Family histories of cancer in primary care

doi:10.1136/bmj.321.7266.955

BMJ 2000;321:955 ( 14 October )

Letters

Family histories of cancer in primary care

Referrals might be made on the basis of women's anxiety

Nurse led clinic may provide better service than computer program

Referrals might be made on the basis of women's anxiety

The first 150 words of the full text of this article appear below.

EDITOR $---$ I read with interest the paper by Emery et al on using different methods of assessing genetic risk for breast and ovariancancer and also the previous paper by Emery with a different setof coauthors. ¹ ² In both these papers the authors assumethat general practitioners have the time and will to take on newresponsibilities and skills. Emery et al state that only threeof the 36 general practitioners in the study were able to findthe paper management guidelines for referral.¹ It is hard toimagine that they are first going to find the computer software,remember how to use it, and then remember how to interpret theresults during a five minute appointment. They cannot then justrefer to a specialist or not; they would have to give some formof counselling $---$ another new skill to learn and remember. Thereis evidence to suggest that general . . . [Full text of this article]

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Computer support for interpreting family histories of breast and ovarian cancer in primary care: comparative study with simulated cases: Jon Emery, Robert Walton, Michael Murphy, Joan Austoker, Pat Yudkin, Cyril Chapman, Andrew Coulson, David Glasspool, and John Fox
BMJ 2000 321: 28-32. [Abstract] [Full Text] [PDF]