{"id":"https://openalex.org/W4313816583","doi":"https://doi.org/10.1158/1538-7755.disp22-b045","title":"Abstract B045: Assessing knowledge and barriers at the primary care provider level that contribute to disparities in inflammatory breast cancer diagnosis and treatment","display_name":"Abstract B045: Assessing knowledge and barriers at the primary care provider level that contribute to disparities in inflammatory breast cancer diagnosis and treatment","publication_year":2023,"publication_date":"2023-01-01","ids":{"openalex":"https://openalex.org/W4313816583","doi":"https://doi.org/10.1158/1538-7755.disp22-b045"},"language":"en","primary_location":{"id":"doi:10.1158/1538-7755.disp22-b045","doi":"https://doi.org/10.1158/1538-7755.disp22-b045","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1158/1538-7755.disp22-b045","pdf_url":null,"source":{"id":"https://openalex.org/S8391440","display_name":"Cancer Epidemiology Biomarkers & Prevention","issn_l":"1055-9965","issn":["1055-9965","1538-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Epidemiology, Biomarkers &amp; Prevention","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5089632095","display_name":"Gayathri R. Devi","orcid":"https://orcid.org/0000-0001-9158-7289","observed_orcids":["https://orcid.org/0000-0001-9158-7289"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gayathri R. Devi","raw_affiliation_strings":["1Department of Surgery, Duke University School of Medicine, Durham, NC,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1Department of Surgery, Duke University School of Medicine, Durham, NC,","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I4210126298"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083318050","display_name":"Laura J. Fish","orcid":"https://orcid.org/0000-0002-7296-3063","observed_orcids":["https://orcid.org/0000-0002-7296-3063"]},"institutions":[{"id":"https://openalex.org/I4390039326","display_name":"Duke Cancer Institute","ror":"https://ror.org/04vt65461","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876","https://openalex.org/I4390039326"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Laura J. Fish","raw_affiliation_strings":["2Behavioral Health and Survey Research Core, Duke Cancer Institute, Durham, NC,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"2Behavioral Health and Survey Research Core, Duke Cancer Institute, Durham, NC,","institution_ids":["https://openalex.org/I4390039326"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5090576112","display_name":"Alexandra Bennion","orcid":"https://orcid.org/0000-0003-0217-1201","observed_orcids":["https://orcid.org/0000-0003-0217-1201"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alexandra Bennion","raw_affiliation_strings":["3Trinity College of Arts and Sciences, Duke University, Durham, NC,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"3Trinity College of Arts and Sciences, Duke University, Durham, NC,","institution_ids":["https://openalex.org/I170897317"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Sarah Weaver","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4390039326","display_name":"Duke Cancer Institute","ror":"https://ror.org/04vt65461","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876","https://openalex.org/I4390039326"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sarah Weaver","raw_affiliation_strings":["4Duke Consortium for Inflammatory Breast Cancer, Duke Cancer Institute, Durham, NC,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"4Duke Consortium for Inflammatory Breast Cancer, Duke Cancer Institute, Durham, NC,","institution_ids":["https://openalex.org/I4390039326"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059672268","display_name":"Gregory Sawin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gregory Sawin","raw_affiliation_strings":["5Family Medicine and Community Health, Duke University School of Medicine, Durham, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"5Family Medicine and Community Health, Duke University School of Medicine, Durham, NC","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I4210126298"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053678918","display_name":"Anh N. Tran","orcid":"https://orcid.org/0000-0002-5812-7325","observed_orcids":["https://orcid.org/0000-0002-5812-7325"]},"institutions":[{"id":"https://openalex.org/I170897317","display_name":"Duke University","ror":"https://ror.org/00py81415","country_code":"US","type":"education","lineage":["https://openalex.org/I170897317"]},{"id":"https://openalex.org/I4210126298","display_name":"Duke Medical Center","ror":"https://ror.org/03njmea73","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210126298","https://openalex.org/I4210144876"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anh N. Tran","raw_affiliation_strings":["5Family Medicine and Community