Obstetrics/Gynecology Residents’ Knowledge of Hereditary Breast and Ovarian Cancer and Lynch Syndrome

Ready, Kaylene; Daniels, Molly S.; Sun, Charlotte C.; Peterson, Susan K.; Lu, Karen H.

doi:10.1007/s13187-010-0063-4

Cited by 20 publications

(21 citation statements)

References 21 publications

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“…Nevertheless, most of these were conducted among specialists, while only one referred to residents [18]. Younger age [20] and recent graduation from medical school [21], as well as being in medical practice less than 10 years [11], have been previously reported as predictors of better knowledge on genetic tests and increased confidence in using them in everyday practice.…”

Section: Discussionmentioning

confidence: 99%

Survey on Knowledge, Attitudes, and Training Needs of Italian Residents on Genetic Tests for Hereditary Breast and Colorectal Cancer

Panić

Leoncini

Giannantonio

et al. 2014

BioMed Research International

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Objectives. The aim of the study was to assess knowledge and attitudes of medical residents working in Università Cattolica del Sacro Cuore, Rome, Italy, on genetic tests for breast and colorectal cancer. Methods. We distributed self-administered questionnaire to the residents. Logistic regression models were used to evaluate the determinants of knowledge and attitudes towards the tests. Results. Of 754 residents, 364 filled in questionnaire. Around 70% and 20% answered correctly >80% of questions on breast and colorectal cancer tests, respectively. Knowledge on tests for breast cancer was higher among residents who attended course on cancer genetic testing during graduate training (odds ratio (OR): 1.72; 95% confidence interval (CI): 1.05–2.82) and inversely associated with male gender (OR: 0.55; 95% CI: 0.35–0.87). As for colorectal cancer, residents were more knowledgeable if they attended courses on cancer genetic testing (OR: 2.08; 95% CI: 1.07–4.03) or postgraduate training courses in epidemiology and evidence-based medicine (OR: 1.95; 95% CI: 1.03–3.69). More than 70% asked for the additional training on the genetic tests for cancer during the specialization school. Conclusion. The knowledge of Italian residents on genetic tests for colorectal cancer appears to be insufficient. There is a need for additional training in this field.

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Section: Discussionmentioning

confidence: 99%

Survey on Knowledge, Attitudes, and Training Needs of Italian Residents on Genetic Tests for Hereditary Breast and Colorectal Cancer

Panić

Leoncini

Giannantonio

et al. 2014

BioMed Research International

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“…34,35,38,39,41,42,44,[47][48][49][50]55,58 In seven studies, objective knowledge was assessed with a survey utilizing a scale or test to measure accurate understanding of basic genetic principles, clinical practice guidelines, and/or features of hereditary cancer syndromes. 35,38,39,42,47,48,50 In the other six studies, case scenarios or standardized patients were used to measure PCPs' abilities to identify high-risk patients and appropriate genetic testing situations. 32,34,41,44,49,55 Aside from articles reporting on the same sample, 38,48 there was no overlap in measures.…”

Section: Knowledge Of Genetic Tests For Cancer Riskmentioning

confidence: 99%

“…53 Ten studies examined PCPs' self-reported subjective or perceived knowledge. 33,37,[42][43][44][45]47,50,51,55 Although there was no overlap in measures, studies consistently reported a lack of PCPs' confidence in their genetic testing-related knowledge. For example, in a cross-sectional survey of 1311 family practitioners, 54% were not confident in their knowledge of genetic testing in primary care including testing for breast cancer risk.…”

Section: Knowledge Of Genetic Tests For Cancer Riskmentioning

confidence: 99%

Primary care providers’ cancer genetic testing-related knowledge, attitudes, and communication behaviors: A systematic review and research agenda

