2008
DOI: 10.1111/j.1745-7599.2007.00282.x
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Scoping the family history: Assessment of Lynch syndrome (hereditary nonpolyposis colorectal cancer) in primary care settings—A primer for nurse practitioners

Abstract: Approximately 5% of all colon cancers are because of a germ line mutation predisposing individuals and their family members to colorectal and other cancers. Although the efficacy of screening modalities is established, healthcare providers often fail to identify those at greatest risk for disease. The extended family history is the first step in recognition of individuals "suspect" for hereditary colon cancers such as Lynch syndrome. Early-age onset of Lynch syndrome-associated cancers, an autosomal-dominant p… Show more

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Cited by 13 publications
(13 citation statements)
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“…Nursing competencies have now been developed in the United States and Europe, providing an impetus for nurses to increase their knowledge of genetics and promote effective provision of care to families and individuals (Hamilton et al, 2009;Maradiegue et al, 2008). Competency in this specialized field allows a nurse to establish lasting relationships with families, creating an environment that enables effective nursing care to be implemented.…”
Section: Discussionmentioning
confidence: 98%
See 3 more Smart Citations
“…Nursing competencies have now been developed in the United States and Europe, providing an impetus for nurses to increase their knowledge of genetics and promote effective provision of care to families and individuals (Hamilton et al, 2009;Maradiegue et al, 2008). Competency in this specialized field allows a nurse to establish lasting relationships with families, creating an environment that enables effective nursing care to be implemented.…”
Section: Discussionmentioning
confidence: 98%
“…The mutation carries a 60%-80% risk of development of colonic cancer throughout one's lifetime (Greco, 2007;Gritz et al, 2005;Maradiegue, Jasperson, Edwards, Lowstuter, & Weitzel, 2008;Razmus, Jackson, & Wilson, 2008). There is also an increased risk for other cancers, particularly endometrial cancer where the lifetime risk for females is 40%-60%.…”
Section: Hereditary Nonpolyposis Colon Cancermentioning
confidence: 98%
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“…Several recent population-based studies suggest that the cumulative colorectal cancer risk may be as low as 30% to 45% and that the median age of diagnosis of colorectal cancer in individuals with Lynch syndrome may be as high as 60 years when adjusted for referral bias. [9][10][11] In our case report, the patients were diagnosed at age 27, 45, and 48 years.…”
Section: Discussionmentioning
confidence: 99%