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Cancer Detect Prev. 2005;29(5):433-9. Epub 2005 Aug 1.

Development of a risk assessment tool for women with a family history of breast cancer.

Author information

  • 1Carol Franck Buck Breast Care Center, UCSF Comprehensive Cancer Center, University of California, 2186 Geary Boulevard, Suite 103, San Francisco, CA 94115, USA. dejana.braithwaite@ucsfmedctr.org

Abstract

BACKGROUND:

Innovative technologies that enable the collection of family history information and the assessment of breast cancer risk have a potential to enhance the quality of preventive care. We developed a computerized tool that supports stratification of breast cancer risk, genetic risk assessment in the clinical environment (GRACE).

METHODS:

In a preliminary evaluation of the tool's impact, we randomized women with a family history of breast cancer (n=72) to either use the GRACE tool or undergo risk counseling by a nurse specialist.

RESULTS:

There was no statistically significant differences between the GRACE and nurse counselling groups in risk perceptions (F=.03, P>.05) and cancer-related worries (F=.80, P>.05). However, patients reported more positive attitudes toward working with the nurse.

CONCLUSION:

It was feasible to use GRACE in a Clinic. Additional research is required to identify solutions for providing emotional support in conjunction with the tool.

PMID:
16055276
[PubMed - indexed for MEDLINE]
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