PMID: 11604368Oct 18, 2001Paper

Referral of patients with a family history of breast/ovarian cancer--GPs' knowledge and expectations

Family Practice
P RoseA Lucassen

Abstract

Primary care is expected to play a significant role in the management of patients with genetic problems. Currently, this particularly involves patients with a family history of cancer. If GPs are to exercise their gatekeeper role efficiently in this area, they must be able to evaluate genetic risk and make appropriate referral decisions. The aim of this study was to examine GPs' ability to assess risk and to make appropriate referral decisions for women with a family history of breast/ovarian cancer, and to determine their expectations of a referral to secondary care. A questionnaire survey was carried out of the 282 GP principals working within Bedfordshire Health Authority. GPs were asked to make decisions for six simulated cases of women presenting with a family history of breast or ovarian cancer. A total of 164 (58%) GPs returned completed questionnaires. Across the six family histories, the percentage of GPs making an appropriate risk assessment ranged from 21% [95% confidence interval (CI) 14-27%] to 63% (95% CI 56-71%), and an appropriate referral decision ranged from 40% (95% CI 32-48%) to 80% (95% CI 73-86%). Regardless of their accuracy of risk assessment, most GPs were consistent in deciding not to refer low risk wo...Continue Reading

References

Jan 1, 1990·Journal of Clinical Epidemiology·T V JonesJ Earp
Nov 5, 1997·BMJ : British Medical Journal·R T WaltonJ Fox
Oct 27, 1999·JAMA : the Journal of the American Medical Association·M D CabanaH R Rubin

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Citations

Apr 28, 2004·Social Science & Medicine·Rosemary Robins, Sylvia Metcalfe
Dec 13, 2002·Patient Education and Counseling·Gunn E GrandeAnn Louise Kinmonth
Feb 6, 2003·American Journal of Preventive Medicine·Deborah J BowenWylie Burke
Jun 1, 2013·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Elisa J F HouwinkMartina C Cornel
Apr 1, 2008·Genetic Testing·Rachael BrandtPaul Gilman
Jan 18, 2005·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Monica R McClainJames E Haddow
Sep 20, 2005·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Louise S AchesonStephen Zyzanski
Sep 19, 2006·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Scott D RamseyMuin J Khoury
Apr 26, 2007·Academic Medicine : Journal of the Association of American Medical Colleges·Virginia Carol ThurstonJames Joseph Brokaw
May 12, 2006·Journal of General Internal Medicine·Susan A SabatinoEllen P McCarthy
Oct 16, 2004·Annual Review of Genomics and Human Genetics·Wylie Burke
Jun 1, 2005·Community Genetics·Vanessa TempestJonathon Gray
Jun 8, 2010·BMC Family Practice·Brian S FlynnShelly Naud
Feb 19, 2013·Clinical and Translational Medicine·Elisa Jf HouwinkMartina C Cornel
Apr 16, 2004·Annals of Family Medicine·Robert GramlingLarry Culpepper
Feb 13, 2014·Journal of General Internal Medicine·Laura-Mae BaldwinBarbara A Goff
Jan 31, 2008·Journal of Genetic Counseling·Sean M BlaineJoanne Permaul
Nov 27, 2007·Cancer Detection and Prevention·Susan A SabatinoRisa B Burns
Sep 1, 2005·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Matthew TaylorRobert W Schrier
Nov 15, 2012·Journal of Cancer Epidemiology·Summer L CoxRichard F Leman
Dec 12, 2012·International Journal of Cancer. Journal International Du Cancer·Yen Y TanUNKNOWN ANECS Group
Sep 8, 2012·ISRN Obstetrics and Gynecology·Ketan GajjarKhalil Razvi
Sep 26, 2003·Family Practice·J A Knottnerus
Oct 19, 2006·British Journal of Cancer·D YoungM Steel
Oct 28, 2006·American Journal of Medical Genetics. Part C, Seminars in Medical Genetics·Suzanne M O'NeillWendy S Rubinstein
Jul 3, 2002·Nature Reviews. Genetics·Wylie Burke, Jon Emery
Mar 14, 2020·The Cochrane Database of Systematic Reviews·Chalong CheewakriangkraiPisake Lumbiganon
Nov 30, 2019·Frontiers in Genetics·Amy NisselleClara Gaff

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