Health, Duke University School of Medicine, Durham, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"5Family Medicine and Community Health, Duke University School of Medicine, Durham, NC","institution_ids":["https://openalex.org/I170897317","https://openalex.org/I4210126298"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"32","issue":"1_Supplement","first_page":"B045","last_page":"B045"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.9365000128746033,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.9365000128746033,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.022700000554323196,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.017500000074505806,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/inflammatory-breast-cancer","display_name":"inflammatory breast cancer","score":0.9990000128746033},{"id":"https://openalex.org/keywords/primary-care-providers","display_name":"primary care providers","score":0.8679999709129333},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.7919999957084656},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.5920000076293945},{"id":"https://openalex.org/keywords/late-referral","display_name":"late referral","score":0.6159999966621399},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.8769999742507935},{"id":"https://openalex.org/keywords/rare-tumor","display_name":"rare tumor","score":0.4569999873638153},{"id":"https://openalex.org/keywords/health-professionals-knowledge","display_name":"health professionals' knowledge","score":0.5419999957084656},{"id":"https://openalex.org/keywords/covid-19-pandemic-impact","display_name":"COVID-19 pandemic impact","score":0.628000020980835},{"id":"https://openalex.org/keywords/continuing-medical-education","display_name":"continuing medical education","score":0.9259999990463257},{"id":"https://openalex.org/keywords/breast-cancer-care","display_name":"breast cancer care","score":0.421999990940094}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7857972979545593},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.7206528782844543},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5766225457191467},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5224898457527161},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.4922439157962799},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4710512161254883},{"id":"https://openalex.org/C2780839634","wikidata":"https://www.wikidata.org/wiki/Q5922406","display_name":"Inflammatory breast cancer","level":4,"score":0.4395633935928345},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4215274155139923},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2599494755268097},{"id":"https://openalex.org/C120665830","wikidata":"https://www.wikidata.org/wiki/Q14620","display_name":"Optics","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1158/1538-7755.disp22-b045","doi":"https://doi.org/10.1158/1538-7755.disp22-b045","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1158/1538-7755.disp22-b045","pdf_url":null,"source":{"id":"https://openalex.org/S8391440","display_name":"Cancer Epidemiology Biomarkers & Prevention","issn_l":"1055-9965","issn":["1055-9965","1538-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Epidemiology, Biomarkers &amp; Prevention","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7578999996185303}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4310727491","https://openalex.org/W4388845500","https://openalex.org/W4396587456","https://openalex.org/W7129673527","https://openalex.org/W3082521175","https://openalex.org/W4411289684","https://openalex.org/W7169662516","https://openalex.org/W3197343438","https://openalex.org/W1519059961","https://openalex.org/W1532795222"],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"Although":[2],"recognized":[3,236],"as":[4,194,287,428],"the":[5,28,77,87,104,121,163,195,207,232,306,347,424,485,505,510,520],"most":[6,197,258,334],"lethal":[7],"breast":[8,11,140,255,314,323,496],"cancer,":[9],"inflammatory":[10,495],"cancer":[12,18,21,141,315,324,497],"(IBC),":[13],"a":[14,20,36,155,180,214,274,288,377,429],"NCI":[15],"designated":[16],"rare":[17,202,439],"and":[19,54,66,73,107,123,138,161,172,178,257,317,341,365,369,380,393,398,411,434,445,482,499,519],"health":[22],"disparity,":[23],"is":[24,239],"severely":[25],"understudied.":[26],"Given":[27],"unique":[29],"presentation":[30],"of":[31,79,90,206,245,351,400,453,504,512],"diffuse":[32],"tumor":[33],"spread":[34],"without":[35],"solid":[37],"mass,":[38],"not":[39,240,260],"easily":[40],"detected":[41],"by":[42],"self-breast":[43],"exams":[44],"or":[45,254,360],"mammograms,":[46],"IBC":[47,65,134,219,238,262,272,401],"patients":[48,93,221,250,344,368],"often":[49,86],"face":[50],"delays":[51],"in":[52,64,69,116,135,162,209,220,263,273,277,298,375,494,516],"diagnosis":[53,248,397,498],"treatment":[55,500],"leading":[56],"to":[57,95,119,190