ArticleBritish journal of cancer2003
Referrals of women with a family history of breast cancer from primary care to cancer genetics services in South East Scotland.
Article in British journal of cancer, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Genetic cancer risk assessment in general practice: systematic review of tools available, clinician attitudes, and patient outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Pooled it
- Current Genetic Service Delivery Models for the Provision of Genetic Testing in Europe: A Systematic Review of the Literature.Frontiers in genetics · 2019Pooled it
- Referral interventions from primary to specialist care: a systematic review of international evidence.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Pooled it
- Cancer genetic risk assessment for individuals at risk of familial breast cancer.The Cochrane database of systematic reviews · 2012Pooled it
- Interventions to improve outpatient referrals from primary care to secondary care.The Cochrane database of systematic reviews · 2008Pooled it
- Familial breast cancer: management of 'lower risk' referrals.British journal of cancer · 2006Trial
- A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes.British journal of cancer · 2004Trial
- Patient satisfaction with two different models of cancer genetic services in south-east Scotland.British journal of cancer · 2004Trial
- East Midlands Breast Pain Pathway: An Evaluation of Community Breast Pain Clinics Across the East Midlands Cancer Alliance.Journal of evaluation in clinical practice · 2025Article
- Transforming the 2-week wait (2WW) pathway: management of breast pain in primary care.BMJ open quality · 2022Article
- Role of the general practitioner in the care of BRCA1 and BRCA2 mutation carriers: General practitioner and patient perspectives.Molecular genetics & genomic medicine · 2018Observational
- Too many referrals of low-risk women for BRCA1/2 genetic services by family physicians.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2008Article
- Predicting breast cancer risk: implications of a "weak" family history.Familial cancer · 2008Article
- Inequality of use of cancer genetics services by members of breast, ovarian and colorectal cancer families in South East Scotland.Familial cancer · 2008Article
- Genetics support to primary care practitioners - a demonstration project.Journal of genetic counseling · 2007Article
- Cancer genetics in rural primary care: a pilot nurse-led service using a new mobile IT system.Familial cancer · 2007Article
- Analysis of referrals to a multi-disciplinary breast cancer genetics clinic: practical and economic considerations.Familial cancer · 2006Article
- Identifying future models for delivering genetic services: a nominal group study in primary care.BMC family practice · 2005Article
- Impact of the Cancer Risk Intake System on patient-clinician discussions of tamoxifen, genetic counseling, and colonoscopy.Journal of general internal medicine · 2005Article
- Referrals of patients to colorectal cancer genetics services in south-east Scotland.Familial cancer · 2005Article
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
As part of a cluster randomised trial to assess an alternative model of cancer genetics services, we gathered data on all referrals from general practitioners (GPs) to cancer genetics services in South East Scotland over a 4-year period. The referral rate per 1000 patients rose by 48% from 0.21 in the 2-year period before the trial to 0.31 during the trial. This increase was much greater in the trial group offered the GP clinic service (64% increase compared to a 38% increase in those referred to the regional service). Thus, the offer of a more local service appeared to have a marked effect on GP management of these women. Referral rates to cancer genetics services from general practices varied widely with higher referral rates from practices with more female partners. There was a negative correlation between referral rates and practice area deprivation scores. However, this was not found during the trial in the group which offered clinics in general practice, the provision of clinic appointments nearer to the homes of more socially deprived women resulting in improved access to women from deprived areas. The interaction with the GP appears to be associated with an inappropriate level of interest in and expectation of the appropriateness of genetic testing. The provision of the clinics within general practice did not result in higher levels of confidence among GPs in managing these women.
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