Coordination of Care for Breast Reconstruction Patients: A Provider Survey

Jennifer L. Milucky, Allison M. Deal, Carey Anders, Rebecca Wu, Richard Sean McNally, Clara N. Lee

Research output: Research - peer-reviewArticle

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Abstract

Treatment for patients undergoing breast reconstruction is often complex, requiring special expertise from multiple providers. This study surveyed medical oncologists and plastic surgeons about their knowledge, attitudes, and communication related to treatment of patients undergoing breast reconstruction. Identifying the gaps in understanding of treatment course, understanding each provider's responsibility in timely care, and increasing communication about a patient's treatment could improve patient care and enhance safety of breast reconstruction. Objectives Communication between medical oncologists (MOs) and plastic surgeons (PSs) is important to optimize outcomes for patients with breast cancer seeking breast reconstruction. We sought to evaluate the knowledge MOs and PSs have of each others' fields, roles expected of each other, and frequency of communication. Methods A cross-sectional survey was conducted in a convenience sample of MOs and PSs. The survey included knowledge questions about reconstruction and chemotherapy, questions about provider and patient responsibilities for timely chemotherapy initiation, and questions about communication with other specialties. Results MOs and PSs had similar knowledge scores (MOs, 59%; PSs, 56%; P = .5), but both lacked knowledge about aspects of the other specialty's field related to breast reconstruction. The MOs and PSs agreed on the MOs' degree of responsibility for timely chemotherapy initiation (MOs mean, 4.6; PSs mean, 4.4 (out of 5); P = .2). However, they disagreed about the PS's responsibility for timely chemotherapy initiation (MOs mean, 3.8; PSs mean, 3.0; P = .01). Communication occurred about 2.5 times more often for patients with complications than patients without complications (P < .0001). Conclusion MOs and PSs have deficits in knowledge about each other fields and differ in their opinion regarding the burden of responsibility in ensuring timely chemotherapy initiation, suggesting room for improvement in communication and understanding.

LanguageEnglish (US)
Pagese59-e64
JournalClinical Breast Cancer
Volume17
Issue number2
DOIs
StatePublished - Apr 1 2017

Fingerprint

Mammaplasty
Surveys and Questionnaires
Oncologists
Surgeons
Communication
Drug Therapy
Therapeutics
Breast Neoplasms
Plastics
Patient Care
Cross-Sectional Studies
Safety

Keywords

  • Breast cancer
  • Breast reconstruction
  • Coordination of care
  • Knowledge and attitudes of providers
  • Provider communication

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Milucky, J. L., Deal, A. M., Anders, C., Wu, R., McNally, R. S., & Lee, C. N. (2017). Coordination of Care for Breast Reconstruction Patients: A Provider Survey. Clinical Breast Cancer, 17(2), e59-e64. DOI: 10.1016/j.clbc.2016.07.012

Coordination of Care for Breast Reconstruction Patients : A Provider Survey. / Milucky, Jennifer L.; Deal, Allison M.; Anders, Carey; Wu, Rebecca; McNally, Richard Sean; Lee, Clara N.

In: Clinical Breast Cancer, Vol. 17, No. 2, 01.04.2017, p. e59-e64.

Research output: Research - peer-reviewArticle

Milucky, JL, Deal, AM, Anders, C, Wu, R, McNally, RS & Lee, CN 2017, 'Coordination of Care for Breast Reconstruction Patients: A Provider Survey' Clinical Breast Cancer, vol 17, no. 2, pp. e59-e64. DOI: 10.1016/j.clbc.2016.07.012
Milucky JL, Deal AM, Anders C, Wu R, McNally RS, Lee CN. Coordination of Care for Breast Reconstruction Patients: A Provider Survey. Clinical Breast Cancer. 2017 Apr 1;17(2):e59-e64. Available from, DOI: 10.1016/j.clbc.2016.07.012
Milucky, Jennifer L. ; Deal, Allison M. ; Anders, Carey ; Wu, Rebecca ; McNally, Richard Sean ; Lee, Clara N./ Coordination of Care for Breast Reconstruction Patients : A Provider Survey. In: Clinical Breast Cancer. 2017 ; Vol. 17, No. 2. pp. e59-e64
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abstract = "Treatment for patients undergoing breast reconstruction is often complex, requiring special expertise from multiple providers. This study surveyed medical oncologists and plastic surgeons about their knowledge, attitudes, and communication related to treatment of patients undergoing breast reconstruction. Identifying the gaps in understanding of treatment course, understanding each provider's responsibility in timely care, and increasing communication about a patient's treatment could improve patient care and enhance safety of breast reconstruction. Objectives Communication between medical oncologists (MOs) and plastic surgeons (PSs) is important to optimize outcomes for patients with breast cancer seeking breast reconstruction. We sought to evaluate the knowledge MOs and PSs have of each others' fields, roles expected of each other, and frequency of communication. Methods A cross-sectional survey was conducted in a convenience sample of MOs and PSs. The survey included knowledge questions about reconstruction and chemotherapy, questions about provider and patient responsibilities for timely chemotherapy initiation, and questions about communication with other specialties. Results MOs and PSs had similar knowledge scores (MOs, 59%; PSs, 56%; P = .5), but both lacked knowledge about aspects of the other specialty's field related to breast reconstruction. The MOs and PSs agreed on the MOs' degree of responsibility for timely chemotherapy initiation (MOs mean, 4.6; PSs mean, 4.4 (out of 5); P = .2). However, they disagreed about the PS's responsibility for timely chemotherapy initiation (MOs mean, 3.8; PSs mean, 3.0; P = .01). Communication occurred about 2.5 times more often for patients with complications than patients without complications (P < .0001). Conclusion MOs and PSs have deficits in knowledge about each other fields and differ in their opinion regarding the burden of responsibility in ensuring timely chemotherapy initiation, suggesting room for improvement in communication and understanding.",
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