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On MBC advocate member websites, not enough attention is paid to the MBC patient
            populations or even to informing caregivers and early stage breast cancer patients about MBC
            facts. Opportunities exist to create more specific MBC content, social networking, and up-to-
            date information and to design more user-friendly websites. Regarding breadth of information,
            no single website among the Alliance members’ sites provided MBC information and support,
            such as webinars and chat rooms, across all the desired topics, even when PDFs available on
            the sites were considered. Most topics are covered by fewer than 50% of the websites. Of
            the websites that do provide information on MBC, the depth and breadth of coverage varies
            (see Figure 11a).


            Figure 11a: Breadth and Depth of MBC Information in Advocate Member Websites



                                             current treatment options  latest research/new treatments  symptoms/side effects  monitoring treatment  complementary medicine  pain management  psycho/social support  hospice/end of life care  advance directives








                                          diagnosis         clinical trials  communication  parenting issues



                        advancedbc.org
                            bcrfcure.org
                        breastcancer.org
                         cancercare.org
            cancersupportcommunity.org
                                dslrf.org
                       facingyourrisk.org
                              komen.org
                                lbbc.org
                              mbcn.org
                 sharecancersupport.org
                       youngsurvival.org



                                              complete     more                less
            Excludes Avon Foundation for Women, Research Advocacy Network, and Sisters Network Inc., which do not
            provide MBC information on their websites.


            Most Alliance member websites provide information about clinical trials and encourage
            patients to discuss options with their health care team to enroll in trials. Some websites also
            provide services that match clinical trials to patients. For example, BreastCancerTrials.org
            (which joined the Alliance in March 2014) encourages patients to enroll in clinical trials as a
            routine care option. However, enrollment in clinical trials remains low owing to multiple factors,
            including lack of encouragement from physicians, the inconvenience of trial participation, fear     83
            of receiving a placebo, and difficulty meeting inclusion criteria [97] .
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