FH Breast Cancer

Family history of Breast Cancer Audit

 

Background:

Women with a family history of breast cancer have varying levels of risk of suffering from breast cancer.  UK guidance (National Institute for Health and Clinical Excellence - http://www.nice.org.uk/CG41 ) suggests:

  • People with low risk can be managed in primary care and take action to reduce modifiable risk factors.
  • Increased surveillance is needed for people at increased risk
  • Genetic advice and intervention is required for some high risk patients

For a detailed explanation of the background please click here.

For the literature review please click here.

Audit tools:

This page provides information and audit tools to check whether your practice/group of practices is recording the relevant information and taking action to improve the management of people with a family history of breast cancer.

 

Approach:

We are developing an audit-based education (ABE) programme which can be used provide groups of practices feedback as to their data recording levels.

  • The first step is a baseline data collection to inform about recording of key risk factors and if any interventions have taken place.
  • We then recommend a “Data Quality Workshop (DQW)” is held to share baseline data with all practices – so that an action plan is developed to improve quality.  The action plan is likely to have two elements:
  1. Improving data quality and data recording
  2. Meeting educational needs about managing people with a family history of breast cancer
  • A further data collection and feedback session – a second DQW – is held to provide further feedback.
  • There can be as many subsequent rounds of data collection and feedback as required.

 

Project team:

RCGP lead:            Dr. Imran Rafi

Informatics:           Prof Simon de Lusignan

 

Further information:

About audit-based education (ABE):

Methods Inf Med. 2007;46(1):57-62               http://www.ncbi.nlm.nih.gov/pubmed/17224982

J Public Health (Oxf). 2006;28(4):361-9          http://www.ncbi.nlm.nih.gov/pubmed/17038329

Example self-audit programme in diabetes:

Diabetes self-audit tools                                     http://www.clininf.eu/cod

Diabet Med. 2012;29(2):181-9                         http://www.ncbi.nlm.nih.gov/pubmed/21883428

 

Downloads: 

Breast Cancer Audit Poster                                                Audit_Poster_20120915v2.pdf

Example baseline DQW presentation:

Download exemplar data presentation:                                FH Breast Cancer DQW Exemplar.pdf

Download "laminate" summary feedback sheet                    Feedback_summary_DQW.pdf