Literature DB >> 12602842

Genetic susceptibility to cancer. Family physicians' experience.

June C Carroll1, Judith Belle Brown, Sean Blaine, Gord Glendon, Patricia Pugh, Wendy Medved.   

Abstract

OBJECTIVE: To explore family physicians' experiences in dealing with genetic susceptibility to cancer.
DESIGN: Qualitative study using focus groups.
SETTING: Four Ontario sites: northern, rural, urban, and inner city. PARTICIPANTS: Forty rural and urban FPs participated in four focus groups: 28 were male; average age was 41.
METHOD: Focus groups using a semistructured interview guide were audiotaped and transcribed. The constant comparative method of data analysis was used. Key words and concepts were identified. Data were sorted using NUD*IST software. MAIN
FINDINGS: Participants realized the escalating expectations for genetic testing and its effect on family practice. They explored an expanded role for themselves in genetic testing. Possible activities included risk assessment, gatekeeping, and ordering genetic tests. They were concerned about the complexity of genetic testing, the lack of evidence regarding management, and the implications for families.
CONCLUSION: We must help FPs struggling to integrate genetics into their practices, by addressing their concerns, enhancing the way they communicate information on genetics, and developing appropriate educational tools.

Entities:  

Mesh:

Year:  2003        PMID: 12602842      PMCID: PMC2214120     

Source DB:  PubMed          Journal:  Can Fam Physician        ISSN: 0008-350X            Impact factor:   3.275


  22 in total

Review 1.  A systematic review of the literature exploring the role of primary care in genetic services.

Authors:  J Emery; E Watson; P Rose; A Andermann
Journal:  Fam Pract       Date:  1999-08       Impact factor: 2.267

2.  Guidelines for referral to a regional genetics service: GPs respond by referring more appropriate cases.

Authors:  A Lucassen; E Watson; J Harcourt; P Rose; J O'Grady
Journal:  Fam Pract       Date:  2001-04       Impact factor: 2.267

3.  Genetics education for primary care providers in community health settings.

Authors:  S E Kolb; M C Aguilar; M Dinenberg; C I Kaye
Journal:  J Community Health       Date:  1999-02

4.  Genetic testing: a physician's perspective.

Authors:  J D Menasha; C Schechter; J Willner
Journal:  Mt Sinai J Med       Date:  2000-03

5.  A study of GP referrals to a family cancer clinic for breast/ovarian cancer.

Authors:  E Watson; J Austoker; A Lucassen
Journal:  Fam Pract       Date:  2001-04       Impact factor: 2.267

6.  Primary care physicians' knowledge and attitudes towards genetic testing for breast-ovarian cancer predisposition.

Authors:  M Escher; A P Sappino
Journal:  Ann Oncol       Date:  2000-09       Impact factor: 32.976

7.  UK clinicians' knowledge of and attitudes to the prenatal diagnosis of single gene disorders.

Authors:  H V Firth; R H Lindenbaum
Journal:  J Med Genet       Date:  1992-01       Impact factor: 6.318

8.  Incorporation of genetics in primary care practice. Will physicians do the counseling and will they be directive?

Authors:  G Geller; E S Tambor; G A Chase; K J Hofman; R R Faden; N A Holtzman
Journal:  Arch Fam Med       Date:  1993-11

9.  A sociobehavioural perspective on genetic testing and counselling for heritable breast, ovarian and colon cancer.

Authors:  K G Macdonald; B Doan; M Kelner; K M Taylor
Journal:  CMAJ       Date:  1996-02-15       Impact factor: 8.262

10.  Women's receptivity to testing for a genetic susceptibility to breast cancer.

Authors:  H Chaliki; S Loader; J C Levenkron; W Logan-Young; W J Hall; P T Rowley
Journal:  Am J Public Health       Date:  1995-08       Impact factor: 9.308

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  25 in total

1.  Genetic cancer risk assessment in general practice: systematic review of tools available, clinician attitudes, and patient outcomes.

Authors:  Flore Laforest; Pia Kirkegaard; Baljinder Mann; Adrian Edwards
Journal:  Br J Gen Pract       Date:  2018-12-03       Impact factor: 5.386

2.  Interactive genetic counseling role-play: a novel educational strategy for family physicians.

Authors:  Sean M Blaine; June C Carroll; Andrea L Rideout; Gord Glendon; Wendy Meschino; Cheryl Shuman; Deanna Telner; Natasha Van Iderstine; Joanne Permaul
Journal:  J Genet Couns       Date:  2008-01-30       Impact factor: 2.537

3.  Primary care role in expanded newborn screening: After the heel prick test.

Authors:  Robin Z Hayeems; Fiona A Miller; June C Carroll; Julian Little; Judith Allanson; Jessica P Bytautas; Pranesh Chakraborty; Brenda J Wilson
Journal:  Can Fam Physician       Date:  2013-08       Impact factor: 3.275

4.  'Someday it will be the norm': physician perspectives on the utility of genome sequencing for patient care in the MedSeq Project.

Authors:  Jason L Vassy; Kurt D Christensen; Melody J Slashinski; Denise M Lautenbach; Sridharan Raghavan; Jill Oliver Robinson; Jennifer Blumenthal-Barby; Lindsay Zausmer Feuerman; Lisa Soleymani Lehmann; Michael F Murray; Robert C Green; Amy L McGuire
Journal:  Per Med       Date:  2015       Impact factor: 2.512

Review 5.  Cancers related to genetic mutations: important psychosocial issues for Canadian family physicians.

Authors:  Tara E Power; John Robinson
Journal:  Can Fam Physician       Date:  2006-11       Impact factor: 3.275

6.  A theory-informed systematic review of clinicians' genetic testing practices.

Authors:  Jean L Paul; Hanna Leslie; Alison H Trainer; Clara Gaff
Journal:  Eur J Hum Genet       Date:  2018-06-11       Impact factor: 4.246

7.  Recognizing BRCA gene mutation risk subsequent to breast cancer diagnosis in southwestern Ontario.

Authors:  Meredith Vanstone; Winsion Chow; Laura Lester; Peter Ainsworth; Jeff Nisker; Muriel Brackstone
Journal:  Can Fam Physician       Date:  2012-05       Impact factor: 3.275

8.  Familial risk of cancer and knowledge and use of genetic testing.

Authors:  Heather J Baer; Phyllis Brawarsky; Michael F Murray; Jennifer S Haas
Journal:  J Gen Intern Med       Date:  2010-04-02       Impact factor: 5.128

9.  Genetic education for primary care providers: improving attitudes, knowledge, and confidence.

Authors:  June C Carroll; Andrea L Rideout; Brenda J Wilson; Judith Md Allanson; Sean M Blaine; Mary Jane Esplen; Sandra A Farrell; Gail E Graham; Jennifer MacKenzie; Wendy Meschino; Fiona Miller; Preeti Prakash; Cheryl Shuman; Anne Summers; Sherry Taylor
Journal:  Can Fam Physician       Date:  2009-12       Impact factor: 3.275

10.  Interviews with primary care physicians regarding taking and interpreting the cancer family history.

Authors:  Marie E Wood; Alan Stockdale; Brian S Flynn
Journal:  Fam Pract       Date:  2008-09-01       Impact factor: 2.267

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