The GRAIDS Trial: the development and evaluation of computer decision support for cancer genetic risk assessment in primary care.

作者: J. Emery

DOI: 10.1080/03014460500074921

关键词: Decision support systemCancerColorectal cancerNursingRandomized controlled trialRisk assessmentBreast cancerIntervention (counseling)MedicineHealth care

摘要: The development and evaluation of computer decision support for the assessment cancer genetic risk in primary care is reported with two series studies described: RAGs (Risk Assessment Genetics) GRAIDS (Genetic Risk an Intranet Decision Support) Trial. In Trial, 45 general practices Eastern England have been recruited randomised. Comparison attend educational session receive clinical guidelines about familial breast colorectal cancer. intervention a lead clinician trained genetics use software. software simple pedigree-drawing program that implements presents individualised information range formats. Outcome measures trial include: frequency use, practitioners’ attitudes towards software, total number referrals to secondary f...

参考文章(23)
Sara E. Kolb, Maricela C. Aguilar, Maura Dinenberg, Celia I. Kaye, Genetics Education for Primary Care Providers in Community Health Settings Journal of Community Health. ,vol. 24, pp. 45- 59 ,(1999) , 10.1023/A:1018765215470
Wylie Burke, Jon Emery, Genetics education for primary-care providers. Nature Reviews Genetics. ,vol. 3, pp. 561- 566 ,(2002) , 10.1038/NRG845
AS Coulson, DW Glasspool, John Fox, Jon Emery, None, RAGs: A Novel Approach to Computerized Genetic Risk Assessment and Decision Support from Pedigrees Methods of Information in Medicine. ,vol. 40, pp. 315- 322 ,(2001) , 10.1055/S-0038-1634427
Graham Worrall, Paul Chaulk, Darren Freake, The effects of clinical practice guidelines on patient outcomes in primary care: a systematic review Canadian Medical Association Journal. ,vol. 156, pp. 1705- 1712 ,(1997)
Martin Eccles, Elaine McColl, Nick Steen, Nikki Rousseau, Jeremy Grimshaw, David Parkin, Ian Purves, Effect of computerised evidence based guidelines on management of asthma and angina in adults in primary care: cluster randomised controlled trial BMJ. ,vol. 325, pp. 941- 941 ,(2002) , 10.1136/BMJ.325.7370.941
J. Emery, R. Walton, M. Murphy, J. Austoker, P. Yudkin, C. Chapman, A. Coulson, D. Glasspool, J. Fox, Computer support for interpreting family histories of breast and ovarian cancer in primary care: comparative study with simulated cases BMJ. ,vol. 321, pp. 28- 32 ,(2000) , 10.1136/BMJ.321.7252.28
Eugene C Rich, Wylie Burke, Caryl J Heaton, Susanne Haga, Linda Pinsky, M Priscilla Short, Louise Acheson, None, Reconsidering the family history in primary care. Journal of General Internal Medicine. ,vol. 19, pp. 273- 280 ,(2004) , 10.1111/J.1525-1497.2004.30401.X
R. A. Kerber, M. L. Slattery, Comparison of self-reported and database-linked family history of cancer data in a case-control study American Journal of Epidemiology. ,vol. 146, pp. 244- 248 ,(1997) , 10.1093/OXFORDJOURNALS.AJE.A009259