TY - JOUR
T1 - Physicians’ attitudes and perceived barriers to adherence to the national breast cancer clinical practice guidelines in Mexico
T2 - a survey study
AU - Martinez-Cannon, Bertha Alejandra
AU - Soto-Perez-de-Celis, Enrique
AU - Erazo Valle-Solis, Aura
AU - Arce-Salinas, Claudia
AU - Bargallo-Rocha, Enrique
AU - Bautista-Piña, Veronica
AU - Cervantes-Sanchez, Guadalupe
AU - Flores-Balcázar, Christian Haydeé
AU - Lara Tamburrino, Maria del Carmen
AU - Lluch, Ana
AU - Maffuz-Aziz, Antonio
AU - Pérez-Sánchez, Victor Manuel
AU - Poitevin-Chacón, Adela
AU - Salas-González, Efraín
AU - Torrecillas Torres, Laura
AU - Valero, Vicente
AU - Villaseñor-Navarro, Yolanda
AU - Cárdenas-Sánchez, Jesús
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Federación de Sociedades Españolas de Oncología (FESEO).
PY - 2023/1
Y1 - 2023/1
N2 - 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. Results: 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 2.0–5.3) and practicing at a public hospital (OR 2.1, 95% CI 1.2–3.7). 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.
AB - 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. Results: 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 2.0–5.3) and practicing at a public hospital (OR 2.1, 95% CI 1.2–3.7). 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.
KW - Adherence
KW - Breast cancer
KW - Clinical practice guidelines
KW - Limited-resource settings
KW - Low- and middle-income countries
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U2 - 10.1007/s12094-022-02921-9
DO - 10.1007/s12094-022-02921-9
M3 - Article
C2 - 35986133
AN - SCOPUS:85136462599
SN - 1699-048X
VL - 25
SP - 151
EP - 159
JO - Clinical and Translational Oncology
JF - Clinical and Translational Oncology
IS - 1
ER -