GPs' views on their role in cancer genetics services and current practice.
Alison Fry,Harry Campbell,Hafrun Gudmundsdottir,Robert Rush,Mary Porteous,Dermot Gorman,Ann Cull +6 more
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TLDR
GPs readily identify a role for themselves in cancer genetics services, but admit to a lack of confidence in this area, calling for clear referral guidelines and specialist community support.Abstract:
Results. GPs identified their role to be: taking a family history; making appropriate referrals to specialist services; providing emotional support; teaching breast self-examination; and discussing need for screening. Lack of confidence within this role was reflected in low levels of understanding of cancer genetics and in inappropriate referral practices. Concerns were expressed about the increasingly specialist role demanded of primary care. A desire for referral guidelines and community genetics clinics was identified. Conclusions. GPs readily identify a role for themselves in cancer genetics services, but admit to a lack of confidence in this area, calling for clear referral guidelines and specialist community support. Current inappropriate referral to specialist services results from a lack of confidence in estimating cancer risk, highlighting the need for the development of clear referral criteria. Given the rapidly increasing demand for cancer genetics services and the vital role of primary care, it is important to identify a model of these services that facilitates effective involvement of GPs without further increasing their workload.read more
Citations
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Does This Patient Have a Family History of Cancer?: An Evidence-Based Analysis of the Accuracy of Family Cancer History
TL;DR: Patient-reported family cancer histories for first-degree relatives are accurate and valuable for breast and colon cancer risk assessments, and negative family history reports for ovarian and endometrial cancers are less useful, although the prevalence of these malignancies within families is low.
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Reconsidering the family history in primary care.
Eugene C. Rich,Wylle Burke,Caryl J Heaton,Susanne B. Haga,Linda E. Pinsky,M. Priscilla Short,Louise S. Acheson +6 more
TL;DR: The patient’s family history remains a critical element in risk assessment for many conditions, but substantive barriers impede application in primary care practice, and evidence for its contribution to improved health outcomes is limited in this setting.
Journal ArticleDOI
Lay Understanding of Familial Risk of Common Chronic Diseases: A Systematic Review and Synthesis of Qualitative Research
TL;DR: People with a family history of a common chronic disease develop a personal sense of vulnerability that is informed by the salience of their family history and interpreted within their personal models of disease causation and inheritance.
Journal ArticleDOI
Educating health-care professionals about genetics and genomics.
TL;DR: For genomics to have an effect on clinical practice that is comparable to its impact on research will require advances in the genomic literacy of health-care providers.
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Effect of a Computer-Based Decision Aid on Knowledge, Perceptions, and Intentions About Genetic Testing for Breast Cancer Susceptibility: A Randomized Controlled Trial
Michael J. Green,Susan K. Peterson,Maria Wagner Baker,Gregory Harper,Lois C. Friedman,Wendy S. Rubinstein,David T. Mauger +6 more
TL;DR: It is suggested that this computer program has the potential to stand alone as an educational intervention for low-risk women but should be used as a supplement to genetic counseling for those at high risk.
References
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Journal ArticleDOI
Attitudes of general practitioners to screening for cystic fibrosis
TL;DR: The low ranking by GPs of CF screening against other programmes, together with the need for support if they were to be involved, suggests that it is currently impractical to move the programme from its existing site in antenatal clinics.
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Genetics in primary care. Report on workshop of EC Concerted Action on Genetics Services in Europe (CAGSE) in association with the Royal College of GP Spring Meeting, Blackpool, UK, 28 April 1995.
Rodney Harris,H Harris +1 more
TL;DR: The Royal College ofGP Spring Meeting lasted three days with half of this time devoted to genetic topics, and an EC Workshop on primary care genetics was organised as a satellite of the RCGP meeting.
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The future of breast and ovarian cancer clinics.
TL;DR: The ability to identify women at high risk has come at a time when a large proportion of the years of life lost to breast cancer is lost to cancer.