Adapting and implementing breast cancer follow-up in primary care: protocol for a mixed methods hybrid type 1 effectiveness-implementation cluster randomized study

Table 1 ACS/ASCO Breast cancer evidence-based activities for practice customized implementation of survivorship care recommendations

Evidence-Based Symptom and Risk-Based Care Recommendations	Assess	Treat, screen or do^a	Counsel/ provide education	Provide referral^a
Late and Long-term Effects
Fatigue	√	√
Cognitive impairment	√	√
Cardiotoxicity			√
Distress/depression	√	√
Pain and neuropathy	√	√
Sexual health			√	√
Premature menopause	√	√
Lifestyle
Smoking cessation	√	√	√
Obesity			√
Physical activity			√
Nutrition			√
Surveillance and Screening
Screening for recurrence	√	√	√
History and physical	√	√
De-implement MRI as low risk patients		√
Genetic counseling for family history				√
Adjuvant endocrine therapy screening			√
Cervical cancer screening		√		√
Colorectal cancer screening		√

ISSN: 2731-4553