ArticleFamily practice2008
Interviews with primary care physicians regarding taking and interpreting the cancer family history.
Article in Family practice, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Considering family trees as a useful tool in family medicine: a systematic review.Primary health care research & development · 2025Pooled 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
- American Society of Clinical Oncology Expert Statement: collection and use of a cancer family history for oncology providers.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014Guideline
- Utility of a virtual counselor (VICKY) to collect family health histories among vulnerable patient populations: A randomized controlled trial.Patient education and counseling · 2021Trial
- Acceptability and feasibility of a virtual counselor (VICKY) to collect family health histories.Genetics in medicine : official journal of the American College of Medical Genetics · 2015Trial
- Public trust in genomic risk assessment for type 2 diabetes mellitus.Journal of genetic counseling · 2014Trial
- Mapping intellectual structure and research hotspots of cancer studies in primary health care: A machine-learning-based analysis.Medicine · 2025Article
- Barriers to family history collection among Spanish-speaking primary care patients: a BRIDGE qualitative study.PEC innovation · 2022Article
- Increased family history documentation in internal medicine resident continuity clinic at a community hospital through resident-led structured genetic education program.Journal of community genetics · 2022Article
- Prevalence of Americans reporting a family history of cancer indicative of increased cancer risk: Estimates from the 2015 National Health Interview Survey.Preventive medicine · 2022Article
- Family history assessment significantly enhances delivery of precision medicine in the genomics era.Genome medicine · 2021Article
- Prevalence and Correlates of Family Cancer History Knowledge and Communication Among US Adults.Preventing chronic disease · 2020Article
- Is family history still underutilised? Exploring the views and experiences of primary care doctors in Malaysia.Journal of community genetics · 2020Article
- Designing and Evaluating a Digital Family Health History Tool for Spanish Speakers.International journal of environmental research and public health · 2019Article
- Genetics in primary care: validating a tool to pre-symptomatically assess common disease risk using an Australian questionnaire on family history.Clinical and translational medicine · 2019Article
- Identifying patients with a history of ovarian cancer for referral for genetic counselling: non-randomised comparison of two case-finding strategies in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Article
- Physicians' Awareness and Utilization of Genetic Services in Texas.Journal of genetic counseling · 2018Article
- Issues related to family history of cancer at the end of life: a palliative care providers' survey.Familial cancer · 2018Article
- Referral to cancer genetic counseling: do migrant status and patients' educational background matter?Journal of community genetics · 2017Article
- Incorporating cancer risk information into general practice: a qualitative study using focus groups with health professionals.The British journal of general practice : the journal of the Royal College of General Practitioners · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundThe cancer family history can be used to stratify risk and guide management regarding screening and prevention of cancer.
objectiveThe current study was designed to gain understanding of specific barriers to obtaining and using the cancer family history for the primary care physician.
methodsInterviews were conducted with structured samples of specialists in family medicine, general internal medicine and gynaecology in three settings in two north-eastern states. A medical anthropologist conducted interviews based on a topical outline; transcripts were systematically analyzed by a research team to identify major themes expressed by participants.
resultsAmong 40 urban, suburban and rural physicians interviewed, 40% were women and medical school graduation years ranged from 1963 to 2000. These physicians regarded cancer family history as important, but process and content were not standardized. Major barriers to more focused use of this information included limitations of patients' family history knowledge; time needed to clarify and interpret this information and the lack of clear and accessible guidelines to assist in collection, interpretation and management decisions for average, moderate and higher risk patients. Language and cultural barriers made it more difficult to collect family histories in some populations.
conclusionsBarriers to effective application of cancer family history information included limitations of patients' family history information; lack of methods to systematically and efficiently focus on the most useful information and lack of accessible guidance for risk stratification and management. Results suggest a need for support addressing these concerns to better utilize several readily available cancer risk management opportunities.
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