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Cancer Genetic Risk Assessment and Referral Patterns in Primary Care

机译：癌症遗传风险评估和推荐在初级护理模式

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Purpose: This study was undertaken to describe cancer risk assessment practices among primary care providers ( PCPs). Methods: An electronic survey was sent to PCPs affiliated with a single insurance carrier. Demographic and practice characteristics associated with cancer genetic risk assessment and testing activities were described. Latent class analysis supported by likelihood ratio tests was used to define PCP profiles with respect to the level of engagement in genetic risk assessment and referral activity based on demographic and practice characteristics. Results: 860 physicians responded to the survey (39% family practice, 29% internal medicine, 22% obstetrics/ gynecology (OB/GYN), 10% other). Most respondents (83%) reported that they routinely assess hereditary cancer risk; however, only 33% reported that they take a full, three-generation pedigree for risk assessment. OB/GYN specialty, female gender, and physician access to a genetic counselor were independent predictors of referral to cancer genetics specialists. Three profiles of PCPs, based upon referral practice and extent of involvement in genetics evaluation, were defined. Conclusion: Profiles of physician characteristics associated with varying levels of engagement with cancer genetic risk assessment and testing can be identified. These profiles may ultimately be useful in targeting decision support tools and services.
机译：目的:本研究进行描述癌症风险评估实践中主要保健提供者(pcp)。调查被送到pcp隶属于一个单一的保险公司。与癌症有关的基因特征风险评估和测试活动描述。似然比检验是用来定义卡式肺囊虫肺炎配置文件对订婚的水平在遗传风险评估和推荐活动基于人口和实践特征。调查回应(39%的家庭医疗,29%内科,22%产科/妇科(妇产科),其他的10%)。报告说他们经常评估遗传癌症的风险;把一个完整的,三代血统的风险评估。医生访问基因顾问转诊到癌症的独立预测指标遗传学专家。基于推荐的实践和程度参与遗传评估,定义。结论:概要文件的医生的特点不同程度的参与癌症遗传风险评估和测试识别。在针对决策支持工具和有用服务。

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