Primary care physicians' use of family history for cancer risk assessment

作者: Brian S Flynn , Marie E Wood , Takamaru Ashikaga , Alan Stockdale , Greg S Dana

DOI: 10.1186/1471-2296-11-45

关键词: Response rate (survey)Family historyRisk assessmentIncreased riskFamily medicinePsychological interventionPrimary careMedicineQuality (business)Cancer risk assessment

摘要: Family history (FH) assessment is useful in identifying and managing patients at increased risk for cancer. This study assessed reported FH quality associations with physician perceptions. Primary care physicians practicing two northeastern U.S. states were surveyed (n = 880; 70% response rate). Outcome measures of extent taken ascertaining age cancer diagnosis affected family members. Predictors measured this survey included: perceived advantages disadvantages collecting information, knowledge management options, access to supportive resources, confidence ability interpret FH. Reported collection information regarding second degree blood relatives among was low. All hypothesized predictors associated quality, but not all consistent independent predictors. Perceived taking a history, identify manage higher both measures. independently one measure quality. Knowledge options either measure. Modifiable perception resource factors large diverse sample primary physicians. Improving identification high individuals will require multi-faceted interventions.

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