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Grant Details

Grant Number: 5R21CA194194-02 Interpret this number
Primary Investigator: Pollack, Craig
Organization: Johns Hopkins University
Project Title: The Impact of Provider Social Networks on Breast Cancer Screening
Fiscal Year: 2017


 DESCRIPTION (provided by applicant): In the US, guidelines that seek to reduce cancer screening among certain patients often fail to impact clinical practice. Physician's social networks-the web of relationships among individuals-have been shown to be an important factor in the diffusion of innovation and may also be critical in settings where guidelines may conflict and where some guidelines may seek to roll-back, or de-implement, clinical practice. The objective of this exploratory R21 grant is to characterize how information from physicians' social networks defined as their colleagues, friends, and family members along with experiences from their own clinical practice may alter perceptions and recommendations regarding breast cancer screening and how this information affects population rates of screening. In Aim 1, we will conduct a national survey of physicians to characterize the extent to which their breast cancer screening recommendations are influenced by their experiences with medical colleagues, knowledge of friends and family who have been diagnosed with breast cancer, and encounters with their patients. In Aim 2, we will use the results of the survey to incorporate physicians into our existing agent-based model of patients' breast cancer screening decisions. The resulting model will allow study of interactions between physicians and patients, capturing the resulting feedback loops. Using this model, we will simulate different interventions by altering how social networks influence patient and provider decision making. With network interventions being increasingly deployed and the evidence base for cancer screening continuing to evolve, the proposed project will help prioritize aspects of interventions that may have the greatest likelihood of success in changing clinical practice.


Using an Agent-based Model to Examine Deimplementation of Breast Cancer Screening.
Authors: Nowak S.A. , Parker A.M. , Radhakrishnan A. , Schoenborn N. , Pollack C.E. .
Source: Medical care, 2021 Jan; 59(1), p. e1-e8.
PMID: 33165149
Related Citations

Linking physician attitudes to their breast cancer screening practices: A survey of US primary care providers and gynecologists.
Authors: Radhakrishnan A. , Nowak S.A. , Parker A.M. , Visvanathan K. , Pollack C.E. .
Source: Preventive medicine, 2018 Feb; 107, p. 90-102.
EPub date: 2017-11-17.
PMID: 29155227
Related Citations

Association Between Physicians' Experiences With Members of Their Social Network and Efforts to Reduce Breast Cancer Screening.
Authors: Pollack C.E. , Radhakrishnan A. , Parker A.M. , Chen X. , Visvanathan K. , Nowak S.A. .
Source: JAMA internal medicine, 2018-01-01; 178(1), p. 148-151.
PMID: 29204657
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Specialty Societies and Breast Cancer Screening Recommendations-Reply.
Authors: Radhakrishnan A. , Parker A.M. , Pollack C.E. .
Source: JAMA internal medicine, 2017-12-01; 177(12), p. 1872.
PMID: 29204637
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Specialty Societies and Breast Cancer Screening Recommendations.
Authors: Lee C.I. , Scheel J.R. , Lee J.M. .
Source: JAMA internal medicine, 2017-12-01; 177(12), p. 1871-1872.
PMID: 29204630
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Linking Reminders and Physician Breast Cancer Screening Recommendations: Results From a National Survey.
Authors: Siembida E.J. , Radhakrishnan A. , Nowak S.A. , Parker A.M. , Pollack C.E. .
Source: JCO clinical cancer informatics, 2017 Nov; 1, p. 1-10.
PMID: 30657396
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Physician Breast Cancer Screening Recommendations Following Guideline Changes: Results of a National Survey.
Authors: Radhakrishnan A. , Nowak S.A. , Parker A.M. , Visvanathan K. , Pollack C.E. .
Source: JAMA internal medicine, 2017-06-01; 177(6), p. 877-878.
PMID: 28395005
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