,200,217,242,279,336,381,388,395,406,415,426,431,492],"poor":[58],"outcomes.":[59],"Moreover,":[60],"reproductive":[61],"risk":[62],"factors":[63],"high":[67],"incidence":[68],"younger":[70],"women,":[71],"minoritized":[72],"marginalized":[74],"populations":[75],"highlight":[76],"significance":[78],"primary":[80,486],"care":[81,125,142,191,399,412,487],"providers":[82,152,331,370],"(PCP)":[83],"who":[84],"are":[85],"first":[88,146,384],"point":[89],"contact":[91],"when":[92,249],"begin":[94],"notice":[96],"symptoms.":[97],"Methods:":[98],"In":[99,186,291,303],"this":[100,187,210],"study,":[101,188],"we":[102,145,176],"evaluated":[103],"knowledge":[105,383,391,481],"gaps":[106,392],"barriers":[108,394,483],"amongst":[109],"PCP":[110,131,390,408],"(physicians,":[111],"physician":[112],"assistants,":[113],"nurse":[114],"practitioners)":[115],"their":[117,136,264],"ability":[118,216],"recognize":[120,218],"signs":[122],"coordinate":[124],"effectively":[126],"for":[127,300,343,367,437],"IBC.":[128],"To":[129],"assess":[130,389],"experiences":[132],"with":[133,151,252,345],"practices":[137],"overall":[139],"during":[143],"COVID,":[144],"conducted":[147],"semi-structured":[148,233],"interviews":[149,171],"(n=11)":[150],"selected":[153],"from":[154,169],"convenience":[156],"sample":[157],"at":[158,484],"Duke":[159,442,456],"University":[160],"local":[164],"clinics.":[165],"Based":[166],"on":[167,509],"data":[168],"these":[170],"additional":[173],"cognitive":[174],"interviews,":[175,234],"developed":[177],"disseminated":[179],"comprehensive":[181],"online":[182,355],"survey":[183,378,420],"(n=78).":[184],"Results:":[185],"access":[189],"was":[192],"identified":[193,212],"single":[196],"important":[198],"barrier":[199],"treating":[201],"cancers.":[203,440],"Furthermore,":[204],"majority":[205],"PCPs":[208,235],"cohort":[211],"only":[213],"moderate":[215],"(mean":[222],"=":[223],"3.3,":[224],"range":[225],"1-7),":[226],"thereby":[227],"limiting":[228],"early":[229],"diagnosis.":[230],"From":[231],"that":[237,320,490],"likely":[241],"be":[243],"part":[244],"typical":[246],"differential":[247],"present":[251],"mastitis":[253],"changes,":[256],"had":[259],"seen":[261],"practice.":[265],"Only":[266],"31%":[267],"(n=78)":[268],"reported":[269,286,295,311,319],"ever":[270],"suspecting":[271],"patient.":[275],"Delays":[276],"referrals":[278,299],"specialized":[280],"large":[281],"clinical":[282],"centers":[283],"were":[284,354],"also":[285,422],"major":[289],"barrier.":[290],"particular,":[292],"62.8%":[293],"(n=49)":[294],"some":[296],"delay":[297],"diagnostic":[301],"imaging.":[302],"addition,":[304],"since":[305],"COVID-19":[307],"pandemic":[308],"started,":[309],"33%":[310],"diagnosing":[312,340],"less":[313],"cases":[316],"63%":[318],"they":[321],"experienced":[322],"referral":[325],"delays.":[326],"When":[327],"asked":[328],"what":[329],"methods":[330,386],"would":[332],"find":[333],"helpful":[335],"learn":[337],"more":[338],"about":[339],"caring":[342],"IBC,":[346],"top":[348],"three":[349],"modes":[350],"preferred":[352],"education":[353],"CME":[356],"options":[357],"(53%);":[358],"lunchtime,":[359],"other":[361,438],"in-service":[362],"training":[363,409],"(33%);":[364],"website":[366],"(32%).":[371],"Conclusions:":[372],"We":[373],"succeeded":[374],"developing":[376],"instrument":[379,421],"our":[382],"mixed":[385],"study":[387],"timely":[396],"patients.":[402],"Results":[403],"underscore":[404],"need":[405],"develop":[407],"modules":[410],"coordination":[413],"tools":[414],"improve":[416],"guideline-concordant":[417],"care.":[418],"This":[419],"has":[423],"potential":[425],"serve":[427],"blueprint":[430],"design,":[432],"implement,":[433],"evaluate":[435],"interventions":[436],"Support:":[441],"Behavioral":[443],"Health":[444,514],"Survey":[446],"Research":[447],"Core":[448],"Award":[449],"(GRD,":[450],"ANT);":[451],"Dept":[452],"Surgery":[454],"(GRD);":[455],"Undergraduate":[457],"Nakiyama":[458],"Public":[459],"Service":[460],"Scholar":[461],"(AB).":[462],"Citation":[463],"Format:":[464],"Gayathri":[465],"R.":[466],"Devi,":[467],"Laura":[468],"J.":[469],"Fish,":[470],"Alexandra":[471],"Bennion,":[472],"Sarah":[473],"Weaver,":[474],"Gregory":[475],"Sawin,":[476],"Anh":[477],"N.":[478],"Tran.":[479],"Assessing":[480],"provider":[488],"level":[489],"contribute":[491],"disparities":[493],"[abstract].":[501],"In:":[502],"Proceedings":[503],"15th":[506],"AACR":[507],"Conference":[508],"Science":[511],"Cancer":[513,531],"Disparities":[515],"Racial/Ethnic":[517],"Minorities":[518],"Medically":[521],"Underserved;":[522],"2022":[523],"Sep":[524],"16-19;":[525],"Philadelphia,":[526],"PA.":[527],"Philadelphia":[528],"(PA):":[529],"AACR;":[530],"Epidemiol":[532],"Biomarkers":[533],"Prev":[534],"2022;31(1":[535],"Suppl):Abstract":[536],"nr":[537],"B045.":[538]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2023-01-09T00:00:00"}
