How do women who are informed that they are at increased risk of breast cancer appraise their risk? A systematic review of qualitative research.
How do women who are informed that they are at increased risk of breast cancer appraise their risk? A systematic review of qualitative research.
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DOI：
10.1038/s41416-022-01944-x
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发表时间：
2022-11
影响因子：
8.8
通讯作者：
French DP
中科院分区：
文献类型：
--
作者：
Woof VG;Howell A;McWilliams L;Gareth Evans D;French DP
这篇综述旨在综合定性研究，了解女性如何告知她们患乳腺癌的风险增加。五个电子数据库进行了系统的定性研究，调查妇女谁收到了增加乳腺癌的风险估计评估其风险状况。纳入了14份报告12项研究的记录，并进行了批判性评价。数据是按主题综合的。产生了四个分析主题。妇女通过与其他家族性疾病的风险进行比较来评估她们患乳腺癌的风险。临床衍生的风险估计被理解为与预先设想的风险评估有关，不一致会令人惊讶。家族史是非常依赖的，女性探索自己和受影响亲属之间的相似性和差异，以衡量诊断的可能性。风险增加的妇女报告说，她们生活在诊断不可避免或不确定的阴影之下，导致对风险管理的担忧。妇女对自己患乳腺癌的风险有稳定的评估，这似乎主要是通过她们在家庭中患乳腺癌的经历形成的。医疗保健专业人员应探讨妇女的个人风险评估之前，提供临床衍生的风险估计，以解决误解，减少对不可避免性的担忧，并增加对风险降低的感知控制。
This review aimed to synthesise qualitative research on how women notified that they are at increased risk of breast cancer view their risk. Five electronic databases were systematically reviewed for qualitative research investigating how women who have received an increased breast cancer risk estimate appraise their risk status. Fourteen records reporting 12 studies were included and critically appraised. Data were thematically synthesised. Four analytical themes were generated. Women appraise their risk of breast cancer through comparison with their risk of other familial diseases. Clinically derived risk estimates were understood in relation to pre-conceived risk appraisals, with incongruences met with surprise. Family history is relied upon strongly, with women exploring similarities and differences in attributes between themselves and affected relatives to gauge the likelihood of diagnosis. Women at increased risk reported living under a cloud of inevitability or uncertainty regarding diagnosis, resulting in concerns about risk management. Women hold stable appraisals of their breast cancer risk which appear to be mainly formed through their experiences of breast cancer in the family. Healthcare professionals should explore women’s personal risk appraisals prior to providing clinically derived risk estimates in order to address misconceptions, reduce concerns about inevitability and increase perceived control over risk reduction.
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影响因子：
3.6
作者：
Fielden HG;Brown SL;Saini P;Beesley H;Salmon P
通讯作者：
Salmon P
影响因子：
1.9
作者：
Hallowell, N;Statham, H;Murton, F
通讯作者：
Murton, F
影响因子：
8.8
作者：
Cull, A;Anderson, EDC;Campbell, S;MacKay, J;Smyth, E;Steel, M
通讯作者：
Steel, M
影响因子：
1.7
作者：
Harvie M;French DP;Pegington M;Cooper G;Howell A;McDiarmid S;Lombardelli C;Donnelly L;Ruane H;Sellers K;Barrett E;Armitage CJ;Evans DG
通讯作者：
Evans DG
影响因子：
3.8
作者：
Ferrer, Rebecca A.;Klein, William M. P.;Sheeran, Paschal
通讯作者：
Sheeran, Paschal