ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2008
Too many referrals of low-risk women for BRCA1/2 genetic services by family physicians.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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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
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A theory-informed systematic review of clinicians' genetic testing practices.European journal of human genetics : EJHG · 2018Pooled it
- Primary care providers' cancer genetic testing-related knowledge, attitudes, and communication behaviors: A systematic review and research agenda.Journal of general internal medicine · 2017Pooled it
- Digital innovation for cancer risk assessment allows large-scale service redevelopment of regional cancer genetics service delivery.Familial cancer · 2024Article
- Patterns of referrals to regional clinical genetics services for women potentially at above-population level risk of breast cancer.BJC reports · 2024Article
- Phenotype-Driven Molecular Genetic Test Recommendation for Diagnosing Pediatric Rare Disorders.Research square · 2023Article
- Article
- Physicians' Awareness and Utilization of Genetic Services in Texas.Journal of genetic counseling · 2018Article
- Use of BRCA Mutation Test in the U.S., 2004-2014.American journal of preventive medicine · 2017Article
- Public Health Approaches and Barriers to Educating Providers about Hereditary Breast and Ovarian Cancer Syndrome.Healthcare (Basel, Switzerland) · 2016Article
- The knowledge value-chain of genetic counseling for breast cancer: an empirical assessment of prediction and communication processes.Familial cancer · 2016Article
- The structure and demographic correlates of cancer fear.BMC cancer · 2014Article
- Are public health professionals prepared for public health genomics? A cross-sectional survey in Italy.BMC health services research · 2014Article
- Personal genomic information management and personalized medicine: challenges, current solutions, and roles of HIM professionals.Perspectives in health information managemen · 2014Article
- Attitudes and practices among internists concerning genetic testing.Journal of genetic counseling · 2013Article
- Growing up in the genomic era: implications of whole-genome sequencing for children, families, and pediatric practice.Annual review of genomics and human genetics · 2013Review
- Skin cancer concerns and genetic risk information-seeking in primary care.Public health genomics · 2012Article
- Patterns of cancer genetic testing: a randomized survey of Oregon clinicians.Journal of cancer epidemiology · 2012Article
- Breast cancer genetic counselling referrals: how comparable are the findings between the UK and the Netherlands?Journal of community genetics · 2011Article
- Educational needs about cancer family history and genetic counseling for cancer risk among frontline healthcare clinicians in New York City.Genetics in medicine : official journal of the American College of Medical Genetics · 2011Article
- Distress and psychosocial needs of a heterogeneous high risk familial cancer population.Journal of genetic counseling · 2011Article
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5 authors.
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Abstract
The increasing availability and public awareness of BRCA1/2 genetic testing will increase women's self-referrals to genetic services. The objective of this study was to examine whether patient characteristics influence the referral decisions of family physicians when a patient requests BRCA1/2 genetic testing. Family physicians (n = 284) completed a Web-based survey in 2006 to assess their attitudes and practices related to the use of genetics in their clinical practice. Using a 2 x 2 x 2 factorial design, we tested the effects of a hypothetical patient's race, level of worry, and insurance status on the decisions of family physicians to refer her for BRCA1/2 testing. The patient was not appropriate for referral based on U.S. Preventive Services Task Force guidelines. No patient characteristics were associated with the family physicians' referral decisions. Although referral was not indicated, only 8% did not refer to genetic services; 92% referred for genetic services, and 50% referred to genetic counseling. Family physicians regarded it unlikely that the patient carried a mutation, but 65% of family physicians believed that if they refused to refer for genetic services it would harm their relationship with the patient. Despite scarce and costly genetic services, family physicians were likely to inappropriately refer a low-risk patient who requested BRCA1/2 testing. The implications of this inappropriate referral on women's screening behavior, genetic services, and health care costs are unknown. Clinicians and patients could benefit from education about the appropriate use of genetic services so that both are more comfortable with a decision against referral.
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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.