{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:29:07Z","timestamp":1787318947543,"version":"build-2736575974"},"reference-count":45,"publisher":"Royal College of General Practitioners","issue":"740","license":[{"start":{"date-parts":[[2019,2,12]],"date-time":"2019-02-12T00:00:00Z","timestamp":1549929600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Gen Pract"],"accepted":{"date-parts":[[2023,5,22]]},"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cancer screening that is tailored to individual risk has the potential to improve health outcomes and reduce screening-related harms, if implemented well. However, successful implementation depends on acceptability, particularly as this approach will require GPs to change their practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore Australian GPs\u2019 views about the acceptability of risk-tailored screening across cancer types and to identify barriers to and facilitators of implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>A qualitative study using semi-structured interviews with Australian GPs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Interviews were carried out with GPs and audio-recorded and transcribed. Data were first analysed inductively then deductively using an implementation framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Participants (\n                      <jats:italic>n<\/jats:italic>\n                      = 20) found risk-tailored screening to be acceptable in principle, recognising potential benefits in offering enhanced screening to those at highest risk. However, they had significant concerns that changes in screening advice could potentially cause confusion. They also reported that a reduced screening frequency or exclusion from a screening programme for those deemed low risk may not initially be acceptable, especially for common cancers with minimally invasive screening. Other reservations about implementing risk-tailored screening in general practice included a lack of high-quality evidence of benefit, fear of missing the signs or symptoms of a patient\u2019s cancer, and inadequate time with patients. While no single preferred approach to professional education was identified, education around communicating screening results and risk stratification was considered important.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>GPs may not currently be convinced of the net benefits of risk-tailored screening. Development of accessible evidence-based guidelines, professional education, risk calculators, and targeted public messages will increase its feasibility in general practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgp.2023.0117","type":"journal-article","created":{"date-parts":[[2023,7,17]],"date-time":"2023-07-17T06:50:12Z","timestamp":1689576612000},"page":"e156-e164","source":"Crossref","is-referenced-by-count":7,"title":["Acceptability of risk-tailored cancer screening among Australian GPs: a qualitative study"],"prefix":"10.3399","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9544-9764","authenticated-orcid":false,"given":"Kate","family":"LA Dunlop","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5712-220X","authenticated-orcid":false,"given":"Amelia K","family":"Smit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2963-6451","authenticated-orcid":false,"given":"Louise A","family":"Keogh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3460-772X","authenticated-orcid":false,"given":"Ainsley J","family":"Newson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0715-1405","authenticated-orcid":false,"given":"Nicole M","family":"Rankin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5331-6370","authenticated-orcid":false,"given":"Anne E","family":"Cust","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2023,7,17]]},"reference":[{"issue":"6","key":"2024082303500709000_74.740.e156.1","doi-asserted-by":"crossref","first-page":"511","DOI":"10.3390\/jpm11060511","article-title":"Personalized Risk Assessment for Prevention and Early Detection of Breast Cancer: Integration and Implementation (PERSPECTIVE I&I)","volume":"11","author":"Brooks","year":"2021","journal-title":"J Pers Med"},{"key":"2024082303500709000_74.740.e156.2","doi-asserted-by":"publisher","DOI":"10.1177\/17455065211009746"},{"key":"2024082303500709000_74.740.e156.3","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-021-06346-w"},{"key":"2024082303500709000_74.740.e156.4","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-022-09484-6"},{"key":"2024082303500709000_74.740.e156.5","doi-asserted-by":"publisher","DOI":"10.1038\/s41571-020-0388-9"},{"key":"2024082303500709000_74.740.e156.6","doi-asserted-by":"publisher","DOI":"10.1038\/ng.2582"},{"key":"2024082303500709000_74.740.e156.7","doi-asserted-by":"publisher","DOI":"10.17061\/phrp3212204"},{"key":"2024082303500709000_74.740.e156.8","unstructured":"Prostate Cancer Foundation of Australia, Cancer Council Australia PSA Testing Guidelines Expert Advisory Panel (2016) PSA testing and early management of test-detected prostate cancer: clinical practice guidelines, https:\/\/wiki.cancer.org.au\/australiawiki\/images\/1\/1b\/PSA_Testing_and_Early_Management_of_Test-detected_Prostate_Cancer_-_Clinical_practice_guidelines_-_Nov15.pdf (accessed 2 Feb 2024)."},{"key":"2024082303500709000_74.740.e156.9","unstructured":"Australian Government Medical Services Advisory Committee (2022) Public summary document application no 1699 \u2014 National Lung Cancer Screening Program, http:\/\/www.msac.gov.au\/internet\/msac\/publishing.nsf\/Content\/1699-public (accessed 2 Feb 2024)."},{"key":"2024082303500709000_74.740.e156.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2019.11.005"},{"key":"2024082303500709000_74.740.e156.11","doi-asserted-by":"publisher","DOI":"10.3390\/jpm11060540"},{"key":"2024082303500709000_74.740.e156.12","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-022-01568-9"},{"key":"2024082303500709000_74.740.e156.13","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-010-0319-7"},{"key":"2024082303500709000_74.740.e156.14","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2031-8"},{"key":"2024082303500709000_74.740.e156.15","doi-asserted-by":"publisher","DOI":"10.3109\/0284186X.2015.1043024"},{"key":"2024082303500709000_74.740.e156.16","unstructured":"(2018) Standing Committee on Screening. 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