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Analysis of referrals to a multi-disciplinary breast cancer genetics clinic: practical and economic considerations

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Author(s)

Marta M. Reis, Dorothy Young, Lorna McLeish, David Goudie, Alan Cook, Frank Sullivan, Helen Vysny, Alison Fordyce, Roger Black, Manouche Tavakoli, Michael Steel

School/Research organisations

Abstract

Analysis of activity was undertaken in an established regional clinic providing risk assessment, counselling, screening and management for women with a family history of breast or ovarian cancer. The objectives were to determine: (1) how closely the route and pattern of referrals matched official guidelines (2) whether the previously recorded socio-economic imbalance among clinic clientele persisted and (3) the economic and practical consequences of committing resources to verification and extension of reported family histories. The findings were: (1) after some years of operation, the proportion of referrals direct from primary care had increased from less than 50% to over 75%, with a concomitant slight decrease in overall referral rate; (2) the socio-economic distribution of patients referred had become less selective and (3) extension and verification of reported family histories led to a redistributuion of risk categories, increasing the proportion of referrals judged to be in the "low risk" category, from 25% (based on referral letter alone) to 41% (at the end of the process). The costs associated with this approach are offset by the savings generated and it allows specialised counselling and screening services to be targeted more efficiently.

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Details

Original languageEnglish
Pages (from-to)297-303
Number of pages7
JournalFamilial Cancer
Volume5
Issue number4
DOIs
Publication statusPublished - Nov 2006

    Research areas

  • breast cancer, familial, genetic, clinical services, risk, assessment, economics, primary care, SOUTH-EAST SCOTLAND, FAMILY-HISTORY, PRIMARY-CARE, BREAST/OVARIAN CANCER, PRACTICE NURSES, SERVICES, GPS, EXPECTATIONS, KNOWLEDGE, VIEWS

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