Evidence map›Paper›PMID 21555944›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2011

Educational needs about cancer family history and genetic counseling for cancer risk among frontline healthcare clinicians in New York City.

Katarina M Sussner, Lina Jandorf, Heiddis B Valdimarsdottir

Open access · greenAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. 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 · 2019
    Pooled it
  2. 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 · 2014
    Guideline
  3. Randomized noninferiority trial of telephone versus in-person genetic counseling for hereditary breast and ovarian cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
    Trial
  4. Article
  5. Review
  6. Are College Students Interested in Family Health History Education? A Large Needs Assessment Survey Study.International journal of environmental research and public health · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  11. Issues associated with a hereditary risk of cancer: Knowledge, attitudes and practices of nurses in oncology settings.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  12. OB/GYN residents' training, attitudes, and comfort level regarding genetics.Journal of assisted reproduction and genetics · 2021
    Article
  13. Article
  14. Article
  15. The composition and capacity of the clinical genetics workforce in high-income countries: a scoping review.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  16. Article
  17. Low Screening Rates for Diabetes Mellitus Among Family Members of Affected Relatives.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2018
    Article
  18. Article
  19. Article
  20. Genetics educational needs in China: physicians' experience and knowledge of genetic testing.Genetics in medicine : official journal of the American College of Medical Genetics · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Katarina M SussnerDepartment of Oncological Sciences, Cancer Prevention and Control, Mount Sinai School of Medicine, New York City, New York 10029, USA. katarina.sussner@mssm.edu
Lina Jandorf
Heiddis B Valdimarsdottir
Icahn School of Medicine at Mount Sinai · USReykjavík University · IS

Funding

CANCER PREVENTION &CONTROL--MULTIDISCIPLINARY TRAININGR25CA081137 · NCI · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI MONTGOMERY, GUY H · 1999 to 2014
$6.7M
NCI NIH HHS R25 CA081137
6 · The paper itself

Abstract

purposeThis study investigated the educational needs of frontline healthcare clinicians about cancer family history and genetic counseling for cancer risk.

methodsWe conducted a voluntary, anonymous survey among (1) general medicine clinicians, (2) obstetrics/gynecology clinicians, and (3) nurse practitioners at Mount Sinai School of Medicine in New York City.

resultsA total of 143 clinicians completed the survey (response rate 81%). The majority of clinicians (77.5%) reported regularly completing family histories on cancer risk for their patients, but only 1.7% considered themselves "experts" in interpreting risk to make prevention, screening, and treatment recommendations. Numerous barriers to cancer family history collection were noted. More than half (55.8%) reported referring patients to genetic counseling, although only 14.3% reported confidence in their ability to make appropriate referrals. The majority reported that they would apply genetic counseling for cancer risk in their practice if they had the skills (84.9%). There was some variability found regarding specialty.

conclusionDespite widespread use of family histories for cancer risk, barriers remain to appropriate cancer risk management among frontline healthcare clinicians. Development of educational training programs to assist clinicians with collection of cancer family history information, interpretation, and appropriate referral along with teaching direct application of a modified form of genetic counseling for low-medium risk patients and referral of patients at genetic risk is warranted.

Indexed as

Delivery of Health CareFamily HealthGenetic CounselingGenetic TestingHumansNeoplasmsNew York CityRisk Factors

Identifiers

PMID21555944
PMCPMC4403244
OpenAlexW2072014411

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.