{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T14:23:03Z","timestamp":1771510983055,"version":"3.50.1"},"reference-count":29,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"unspecified","delay-in-days":18,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"University Health Network -Sinai Health System (UHN-SHS) Innovation Fund"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,2,6]]},"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>International guidelines on breast cancer (BC) screening have differing recommendations leading to uncertainty on best practices for primary care providers. The purpose of this study was to create a Canadian best practices document on BC health and screening for primary healthcare providers through multidisciplinary consensus using Nominal Group Technique and Delphi method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>A 9-member multidisciplinary expert group and a patient advocate participated in the consensus methods and voting. Experts included those involved in BC management and two primary care physicians. Twenty-nine experts across BC disciplines participated in external review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcomes<\/jats:title>\n                    <jats:p>Two study objectives included (1) building consensus on key \u2018best practice\u2019 behaviours related to BC-related health and screening and (2) building consensus on specific definitions related to BC screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final consensus document consists of 65 statements grouped in five categories with companion resources to support uptake of all best practices. Categories include identification and work-up for diagnostic imaging, risk factors and identifying individuals eligible for high-risk screening, shared decision-making, decisions and referrals for BC screening and screening outcomes. Special areas of focus were shared decision-making, age to initiate screening, and BC screening in special populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We created a comprehensive consensus document distilling the latest evidence to provide practical Canadian consensus-based advice on specific \u2018best practice behaviours\u2019 related to BC health and screening to serve as a resource for providers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-107264","type":"journal-article","created":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T13:25:21Z","timestamp":1771507521000},"page":"e107264","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Breast cancer screening best practices: a Canadian multidisciplinary consensus-based approach for primary care providers"],"prefix":"10.1136","volume":"16","author":[{"given":"Neha","family":"Pathak","sequence":"first","affiliation":[{"name":"Division of Medical Oncology and Hematology, University of Toronto, Toronto, Ontario, Canada"},{"name":"Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann Marie","family":"Corrado","sequence":"additional","affiliation":[{"name":"Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0367-2219","authenticated-orcid":false,"given":"Jean M.","family":"Seely","sequence":"additional","affiliation":[{"name":"Radiology, University of Ottawa, Ottawa, Ontario, Canada"},{"name":"Medical Imaging, Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Heisey","sequence":"additional","affiliation":[{"name":"Family and Community Medicine, Women\u2019s College Hospital, Toronto, Ontario, Canada"},{"name":"Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7322-0894","authenticated-orcid":false,"given":"Aisha","family":"Lofters","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"},{"name":"Peter Gilgan Centre for Women\u2019s Cancers, Women\u2019s College Hospital, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tulin","family":"Cil","sequence":"additional","affiliation":[{"name":"Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada"},{"name":"Department of Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Sussman","sequence":"additional","affiliation":[{"name":"Division of Radiation Oncology, Department of Oncology, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6454-8150","authenticated-orcid":false,"given":"Toni","family":"Zhong","sequence":"additional","affiliation":[{"name":"Plastic Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eitan","family":"Amir","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology and Hematology, University of Toronto, Toronto, Ontario, Canada"},{"name":"Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adina","family":"Isenberg","sequence":"additional","affiliation":[{"name":"Patient Partner, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4372-3204","authenticated-orcid":false,"given":"Michelle B.","family":"Nadler","sequence":"additional","affiliation":[{"name":"Division of Medical Oncology and Hematology, University of Toronto, Toronto, Ontario, Canada"},{"name":"Princess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,2,19]]},"reference":[{"key":"2026021905250914000_16.2.e107264.1","doi-asserted-by":"crossref","unstructured":"Force U , Nicholson WK , Silverstein M , et al . 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