Outpatient Genetic Risk Assessment in Women With Breast Cancer: One Center's Experiencetions

Washburn, N.; Sommer, V.; Spencer, Sarah; Simmons, S.; Adkins, B.; Rogers, Mary Rose; Gerken, P.; Bromley, Christina

doi:10.1188/05.cjon.49-53

Cited by 8 publications

(3 citation statements)

References 8 publications

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“…Genetic counselors could be instrumental in developing and evaluating different methods of collecting and interpreting family history data and using this information as in the context of a screening tool for the identification of patients who may need additional genetic services. While some studies have explored these approaches in certain settings [Sweet et al, 2002; Frezzo et al, 2003; Green et al, 2004, 2005; Grover et al, 2004; Washburn et al, 2005] the implementation of thorough family history ascertainment practices is not widespread. Genetic counselors could also be supported to more directly participate in educating the adult medical community about genetic counseling.…”

Section: Are Primary Care Physicians ‘Qualified’ To Provide Clinical mentioning

confidence: 99%

Lost in transition: Challenges in the expanding field of adult genetics

Taylor

Edwards

2006

American J of Med Genetics Pt C

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It is increasingly clear that medical genetics has broad relevance in adult clinical medicine. More adult patients with genetic conditions are being recognized, genetic testing for adult-onset genetic conditions is expanding, and children with genetic conditions are now more likely to survive to adulthood. While the number of patients who could benefit from medical genetic services increases, adult care providers are less well educated about clinical genetics and are not sufficiently prepared to meet the growing needs of this population. Genetics professionals may also be ill-suited for this challenge, since geneticists and genetic counselors have traditionally had greater experience in pediatric and prenatal settings. Communication between primary care physicians who treat adults and the genetics community is currently suboptimal and the identification and subsequent referral of adult patients for genetic services need improvement. Finally, published guidelines that address how to deliver genetic services to adult patients are unavailable for many genetic conditions. In this article we address the challenges of transitioning genetics services from traditional, and largely pediatric-based models to paradigms that can best address the needs of adult patients with genetic conditions. Potential solutions and the practicality of implementation of a team-based approach to adult genetic medicine, including the application of genetic counseling, are also discussed.

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Section: Are Primary Care Physicians ‘Qualified’ To Provide Clinical mentioning

confidence: 99%

Lost in transition: Challenges in the expanding field of adult genetics

Taylor

Edwards

2006

American J of Med Genetics Pt C

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“…Such information can help identify patients and their family members who may need further cancer assessment and genetic counseling. Washburn et al (2005) reported on their experience with outpatient genetic risk assessment in women with breast cancer. Of the 193 charts they reviewed, 88.6% had family history information, with 41.5% of those including information about three generations.…”

Section: Discussionmentioning

confidence: 99%

Obtaining Family Histories From Patients With Cancer

Ashcraft

Coleman²,

Lange³

et al. 2007

Clinical Journal of Oncology Nursing

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Information obtained from family history data can provide valuable insight into the biologic and environmental etiologies of an individual's personal and family history of disease. The purpose of this article is to provide a brief introduction to cancer genetics and discuss ways to obtain accurate family histories in a time-efficient manner to identify families with a hereditary cancer syndrome. The focus is on gathering family history information, which should be a standard component of the initial intake for any patient and updated regularly to keep the information current.

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“…Despite the increasing availability of cancer genetics services, physicians have demonstrated limited ability to identify patients eligible for referral to these services. Specifically, physicians often do not gather a cancer-related family history in enough detail to appropriately determine hereditary breast cancer risk in an individual or family (Acheson et al 2000;Lynch et al 1979;Medalie et al 1998;Murff et al 2004;Sweet et al 2002;Washburn et al 2005;Wilkins-Haug et al 2000).…”

Section: Introductionmentioning

confidence: 99%

“Are You at Risk for Hereditary Breast Cancer?”: Development of a Personal Risk Assessment Tool for Hereditary Breast and Ovarian Cancer

Cohn

Jones

Miesfeldt

2008

Journal of Genetic Counseling

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Identification of risk for the hereditary breast and ovarian cancer syndrome (HBOC) is important, as research has demonstrated the benefits of risk-reducing interventions for women with or at risk for this disorder. Knowledge among women regarding risk factors for hereditary breast cancer and the existence of cancer genetics services appears limited. The goal of this project was to develop a tool to broaden women's awareness regarding their potential risk for HBOC. A formal instructional design process was used to develop a brochure to facilitate recognition of HBOC risk among women attending a no-cost breast and cervical cancer screening clinic. Brochure development was guided by gathering feedback from potential users early and often. The resulting brochure included four parts: (1) a brief description of the impact of hereditary breast cancer risk on one's health; (2) a personal and family history collection table; (3) a series of questions enabling the user to self-assess HBOC risk; (4) a list of resources for women at risk for HBOC. User feedback indicated that the brochure was easy to use. The project demonstrated that women can self-evaluate their risk for HBOC. Future work will evaluate this tool among a broader population of women.

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Outpatient Genetic Risk Assessment in Women With Breast Cancer: One Center's Experiencetions

Cited by 8 publications

References 8 publications

Lost in transition: Challenges in the expanding field of adult genetics

Lost in transition: Challenges in the expanding field of adult genetics

Obtaining Family Histories From Patients With Cancer

“Are You at Risk for Hereditary Breast Cancer?”: Development of a Personal Risk Assessment Tool for Hereditary Breast and Ovarian Cancer

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