ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2009
Cancer risk assessment by rural and Appalachian family medicine physicians.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- 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
- 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
- Comparing models of delivery for cancer genetics services among patients receiving primary care who meet criteria for genetic evaluation in two healthcare systems: BRIDGE randomized controlled trial.BMC health services research · 2021Trial
- Association of Disparities in Family History and Family Cancer History in the Electronic Health Record With Sex, Race, Hispanic or Latino Ethnicity, and Language Preference in 2 Large US Health Care Systems.JAMA network open · 2022Article
- Experiences of Genetic Counselors Practicing in Rural Areas.Journal of genetic counseling · 2018Article
- Knowledge, attitudes and referral patterns of lynch syndrome: a survey of clinicians in australia.Journal of personalized medicine · 2014Article
- Barriers and motivators for referral of patients with suspected lynch syndrome to cancer genetic services: a qualitative study.Journal of personalized medicine · 2014Article
- Radiation therapy resources and guideline-concordant radiotherapy for early-stage breast cancer patients in an underserved region.Health services research · 2013Article
- Understanding Genomic Knowledge in Rural Appalachia: The West Virginia Genome Community Project.Online journal of rural nursing and health care : the official journal of the Rural Nurse OrganizationArticle
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Authors and funding
6 authors.
Funding
Abstract
contextChallenges to the identification of hereditary cancer in primary care may be more pronounced in rural Appalachia, a medically underserved region. PURPOSE: To examine primary care physicians' identification of hereditary cancers.
methodsA cross-sectional survey was mailed to family physicians in the midwestern and southeastern United States, stratified by rural/non-rural and Appalachian/non-Appalachian practice location (n = 176). Identification of hereditary breast-ovarian cancer (BRCA1/2), hereditary non-polyposis colon cancer (HNPCC), and other hereditary cancers was assessed.
findingsLess than half of physicians (45%) reported having patients with cancer genetic testing. Most (70%) correctly identified the BRCA1/2-relevant scenario; 49% correctly identified the HNPCC-relevant scenario. Factor analysis of psychosocial variables revealed 2 factors: Confidence (knowledge, comfort, confidence) and importance (responsible, important, effective, need) of identifying hereditary cancer. Greater confidence was associated with use of 3 generation pedigree in taking family history. Greater knowledge and access to genetic services were associated with use of genetic testing. More recent graduation year, greater knowledge, and greater confidence were associated with identifying the BRCA1/2-relevant scenario. Greater knowledge and confidence were associated with identifying the HNPCC-relevant scenario.
conclusionsThough rural Appalachian physicians do not differ in ability to identify high risk individuals, access barriers may exist for genetic testing. Interventions are needed to boost physician confidence in identifying hereditary cancer and to improve availability and awareness of availability of genetic services.
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