GPs' management of women seeking help for familial breast cancer.
OBJECTIVE
We aimed to ascertain how often patients seek help for familial breast cancer in primary care, and to identify GPs management of these patients, in order to see whether guidelines are followed.


METHODS
This was a descriptive study. GPs (n = 202) attending a postgraduate education programme were asked to fill in a questionnaire which included questions about the number of patients seeking help for familial breast cancer within the last 3 months and about their management strategies.


RESULTS
About 80% of the GPs reported that they referred women with concerns about familial breast cancer for further diagnostics (mammography or ultrasound). For half these referrals a plan of regular appointments was set up, and one-eighth of the referrals included breast examination by a physician. Breast self-examination was advised in 50% of the cases. Estimates given to women regarding their breast cancer risk varied considerably. There was a strong relationship between risk estimates and management strategies.


CONCLUSIONS
Current guidelines regarding surveillance of women with breast cancer in the family were only partly followed. These guidelines do not give sufficient information to define whether there is an increased risk for breast cancer. These guidelines need to be refined.
de Bock
G H
GH
Department of General Practice, Leiden University Medical Centre, The Netherlands.
Vliet Vlieland
T P
TP
Hakkeling
M
M
Kievit
J
J
Springer
M P
MP
D001943:Breast Neoplasms / Q000175:diagnosis / Q000235:genetics*; D016504:Breast Self-Examination; D016009:Chi-Square Distribution; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D010342:Patient Acceptance of Health Care; D010808:Physical Examination; D010821:Physicians, Family; D010818:Practice Patterns, Physicians'; D012017:Referral and Consultation; D018570:Risk Assessment; D011795:Surveys and Questionnaires