初级保健中家庭癌症病史评估的全面性。
The comprehensiveness of family cancer history assessments in primary care.
作者信息
Murff Harvey J, Greevy Robert A, Syngal Sapna
机构信息
Division of General Internal Medicine, Vanderbilt University Medical Center, Nashville, TN 37212-2637, USA.
出版信息
Community Genet. 2007;10(3):174-80. doi: 10.1159/000101759.
BACKGROUND
Accurate family history information is required for adequate breast and colorectal cancer risk assessments. Few studies have examined the comprehensiveness of the family medical history interview in primary care.
METHODS
We compared family cancer history information collected through a self-completed survey with that documented within medical charts for 310 patients.
RESULTS
Forty-three percent (18/42) of individuals at increased risk for breast or colorectal cancer based on their family history had documentation of this risk within their chart. Age of cancer diagnosis was recorded for 40% (50/124) of affected relatives identified by chart review compared with 81% (203/252) identified through the survey (p < 0.0001).
CONCLUSIONS
Over half of the individuals at increased risk for breast or colorectal cancer based on their family history did not have documentation of this risk within their medical record, and the age of relatives at diagnosis was frequently missing.
背景
准确的家族病史信息对于充分评估乳腺癌和结直肠癌风险至关重要。很少有研究考察初级保健中家族病史访谈的全面性。
方法
我们将通过自我完成的调查问卷收集的家族癌症病史信息与310例患者病历中记录的信息进行了比较。
结果
根据家族病史，有患乳腺癌或结直肠癌风险增加的个体中，43%（18/42）在其病历中有该风险的记录。通过病历审查确定的40%（50/124）受影响亲属的癌症诊断年龄有记录，而通过调查确定的这一比例为81%（203/252）（p<0.0001）。
结论
根据家族病史，超过一半有患乳腺癌或结直肠癌风险增加的个体在其病历中没有该风险的记录，且亲属的诊断年龄常常缺失。
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