title: Outpatient genetic risk assessment in women with breast cancer: one center's experience.
abstract: A chart audit at one cancer center, of 193 women with breast cancer, was completed to assess whether a complete family history that may indicate genetic predisposition was obtained and if that information led a provider to suggest risk reduction strategies. A risk management tool, which included a pedigree template, was used. Of the 193 charts reviewed, 88.6% had family history information recorded; 41.5% reported three generations of family history. Risk management was undocumented in 21.8% of the charts reviewed and, for those that were reported (78.2%), 7.25% were referred for genetic counseling. These results suggest that a more detailed assessment of hereditary breast cancer risk incorporating three generations of family history and additional types of cancer need to be integrated into medical oncology practice. An algorithm was developed as a guide to improve the process of evaluation and referral for genetic risk assessment.
authors.affiliation: Kansas City Cancer Center South, Missouri, USA. nancy.washburn@usoncology.com
authors.forename: Nancy J
authors.initials: NJ
authors.lastname: Washburn
authors.forename: Valerie K
authors.initials: VK
authors.lastname: Sommer
authors.forename: Sarah E
authors.initials: SE
authors.lastname: Spencer
authors.forename: Sandra K
authors.initials: SK
authors.lastname: Simmons
authors.forename: Barbara W
authors.initials: BW
authors.lastname: Adkins
authors.forename: Mary R
authors.initials: MR
authors.lastname: Rogers
authors.forename: Patty L
authors.initials: PL
authors.lastname: Gerken
authors.forename: Christina M
authors.initials: CM
authors.lastname: Bromley
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D001943:Breast Neoplasms / Q000235:genetics / Q000517:prevention & control*; D002173:Cancer Care Facilities; D005260:Female; D020022:Genetic Predisposition to Disease; D005820:Genetic Testing; D006801:Humans; D008485:Medical Audit; D008487:Medical History Taking; D008875:Middle Aged; D010375:Pedigree; D012017:Referral and Consultation; D018570:Risk Assessment; D014481:United States