Improved BRCA Risk Screening Among Women in Primary Care Following Provider Education
This project to improve provider screening for breast cancer susceptibility (BRCA) gene mutations was implemented in a primary care clinic in Western Kansas. The purpose of this quality improvement project is to determine if a BRCA gene mutation educational session, discussing Hereditary Breast and Ovarian Cancers (HBOC), screening guidelines and implications of screening, among primary care providers, will increase provider’s knowledge. Before and after the interventional BRCA educational session, the primary outcome, provider BRCA knowledge, was measured by use of a questionnaire titled “Questions for Survey for Birth Care Health Care Clinicians.” With the use of the McNemar Statistical test, paired data was analyzed, but there was no statistically significant change from pre-education questionnaire to post-education questionnaire. A descriptive statistics table illustrates the impact on certain questions with the highest significance of 0.125. This topic is highly impactful because breast cancer is the second deadliest cancer among women, and possessing a mutation on either the BRCA 1 or BRCA 2 genes significantly increases a woman’s risk for cancer in her lifetime. Regular, intermittent screening of women for HBOC syndrome risk, with an evidence-based tool at well-woman visits, should lead to earlier intervention for prevention and early detection of breast cancer and ovarian cancer in women at highest risk.
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