{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T01:58:44Z","timestamp":1775095124153,"version":"3.50.1"},"reference-count":112,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T00:00:00Z","timestamp":1661385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100011851","name":"Kom op tegen Kanker","doi-asserted-by":"publisher","award":["KOTK\/2020\/11886"],"award-info":[{"award-number":["KOTK\/2020\/11886"]}],"id":[{"id":"10.13039\/501100011851","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011851","name":"Kom op tegen Kanker","doi-asserted-by":"publisher","award":["KOTK\/2020\/11886"],"award-info":[{"award-number":["KOTK\/2020\/11886"]}],"id":[{"id":"10.13039\/501100011851","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Background<\/jats:title>\n<jats:p>The prevention and treatment of chronic pain problems in breast cancer follow-up care require an adequate response from healthcare providers. Generally, this involves the uptake of evidence-based principles regarding pain management in everyday practice. However, despite the extensive literature on effective pain interventions, systematic and coordinated follow-up care is lacking for breast cancer survivors with pain problems in Flanders, Belgium.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Objective<\/jats:title>\n<jats:p>This study aimed to gather insight into healthcare providers\u2019 perceptions of pain prevention and treatment in breast cancer follow-up care, particularly with attention to the multilevel influences on pain follow-up.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Methods<\/jats:title>\n<jats:p>We conducted four online focus groups with twenty-two healthcare providers from different disciplines such as oncologists, pharmacists, nurses, physiotherapists, and psychologists. Data analysis was guided by the Qualitative Analysis Guide of Leuven. This guide is inspired by the constant comparison method, based on Grounded Theory.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Results<\/jats:title>\n<jats:p>The identified influencing factors were thematically grouped into four levels: at the level of the individual healthcare provider, in interaction with the patient, in interaction with colleagues, and at the context level. At each level, we distinguished factors related to healthcare providers\u2019 perceptions such as awareness, knowledge, attitudes, beliefs, experiences, and intentions. For example, because of a lack of knowledge and certain beliefs among healthcare providers, referral to other disciplines often does not happen in the context of pain.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>This study points out the need to explore the prevention and treatment of chronic pain after breast cancer from a multidimensional point of view. This involves not only the characteristics of individual healthcare providers but is also inherently interactional and system-like in nature. This analysis provides opportunities for the development of interventions that target the influencing factors of prevention and treatment of chronic pain in breast cancer survivors.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0273576","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T17:39:47Z","timestamp":1661449187000},"page":"e0273576","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Exploring healthcare providers\u2019 perceptions regarding the prevention and treatment of chronic pain in breast cancer survivors: A qualitative analysis among different disciplines"],"prefix":"10.1371","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7239-7006","authenticated-orcid":true,"given":"Ya\u00ebl","family":"Slaghmuylder","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2273-0250","authenticated-orcid":true,"given":"Peter","family":"Pype","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Van Hecke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emelien","family":"Lauwerier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2022,8,25]]},"reference":[{"issue":"2","key":"pone.0273576.ref001","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1111\/j.1526-4637.2006.00220.x","article-title":"Chronic pain in the cancer survivor: a new frontier","volume":"8","author":"AW Burton","year":"2007","journal-title":"Pain medicine (Malden, Mass)"},{"issue":"2","key":"pone.0273576.ref002","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/j.pmn.2010.09.002","article-title":"Current knowledge of pain after breast cancer treatment: a systematic review","volume":"14","author":"MA Cooney","year":"2013","journal-title":"Pain management nursing: official journal of the American Society of Pain Management Nurses"},{"issue":"12","key":"pone.0273576.ref003","doi-asserted-by":"crossref","first-page":"3607","DOI":"10.1007\/s00520-017-3824-3","article-title":"Risk factors of pain in breast cancer survivors: a systematic review and meta-analysis","volume":"25","author":"L Leysen","year":"2017","journal-title":"Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer"},{"issue":"5","key":"pone.0273576.ref004","doi-asserted-by":"crossref","first-page":"1394","DOI":"10.1002\/pon.4631","article-title":"Prevalence of physical problems detected by the distress thermometer and problem list in patients with breast cancer","volume":"27","author":"DC McFarland","year":"2018","journal-title":"Psychooncology"},{"key":"pone.0273576.ref005","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.breast.2018.08.105","article-title":"Prevalence of pain in patients with breast cancer post-treatment: A systematic review","volume":"42","author":"K Wang","year":"2018","journal-title":"Breast (Edinburgh, Scotland)"},{"issue":"1","key":"pone.0273576.ref006","doi-asserted-by":"crossref","first-page":"43","DOI":"10.3322\/caac.21319","article-title":"American Cancer Society\/American Society of Clinical Oncology Breast Cancer Survivorship Care Guideline","volume":"66","author":"CD Runowicz","year":"2016","journal-title":"CA Cancer J Clin"},{"issue":"6","key":"pone.0273576.ref007","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1111\/jmwh.13012","article-title":"Long-Term Effects of Breast Cancer Surgery, Treatment, and Survivor Care","volume":"64","author":"DL Lovelace","year":"2019","journal-title":"Journal of midwifery & women\u2019s health"},{"issue":"10","key":"pone.0273576.ref008","doi-asserted-by":"crossref","first-page":"3204","DOI":"10.1245\/s10434-019-07544-z","article-title":"Distress: Characterizing What Causes the Thermometer to Shift in Patients with Newly Diagnosed Breast Cancer Attending a Multidisciplinary Clinic","volume":"26","author":"CC Ciambella","year":"2019","journal-title":"Ann Surg Oncol"},{"issue":"1","key":"pone.0273576.ref009","first-page":"54","article-title":"Beyond treatment\u2014Psychosocial and behavioural issues in cancer survivorship research and practice","volume":"12","author":"NK Aaronson","year":"2014","journal-title":"EJC supplements: EJC: official journal of EORTC, European Organization for Research and Treatment of Cancer"},{"key":"pone.0273576.ref010","author":"H. 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