title: Impact of national guidelines on family history breast cancer surveillance.
abstract: The breast cancer risk of women already under family history surveillance was accurately assessed according to national guidelines in an attempt to rationalize the service. Women attending two breast units in Glasgow between November 2003 and February 2005 were included. One thousand and five women under annual surveillance were assessed and had their relatives diagnoses verified. Four hundred and ninety-seven women were at significantly increased risk and eligible for follow-up. Five hundred and eight (50%) women attending were not eligible for family history surveillance, and 498 (98%) of these women accepted discharge. In conclusion, national guidelines have helped to more clearly define women who should undergo surveillance. This avoids unnecessary and potentially harmful routine investigations, and the service has been improved.
authors.affiliation: Victoria Infirmary, Langside Road, Glasgow G42 9TY, Scotland,  UK.
authors.forename: J D
authors.initials: JD
authors.lastname: Saldanha
authors.forename: R M
authors.initials: RM
authors.lastname: Garrett
authors.forename: L
authors.initials: L
authors.lastname: Snaddon
authors.forename: M
authors.initials: M
authors.lastname: Longmuir
authors.forename: N
authors.initials: N
authors.lastname: Bradshaw
authors.forename: C
authors.initials: C
authors.lastname: Watt
authors.forename: W D
authors.initials: WD
authors.lastname: George
authors.forename: C R
authors.initials: CR
authors.lastname: Wilson
authors.forename: J C
authors.initials: JC
authors.lastname: Doughty
authors.forename: S
authors.initials: S
authors.lastname: Stallard
authors.forename: I
authors.initials: I
authors.lastname: Reid
authors.forename: V
authors.initials: V
authors.lastname: Murday
authors.forename: R
authors.initials: R
authors.lastname: Davidson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000235:genetics; D055088:Early Detection of Cancer; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D006801:Humans; D008327:Mammography; D008487:Medical History Taking; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012606:Scotland; D019564:Unnecessary Procedures / Q000706:statistics & numerical data