The comprehensiveness of family cancer history assessments in primary care.

Harvey J Murff, Robert A Greevy, Sapna Syngal
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引用次数: 97

Abstract

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.

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家庭癌症病史评估在初级保健中的全面性。
背景:准确的家族史信息是充分评估乳腺癌和结直肠癌风险的必要条件。很少有研究考察了家庭病史访谈在初级保健中的全面性。方法:我们将通过自我完成的调查收集的家族癌症病史信息与310例患者的病历记录进行比较。结果:43%(18/42)的家族史上乳腺癌或结直肠癌风险增加的个体在他们的图表中有这种风险的记录。通过图表复习确定的患病亲属中有40%(50/124)记录了癌症诊断年龄,而通过调查确定的患病亲属中有81%(203/252)记录了癌症诊断年龄(p < 0.0001)。结论:超过一半的基于家族史的乳腺癌或结直肠癌风险增加的个体在其医疗记录中没有这种风险的记录,并且诊断时亲属的年龄经常缺失。
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