et al. 2016

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BACKGROUND: Primary care providers (PCPs) can play a critical role in helping patients receive the preventive health benefits of cancer genetic risk information. Thus, the objective of this systematic review was to identify studies of US PCPs' knowledge, attitudes, and communication-related behaviors regarding genetic tests that could inform risk-stratification approaches for breast, colorectal, and prostate cancer screening in order to describe current findings and research gaps. METHODS: We conducted a systematic search of six electronic databases to identify peer-reviewed empirical articles relating to US PCPs and genetic testing for breast, colorectal, or prostate cancer published in English from 2008 to 2016. We reviewed these data and used narrative synthesis methods to integrate findings into a descriptive summary and identify research needs. RESULTS: We identified 27 relevant articles. Most focused on genetic testing for breast cancer (23/27) and colorectal cancer risk (12/27); only one study examined testing for prostate cancer risk. Most articles addressed descriptive research questions (24/27). Many studies (24/27) documented PCPs' knowledge, often concluding that providers' knowledge was incomplete. Studies commonly (11/27) examined PCPs' attitudes. Across studies, PCPs expressed some concerns about ethical, legal, and social implications of testing. Attitudes about the utility of clinical genetic testing, including for targeted cancer screening, were generally favorable; PCPs were more skeptical of direct-to-consumer testing. Relatively fewer studies (9/27) examined PCPs' communication practices regarding cancer genetic testing. DISCUSSION: This review indicates a need for investigators to move beyond descriptive research questions related to PCPs' knowledge and attitudes about cancer genetic testing. Research is needed to address important gaps regarding the development, testing, and implementation of innovative interventions and educational programs that can improve PCPs' genetic testing knowledge, assuage concerns about the appropriateness of cancer genetic testing, and promote open and effective patientprovider communication about genetic risk and genetic testing.

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“…Adding to existing literature, results from this study reinforce the need for CME training to help launch a better hereditary CRC knowledge base across PCPs [27,32,33,34,35,36,37]. Though patients with a past or present diagnosis of cancer are often under the care of specialists, studies show that communication between specialists and PCPs improve adherence to recommended testing, surveillance and care for other comorbid conditions [38,39].…”

Section: Discussionmentioning

confidence: 56%

“…In a 2010 study examining 65 obstetrics/gynecology residents' practices and knowledge of HBOC and Lynch syndromes, half of the participants incorrectly identified CRC as associated with HBOC; 26 and 41% of participants were unable to respectively identify endometrial and ovarian cancers as cancers associated with Lynch syndrome. Most notably, 76% of participants expressed a desire and need for more education in hereditary cancer and genetic testing [34]. …”

Section: Discussionmentioning

confidence: 99%

Impact of Academic Affiliation and Training on Knowledge of Hereditary Colorectal Cancer

Chan

Blazey²,

Tegay³

et al. 2014

Public Health Genomics

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Background: Knowledge about hereditary colorectal cancer (CRC) can aid cancer screening and prevention in high-risk patients. Genetic testing, once conducted primarily at academic centers, is now routinely performed in a variety of clinics. Nonacademic physicians may not be aware of hereditary CRC standards of care. Methods: From August to November 2012, a survey was administered to predominantly primary care physicians evaluating academic center affiliation, past training in genetics and knowledge regarding hereditary CRC. Results: One hundred forty physicians completed the survey. Knowledge of hereditary CRC was neither associated with academic affiliation nor with training during medical school or residency, but with continuing medical education (CME) training. Those with CME training were more likely to know that screening could be enhanced for patients with a hereditary cancer risk (OR = 4.49, 95% CI = 1.40-14.38) and that an individual with hereditary CRC would have different screening recommendations (OR = 7.49, 95% CI = 1.37-40.81). Residency training and CME training were associated with more frequent hereditary risk assessment. Conclusion: Genetics training may be associated with physicians' knowledge and assessment of hereditary CRC. Training at the CME level in particular may be integral to the delivery of genetic services in clinical practice.

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Obstetrics/Gynecology Residents’ Knowledge of Hereditary Breast and Ovarian Cancer and Lynch Syndrome

Cited by 20 publications

References 21 publications

Survey on Knowledge, Attitudes, and Training Needs of Italian Residents on Genetic Tests for Hereditary Breast and Colorectal Cancer

Survey on Knowledge, Attitudes, and Training Needs of Italian Residents on Genetic Tests for Hereditary Breast and Colorectal Cancer

Primary care providers’ cancer genetic testing-related knowledge, attitudes, and communication behaviors: A systematic review and research agenda

Impact of Academic Affiliation and Training on Knowledge of Hereditary Colorectal Cancer

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