Abstract
In 2000, the Ministry of Health in Ontario, Canada, introduced a publicly funded program to provide genetic services for hereditary breast/ovarian and colorectal cancers. We surveyed physicians to determine their awareness, use and satisfaction with this program. A self-administered questionnaire was mailed to a random sample of 25% of Ontario family physicians and all gynecologists, oncologists (radiation, surgical and medical), gastroenterologists and general surgeons. Response rate was 49% (n = 1,427). Awareness of genetic testing for breast/ovarian cancer was high (91%) but less for colorectal cancer (60%). Use of services was associated with physician age of 40 or greater, urban location, confidence in knowledge of referral criteria and core competencies in genetics, and awareness of the program and where to refer. Almost half were dissatisfied with notification about the program. Ontario physicians are aware of cancer genetics services, and use is associated with increased knowledge of services, and confidence in skills. They would like more timely services and education about hereditary cancers and susceptibility testing.
References
Nov 18, 1978·British Medical Journal·A Cartwright
Sep 1, 1995·Family Practice·N JohnsonS V Hodgson
Apr 1, 1996·Gastroenterology·H F VasenP M Khan
Jan 1, 1996·Genetic Epidemiology·H Anton-CulverD Bringman
Sep 21, 1996·BMJ : British Medical Journal·B R McAvoy, E F Kaner
Mar 30, 1999·American Journal of Medical Genetics·M K ChoL Godmilow
Apr 3, 1999·International Journal of Cancer. Journal International Du Cancer·M AarnioH J Järvinen
Aug 5, 1999·Journal of the National Cancer Institute·UNKNOWN Breast Cancer Linkage Consortium
Sep 24, 1999·Family Practice·J EmeryA Andermann
Oct 26, 1999·Family Practice·A FryA Cull
Apr 14, 2000·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·P D PharoahB A Ponder
Aug 31, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·R T ActonL Leviton
Nov 15, 2000·Clinical Genetics·C A GilpinA G Hunter
Apr 28, 2001·BMJ : British Medical Journal·J Emery, S Hayflick
Jan 10, 2002·American Journal of Medical Genetics·K Greendale, R E Pyeritz
Jan 15, 2002·Genetic Testing·W BurkeM J Khoury
Jan 31, 2002·Family Practice·Stephen BarclayPenny Wyatt
May 23, 2002·Patient Education and Counseling·Neeraj K AroraSuzanne Pingree
Jan 3, 2003·The New England Journal of Medicine·Muin J KhouryEdward R B McCabe
May 3, 2003·American Journal of Epidemiology·Paul F PinskyUNKNOWN PLCO Project Team
Jul 31, 2003·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Lois C FriedmanSharon E Plon
Nov 25, 2003·Health & Social Care in the Community·Eileen KanerCaris Vardy
Feb 13, 2004·Community Genetics·C Julian-ReynierH Sobol
May 19, 2005·Clinical Breast Cancer·Julie L JonesJames S Michaelson
Jun 1, 2005·Community Genetics·Joan L BottorffPaul Ritvo
Nov 15, 2005·Diseases of the Colon and Rectum·Paul M JohnsonRobin S McLeod
Jul 22, 2006·BMC Family Practice·Martin ButzlaffMonika A Rieger
Citations
Aug 13, 2011·American Journal of Medical Genetics. Part a·Sari LiebermanGheona Altarescu
Jun 11, 2010·Family Practice·Fiona A MillerFred Saibil
Jul 13, 2011·Family Practice·June C CarrollIan D Graham
Aug 1, 2009·BMC Health Services Research·Fiona A MillerSuzanne Kamel-Reid
Sep 5, 2013·Familial Cancer·E TomiakT Asmis
Jun 3, 2014·BMC Health Services Research·Carolina MarzuilloPaolo Villari
Jan 8, 2015·Journal of Personalized Medicine·Yen Y TanAndreas Obermair
Feb 8, 2014·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Maren T ScheunerElizabeth M Yano
Aug 8, 2009·European Journal of Cancer Care·E Van RielM G E M Ausems
Sep 12, 2014·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Natalie A Mikat-StevensBeth A Tarini
Dec 12, 2012·International Journal of Cancer. Journal International Du Cancer·Yen Y TanUNKNOWN ANECS Group
Apr 26, 2017·Journal of Medical Imaging·David A P DunkerleyMichael A Speidel
Feb 13, 2015·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Meera JosephJeff Nisker
Feb 5, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Marie E WoodKevin S Hughes
Nov 26, 2009·Diseases of the Colon and Rectum·Lindy M MasyaGlenn P Salkeld