title: Are primary care providers implementing evidence-based care for breast cancer survivors?
abstract: OBJECTIVE
  To describe the implementation of key best practice guideline recommendations for posttreatment breast cancer survivorship care by primary care providers (PCPs).
  
  
  METHODS
  Descriptive cross-sectional survey.
  
  
  METHODS
  Southeastern Ontario.
  
  
  METHODS
  Eighty-two PCPs: 62 family physicians (FPs) and 20 primary health care nurse practitioners (PHCNPs).
  
  
  METHODS
  Twenty-one “need-to-know” breast cancer survivorship care guideline recommendations rated by participants as “implemented routinely,” “aware of guideline recommendation but not implemented routinely,” or “not aware of guideline recommendation.”
  
  
  RESULTS
  Overall, FPs and PHCNPs in our sample reported similar practice patterns in terms of implementation of breast cancer survivorship guideline recommendations. The PCPs reported routinely implementing approximately half (46.4%, 9.7 of 21) of the key guideline recommendations with breast cancer survivors in their practices. Implementation rates were higher for recommendations related to prevention and surveillance aspects of survivorship care, such as mammography and weight management. Knowledge and practice gaps were highest for recommendations related to screening for and management of long-term effects such as fatigue and distress. There were only a few minor differences reported between FPs and PHCNPs.
  
  
  CONCLUSIONS
  There are knowledge and practice gaps related to implementation of the key guideline recommendations for breast cancer survivorship care in the primary care setting that could be targeted for improvement through educational or other interventions.
authors.forename: Marian
authors.initials: M
authors.lastname: Luctkar-Flude
authors.forename: Alice
authors.initials: A
authors.lastname: Aiken
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: McColl
authors.forename: Joan
authors.initials: J
authors.lastname: Tranmer
authors.forename: Hugh
authors.initials: H
authors.lastname: Langley
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000628:therapy*; D019317:Evidence-Based Medicine / Q000379:methods / Q000592:standards*; D064703:Family Nurse Practitioners / Q000523:psychology; D005260:Female; D019983:Guideline Adherence; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D010821:Physicians, Family / Q000523:psychology; D011159:Population Surveillance / Q000379:methods; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000379:methods / Q000592:standards*; D017741:Survivors