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Primary care physicians' use of family history for cancer risk assessment

机译：初级保健医生使用家族病史进行癌症风险评估

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Background Family history (FH) assessment is useful in identifying and managing patients at increased risk for cancer. This study assessed reported FH quality and associations with physician perceptions. Methods Primary care physicians practicing in two northeastern U.S. states were surveyed (n = 880; 70% response rate). Outcome measures of FH quality were extent of FH taken and ascertaining age at cancer diagnosis for affected family members. Predictors of quality measured in this survey included: perceived advantages and disadvantages of collecting FH information, knowledge of management options, access to supportive resources, and confidence in ability to interpret FH. Results Reported collection of information regarding second degree blood relatives and age of diagnosis among affected relatives was low. All hypothesized predictors were associated with measures of FH quality, but not all were consistent independent predictors. Perceived advantages of taking a family history, access to supportive resources, and confidence in ability to identify and manage higher risk patients were independent predictors of both FH quality measures. Perceived disadvantages of taking a family history was independently associated one measure of FH quality. Knowledge of management options was not independently associated with either quality measure. Conclusions Modifiable perception and resource factors were independently associated with quality of FH taking in a large and diverse sample of primary care physicians. Improving FH quality for identification of high risk individuals will require multi-faceted interventions.
机译：背景家族史（FH）评估有助于识别和管理罹患癌症风险增加的患者。这项研究评估了已报告的跳频质量以及与医师认知的关联。方法对在美国东北部两个州执业的初级保健医生进行了调查（n = 880;有效率70％）。 FH质量的结果指标是所采取的FH程度以及对受影响家庭成员进行癌症诊断时的年龄确定。本次调查测量的质量预测因素包括：收集FH信息的感知优势和劣势，管理选项的知识，获得支持性资源的机会以及对FH解释能力的信心。结果据报道，有关二级亲属和受影响亲属的诊断年龄的信息收集很少。所有假设的预测因素均与FH质量量度相关，但并非全部都是一致的独立预测因素。接受家族病史，获得支持性资源以及对识别和管理较高风险患者的能力的信心是这两项FH质量指标的独立预测因素。接受家族史的缺点被认为与FH质量的一项独立测量有关。管理选项的知识并不独立于任何一种质量度量。结论在大量不同的初级保健医生样本中，可改变的知觉和资源因素与FH的质量独立相关。提高用于识别高危人群的FH质量将需要多方面的干预。

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