Barriers and facilitators for utilization of genetic counseling and risk assessment services in young female breast cancer survivors.
Barriers and facilitators for utilization of genetic counseling and risk assessment services in young female breast cancer survivors.
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年轻女性乳腺癌幸存者利用遗传咨询和风险评估服务的障碍和促进因素。
DOI：
10.1155/2012/298745
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发表时间：
2012
影响因子：
1.8
通讯作者：
Copeland G
中科院分区：
文献类型：
--
作者：
Anderson B;McLosky J;Wasilevich E;Lyon-Callo S;Duquette D;Copeland G
介绍。年轻时被诊断出患有乳腺癌的女性更有可能携带易患癌症的基因突变。根据目前的 NCCN 建议，50 岁以下被诊断出的女性应接受癌症遗传咨询以进行进一步的风险评估。本研究旨在评估患者报告的在社区年轻乳腺癌幸存者 (YBCS) 人群中接受遗传咨询和风险评估的障碍和促进因素。方法。通过密歇根州癌症监测计划（一个州级癌症登记处），2006 年至 2007 年期间，有 488 名 50 岁之前被诊断患有乳腺癌的女性被确定。他们收到了一份关于家族史以及接受遗传咨询和风险评估的促进因素和障碍的邮件调查。结果。收到了 289 名女性 (59.2%) 的回复。一百二十二人 (42.2%) 报告曾接受过癌症遗传咨询。接受服务最常见的原因是为了家庭的未来。不参加的主要原因是“没有人推荐”和“医疗保险问题”。讨论。这项研究是第一份发表的报告，利用州癌症登记处来确定 YBCS 中接受遗传咨询和风险评估的促进因素和障碍。这些发现表明需要对遗传服务的适当适应症进行更多的认识和教育。
Introduction. Women diagnosed with breast cancer at a young age are more likely to carry a cancer predisposing genetic mutation. Per the current NCCN recommendations, women diagnosed under age 50 should be referred to cancer genetic counseling for further risk evaluation. This study seeks to assess patient-reported barriers and facilitators to receiving genetic counseling and risk assessment among a community-based population of young breast cancer survivors (YBCS). Methods. Through the Michigan Cancer Surveillance Program, a state-based cancer registry, 488 women diagnosed with breast cancer before age 50 in 2006-2007 were identified. They received a mail survey regarding family history and facilitators and barriers to receiving genetic counseling and risk assessment. Results. Responses were received from 289 women (59.2%). One hundred twenty-two (42.2%) reported having received cancer genetic counseling. The most frequent reason identified for receiving services was to benefit their family's future. The top reasons for not attending were “no one recommended it” and “medical insurance coverage issues.” Discussion. This study is the first published report using a state cancer registry to determine facilitators and barriers to receiving genetic counseling and risk assessment among YBCS. These findings demonstrate the need for additional awareness and education about appropriate indications for genetic services.
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影响因子：
5.5
作者：
Bellcross, Cecelia A.;Kolor, Katherine;Khoury, Muin J.
通讯作者：
Khoury, Muin J.
影响因子：
1.9
作者：
Rahm, Alanna Kulchak;Sukhanova, Anna;Mouchawar, Judy
通讯作者：
Mouchawar, Judy
影响因子：
1.4
作者：
Pal, Tuya;Rocchio, Erin;Vadaparampil, Susan
通讯作者：
Vadaparampil, Susan
影响因子：
1.9
作者：
Rolnick, Sharon J.;Rahm, Alanna K.;Valdez, Rodolfo
通讯作者：
Valdez, Rodolfo
影响因子：
2.2
作者：
Morgan, Debra;Sylvester, Heather;Miesfeldt, Susan
通讯作者：
Miesfeldt, Susan