheville

PMID 33543046

WHAT IT FOUND

Breast cancer survivors said they would start education and prevention at lower perceived risk than clinicians.

Therapists had the lowest risk levels among clinicians, while surgeons and other physicians set higher levels.

Key findings

01Breast cancer survivors reported lower risk levels than clinicians for starting education and prevention, but not for screening or referral.

02Therapists had the lowest risk levels for initiating screening and referral among clinicians, and were consistently low across prevention activities.

03Physicians generally set higher risk levels than allied health providers, and breast surgeons set among the highest levels.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The questionnaire was not psychometrically validated; items were cognitively pretested and pilot tested but not rigorously vetted. Analyses were exploratory and did not adjust for multiple comparisons. The target sample size was arbitrary and not based on a priori estimates. No effort was made to balance sex, age, or years of experience across subgroups. Participants were recruited by convenience and purposive sampling, including staff meetings and email. Most clinicians were recruited from a quaternary comprehensive cancer center, so results may not apply to other settings. Findings apply only to breast cancer, not other cancers.

The easy way to misread this

Do not read these ratings as evidence that earlier activities prevent late effects. The study measured the perceived risk at which groups said they would start activities, not patient outcomes or validated clinical thresholds.

Read it on PubMed →