Trial reportCanadian family physician Medecin de famille canadien2017
Assessing family history of chronic disease in primary care: Prevalence, documentation, and appropriate screening.
Trial report in Canadian family physician Medecin de famille canadien, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.
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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.
Who cites it
16 citing papers in PubMed.
- Evaluating an app for digital medical history taking in urgent care practices: study protocol of the cluster-randomized interventional trial 'DASI'.BMC primary care · 2023Article
- Family history recording in UK general practice: the lIFeLONG study.Family practice · 2022Article
- Utilizing electronic health record data to understand comorbidity burden among people living with HIV: a machine learning approach.AIDS (London, England) · 2021Article
- Clinical implementation of an oncology-specific family health history risk assessment tool.Hereditary cancer in clinical practice · 2021Article
- Family history assessment significantly enhances delivery of precision medicine in the genomics era.Genome medicine · 2021Article
- Urban-Rural Differences in Patterns and Associated Factors of Multimorbidity Among Older Adults in China: A Cross-Sectional Study Based on Apriori Algorithm and Multinomial Logistic Regression.Frontiers in public health · 2021Article
- Heritability for stroke: Essential for taking family history.Caspian journal of internal medicine · 2020Review
- Constructing data-derived family histories using electronic health records from a single healthcare delivery system.European journal of public health · 2020Article
- Concordance of chronic conditions among the household members in Shanghai: a cross-sectional study.BMJ open · 2019Article
- Family health history: underused for actionable risk assessment.Lancet (London, England) · 2019Review
- 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
- Implementation, adoption, and utility of family health history risk assessment in diverse care settings: evaluating implementation processes and impact with an implementation framework.Genetics in medicine : official journal of the American College of Medical Genetics · 2019Article
- Determining Onset for Familial Breast and Colorectal Cancer from Family History Comments in the Electronic Health Record.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2019Article
- A Systematic Review of Etiological Risk Factors Associated With Early Mortality Among National Football League Players.Orthopaedic journal of sports medicine · 2018Review
- Correction.Canadian family physician Medecin de famille canadien · 2017Article
- Comparison of a Focused Family Cancer History Questionnaire to Family History Documentation in the Electronic Medical Record.Journal of primary care & community healthArticle
Corrections and comments
- Erratum issuedCorrection.2017
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the proportion of primary care patients who report a family history (FH) of type 2 diabetes, coronary artery disease, breast cancer, or colorectal cancer (CRC); assess concordance of FH information derived from the electronic medical record (EMR) compared with patient-completed health questionnaires; and assess whether appropriate screening was informed by risk based solely on FH.
designData from the BETTER (Building on Existing Tools to Improve Chronic Disease Prevention and Screening in Primary Care) trial were used. Patients were mailed questionnaires. Baseline FH and screening data were obtained for enrolled patients from the EMR and health questionnaires.
settingOntario and Alberta.
participantsRandomly selected patients from 8 family practices.
main outcome measuresAgreement on FH between the EMR and questionnaire was determined; logistic regression was used to assess significant predictors of screening.
resultsIn total, 775 of 789 (98%) patients completed the health questionnaire. The mean age of participants was 52.5 years and 72% were female. A minimum of 12% of patients (range 12% to 36%) had a reported FH of 1 of 4 chronic diseases. Among patients with positive FH, the following proportions of patients had that FH recorded in the EMR compared with the questionnaire: diabetes, 24% in the EMR versus 36% on the questionnaire, κ = 0.466; coronary artery disease, 35% in the EMR versus 22% on the questionnaire, κ = 0.225; breast cancer, 21% in the EMR versus 22% on the questionnaire, κ = 0.241; and CRC, 12% in the EMR versus 14% on the questionnaire, κ = 0.510. There was moderate agreement for diabetes and CRC. The presence of FH was a significant predictor of CRC screening (odds ratio 1.9, 95% CI 1.1 to 3.1).
conclusionA moderate prevalence of FH was found for 4 conditions for which screening recommendations vary with risk based on FH. Having patients self-complete an FH was thought to be feasible; however, questions about FH accuracy and completeness from both self-report and EMR remain. Work is needed to determine how to facilitate the adoption of FH tools into practice as well as strategies linking familial risk to appropriate screening.Trial registration number ISRCTN07170460 (ISRCTN Registry).
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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.