ArticleGenetics in medicine : official journal of the American College of Medical Genetics2005
Clinical genetics issues encountered by family physicians.
Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.
- A systematic review of interventions to provide genetics education for primary care.BMC family practice · 2016Pooled it
- A systematic review of factors that act as barriers to patient referral to genetic services.European journal of human genetics : EJHG · 2015Pooled it
- Primary-care providers' perceived barriers to integration of genetics services: a systematic review of the literature.Genetics in medicine : official journal of the American College of Medical Genetics · 2015Pooled it
- Patient and genetic counselor perceptions of in-person versus telephone genetic counseling for hereditary breast/ovarian cancer.Familial cancer · 2016Trial
- Randomized Noninferiority Trial of Telephone Delivery of BRCA1/2 Genetic Counseling Compared With In-Person Counseling: 1-Year Follow-Up.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016Trial
- Expanding access to BRCA1/2 genetic counseling with telephone delivery: a cluster randomized trial.Journal of the National Cancer Institute · 2014Trial
- Knowledge, attitudes, and practices of primary healthcare practitioners in low- and middle-income countries: a scoping review on genetics.Journal of community genetics · 2024Article
- A personalized genomic results e-booklet, co-designed and pilot-tested by families.PEC innovation · 2022Article
- Disparities in BRCA counseling across providers in a diverse population of young breast cancer survivors.Genetics in medicine : official journal of the American College of Medical Genetics · 2020Article
- A comparative study of patients' perceptions of genetic and genomic medicine services in California and Malaysia.Journal of community genetics · 2019Article
- Patient Perceptions of Care as Influenced by a Large Institutional Pharmacogenomic Implementation Program.Clinical pharmacology and therapeutics · 2017Article
- Factors which impact the delivery of genetic risk assessment services focused on inherited cancer genomics: expanding the role and reach of certified genetics professionals.Journal of genetic counseling · 2014Article
- Attitudes and knowledge of medical practitioners to hereditary cancer clinics and cancer genetic testing.Familial cancer · 2014Article
- Knowledge, attitudes and referral patterns of lynch syndrome: a survey of clinicians in australia.Journal of personalized medicine · 2014Article
- Developing patient-friendly genetic and genomic test reports: formats to promote patient engagement and understanding.Genome medicine · 2014Article
- The practice of adult genetics: a 7-year experience from a single center.American journal of medical genetics. Part A · 2013Review
- Genetic risk assessments in individuals at high risk for inherited breast cancer in the breast oncology care setting.Cancer control : journal of the Moffitt Cancer Center · 2012Review
- The evolution of personalized cancer genetic counseling in the era of personalized medicine.Familial cancer · 2012Article
- Attitudes of genetic counselors towards genetic susceptibility testing in children.Journal of genetic counseling · 2010Article
- Defining and measuring the patient-centered medical home.Journal of general internal medicine · 2010Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo describe the genetics-related clinical issues encountered by family physicians, and the medical problems they referred to genetics consultants.
methodsQuestionnaires were mailed to a nationwide, random sample of 498 practicing family physicians, asking how many times in the past year they discussed genetic information about 19 familial or genetic conditions with patients and what proportion of the families with each genetic condition were referred for genetics consultation. Factor analysis was used to group the conditions.
resultsThe response rate was 38% (n = 190). Respondents were similar to non-respondents except that more were women. Most family physicians reported discussing the genetics of common cancers, cardiovascular disease, and Alzheimer's disease with two or more patients in the past year. Thirteen percent had referred families for genetics assessment of breast-ovarian cancer but only two made genetics referrals for cardiovascular disease or dementia. 25% to 50% of family physicians had addressed genetic issues in at least one family with hemoglobinopathy, a blood clotting disorder, hemochromatosis, mental illness, vision loss or deafness, chromosome abnormality, infertility or pregnancy loss, congenital anomalies, mental retardation, and neurofibromatosis. Most cases were not referred to geneticists. Of respondents, 23% said that genetics consultation is very difficult to obtain or unavailable and 18% listed ethical and social dilemmas related to pursuing genetic diagnosis.
conclusionNationwide, family physicians address a variety of genetics issues with patients, most frequently consulting geneticists for perinatal conditions and familial cancers. Access to genetics consultation is more difficult in rural areas. These data may be used in organizing genetics services and in planning professional education programs for primary care clinicians.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.