Retrospective chart analysis to determine the impact of a patient-facing digital risk stratification tool combined with a clinical screener for hereditary cancer genetic risk assessment triage in a community oncology clinic.

IF 1.5 Q4 GENETICS & HEREDITY
Journal of Community Genetics Pub Date : 2024-02-01 Epub Date: 2023-10-27 DOI:10.1007/s12687-023-00687-3
Kate P Shane-Carson, Douglas Smith, Angie Smith, Caroline Seeley
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引用次数: 0

Abstract

The purpose of this study was to evaluate the utility of adding a clinical screener to the patient-facing digital risk stratification tool triage process for the identification of patients eligible for a genetic risk assessment for hereditary cancer. Digital risk stratification entries were retrospectively reviewed to determine the overall number of patients eligible for genetic risk assessment. These were also analyzed to determine how many patients were re-contacted by the clinical screener, and how many of those recontacted patients met criteria after their personal and family history was revised by the clinical screener. There was an 89.9% digital risk stratification triage tool completion rate, with 22.6% requiring contact from the clinical screener. Of the 640 patients who completed the digital tool, 5.9% met criteria for testing after their personal and/or family history was revised by the clinical screener. Overall, 51.1% of patients met criteria for a genetic risk assessment. The addition of a clinical screener further increased identification of patients eligible for genetic risk assessment. About half of patients who met criteria after being contacted by the clinical screener met criteria based on their personal diagnosis of cancer alone. Incorporation of a clinical screener to the digital screening process may serve to reduce barriers to patient completion of the tool and increase rates of patient identification for cancer genetic services.

回顾性图表分析,以确定面向患者的数字风险分层工具与社区肿瘤诊所遗传性癌症遗传风险评估分诊的临床筛查人员相结合的影响。
本研究的目的是评估在面向患者的数字风险分层工具分诊过程中添加临床筛查器的实用性,以确定有资格进行遗传性癌症遗传风险评估的患者。对数字风险分层条目进行回顾性审查,以确定符合遗传风险评估条件的患者总数。还对这些进行了分析,以确定临床筛查人员重新接触了多少患者,以及在临床筛查人员修改了他们的个人和家族史后,这些重新接触的患者中有多少符合标准。数字风险分层分诊工具完成率为89.9%,22.6%需要临床筛查人员联系。在完成数字工具的640名患者中,5.9%的患者在临床筛查人员修改了他们的个人和/或家族史后符合检测标准。总体而言,51.1%的患者符合遗传风险评估标准。临床筛查的增加进一步增加了对符合遗传风险评估条件的患者的识别。在与临床筛查人员接触后符合标准的患者中,约有一半仅根据其个人对癌症的诊断符合标准。将临床筛查器纳入数字筛查过程可以减少患者完成该工具的障碍,并提高癌症基因服务的患者识别率。
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来源期刊
Journal of Community Genetics
Journal of Community Genetics GENETICS & HEREDITY-
CiteScore
3.30
自引率
5.30%
发文量
54
期刊介绍: The Journal of Community Genetics is an international forum for research in the ever-expanding field of community genetics, the art and science of applying medical genetics to human communities for the benefit of their individuals. Community genetics comprises all activities which identify persons at increased genetic risk and has an interest in assessing this risk, in order to enable those at risk to make informed decisions. Community genetics services thus encompass such activities as genetic screening, registration of genetic conditions in the population, routine preconceptional and prenatal genetic consultations, public education on genetic issues, and public debate on related ethical issues. The Journal of Community Genetics has a multidisciplinary scope. It covers medical genetics, epidemiology, genetics in primary care, public health aspects of genetics, and ethical, legal, social and economic issues. Its intention is to serve as a forum for community genetics worldwide, with a focus on low- and middle-income countries. The journal features original research papers, reviews, short communications, program reports, news, and correspondence. Program reports describe illustrative projects in the field of community genetics, e.g., design and progress of an educational program or the protocol and achievement of a gene bank. Case reports describing individual patients are not accepted.
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