ArticleJournal of general internal medicine2013
Use of a web-based risk appraisal tool for assessing family history and lifestyle factors in primary care.
Article in Journal of general internal medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 6 of them syntheses that pooled it.
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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
21 citing papers in PubMed, 6 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
- Leveraging Health Information Technology to Collect Family Cancer History: A Systematic Review and Meta-Analysis.JCO clinical cancer informatics · 2021Pooled it
- Effect of genetics clinical decision support tools on health-care providers' decision making: a mixed-methods systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2021Pooled it
- Interventions to improve the use of EMRs in primary health care: a systematic review and meta-analysis.BMJ health & care informatics · 2019Pooled 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
- The effects of on-screen, point of care computer reminders on processes and outcomes of care.The Cochrane database of systematic reviews · 2009Pooled it
- Design and rationale of the STRIVE trial to improve cardiometabolic health among children and families.Contemporary clinical trials · 2016Trial
- A randomized, controlled trial to increase discussion of breast cancer in primary care.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014Trial
- Utilizing electronic health record data to understand comorbidity burden among people living with HIV: a machine learning approach.AIDS (London, England) · 2021Article
- Commentary: 20 years online with "Your Disease Risk".Cancer causes & control : CCC · 2021Article
- Risk Ladder, Table, or Bulleted List? Identifying Formats That Effectively Communicate Personalized Risk and Risk Reduction Information for Multiple Diseases.Medical decision making : an international journal of the Society for Medical Decision Making · 2021Article
- Translating Cancer Risk Prediction Models into Personalized Cancer Risk Assessment Tools: Stumbling Blocks and Strategies for Success.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020Article
- Primary care physician experiences utilizing a family health history tool with electronic health record-integrated clinical decision support: an implementation process assessment.Journal of community genetics · 2020Article
- Family health history and genetic services-the East Baltimore community stakeholder interview project.Journal of community genetics · 2019Article
- What characterizes cancer family history collection tools? A critical literature review.Current oncology (Toronto, Ont.) · 2018Review
- Key aspects related to implementation of risk stratification in health care systems-the ASSEHS study.BMC health services research · 2017Review
- Family history assessment for colorectal cancer (CRC) risk analysis - comparison of diagram- and questionnaire-based web interfaces.BMC medical informatics and decision making · 2015Article
- Using e-technologies in clinical trials.Contemporary clinical trials · 2015Review
- Horizon scanning for translational genomic research beyond bench to bedside.Genetics in medicine : official journal of the American College of Medical Genetics · 2014Article
- General internal medicine as an engine of innovation.Journal of general internal medicine · 2013Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundPrimary care clinicians can play an important role in identifying individuals at increased risk of cancer, but often do not obtain detailed information on family history or lifestyle factors from their patients.
objectiveWe evaluated the feasibility and effectiveness of using a web-based risk appraisal tool in the primary care setting.
designFive primary care practices within an academic care network were assigned to the intervention or control group.
participantsWe included 15,495 patients who had a new patient visit or annual exam during an 8-month period in 2010-2011.
interventionIntervention patients were asked to complete a web-based risk appraisal tool on a laptop computer immediately before their visit. Information on family history of cancer was sent to their electronic health record (EHR) for clinicians to view; if accepted, it populated coded fields and could trigger clinician reminders about colon and breast cancer screening. MAIN MEASURES: The main outcome measure was new documentation of a positive family history of cancer in coded EHR fields. Secondary outcomes included clinician reminders about screening and discussion of family history, lifestyle factors, and screening. KEY
resultsAmong eligible intervention patients, 2.0% had new information on family history of cancer entered in the EHR within 30 days after the visit, compared to 0.6% of eligible control patients (adjusted odds ratio = 4.3, p = 0.03). There were no significant differences in the percent of patients who received moderate or high risk reminders for colon or breast cancer screening.
conclusionsUse of this tool was associated with increased documentation of family history of cancer in the EHR, although the percentage of patients with new family history information was low in both groups. Further research is needed to determine how risk appraisal tools can be integrated with workflow and how they affect screening and health behaviors.
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Registered trials
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.