Breast cancer is the second leading cause of cancer death and the leading cause of premature death of women in the United States (US). It was estimated that 231,840 women were expected to develop breast cancer in the US in 2015 and approximately 40,290 women were estimated to die of the disease. Even though most breast cancers are sporadic, 5-10% of women are at an increased risk for developing breast cancer due to a hereditary risk. Too few healthcare providers are identifying women with family histories suggestive of hereditary cancer syndromes. An efficient way to identify high risk women in the primary care setting is through an easy to understand, self-administered family history risk assessment tool. The Pedigree Assessment Tool (PAT) family history questionnaire was offered to women age 18 and over at a primary care clinic in northern Louisiana. A PAT score of 8 or above prompted a cancer family history discussion by the physician or nurse practitioner and was followed by a genetic counseling referral. A total of 428 women completed the risk assessment tool during a 4 month period, 32 were high risk as evidenced by scoring 8 or higher on the PAT. Fourteen women were referred for genetic counseling. Twelve declined testing due to lack of insurance coverage, previous completion of genetic testing or felt the information would not improve their health. Six of the thirteen women completed genetic counseling and genetic testing. Lack of insurance coverage was identified as a major barrier to genetic counseling referrals. Utilization of the PAT identifies high risk women who would benefit from a genetic counseling referral. Genetic testing provides information that allows the patient and primary care provider to make informed decisions regarding surveillance protocols or prophylactic surgeries to diagnose cancer at an early stage or prevent cancer from developing.
|Commitee:||Donohue, Rebecca, Gauthier, Donna, Oberleitner, Melinda|
|School:||University of Louisiana at Lafayette|
|School Location:||United States -- Louisiana|
|Source:||DAI-B 78/04(E), Dissertation Abstracts International|
|Subjects:||Womens studies, Nursing, Oncology|
|Keywords:||BRCA mutation, Breast cancer, Deleterious mutations, HBOC syndrome, Prediction models, Risk assessment|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be