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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.

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



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).


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.


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.


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.

[PubMed - indexed for MEDLINE]
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