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A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes

The aim of the study was to compare psychosocial outcomes for 50 new clinic attendees, referred for cancer genetic counselling to five UK centres. The centres represented England, Scotland and Wales, and were randomly selected from groups ranked by different levels of clinical activity in cancer gen...

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Autores principales: Hopwood, P, Wonderling, D, Watson, M, Cull, A, Douglas, F, Cole, T, Eccles, D, Gray, J, Murday, V, Steel, M, Burn, J, McPherson, K
Formato: Texto
Lenguaje:English
Publicado: Nature Publishing Group 2004
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2409862/
https://www.ncbi.nlm.nih.gov/pubmed/15305197
http://dx.doi.org/10.1038/sj.bjc.6602081
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author Hopwood, P
Wonderling, D
Watson, M
Cull, A
Douglas, F
Cole, T
Eccles, D
Gray, J
Murday, V
Steel, M
Burn, J
McPherson, K
author_facet Hopwood, P
Wonderling, D
Watson, M
Cull, A
Douglas, F
Cole, T
Eccles, D
Gray, J
Murday, V
Steel, M
Burn, J
McPherson, K
author_sort Hopwood, P
collection PubMed
description The aim of the study was to compare psychosocial outcomes for 50 new clinic attendees, referred for cancer genetic counselling to five UK centres. The centres represented England, Scotland and Wales, and were randomly selected from groups ranked by different levels of clinical activity in cancer genetics practice. Questionnaires assessed demographic data, risk perception, mental health and use of health services pre-consultation and at 1 and 12 months follow-up. Satisfaction was measured for attendees and referring doctors at follow-up. A total of 256 unaffected adults fulfilled the study criteria. The five centres varied widely with respect to service organisation and activity, but all had a greater proportion of unaffected attendees with a breast cancer risk (61–91%) than either a bowel cancer risk (0–33%) or ovarian cancer risk (3–25%). There were no significant differences in the psychosocial data between centres pre-counselling. No significant change over time occurred for any of the centres for risk perception or general psychological distress. There were significant differences between centres in reduction of cancer worry from baseline to 12 months and with the number of women who were recommended to have mammographic surveillance who had not received this. Overall, one-third of women for whom mammography had been recommended had not been screened within 1 year of follow-up. Subsequent attendance at the GP, but not at a hospital, was associated with risk level, but differences between centres could not be analysed. Satisfaction differed significantly between centres for 4 : 14 aspects of service provision and with 3 : 17 items concerning communication; satisfaction was high overall. Over 90% of referring doctors were moderately/very satisfied with the service, but 23% were dissatisfied with waiting times and 19% with access to preventive treatment. Results differed significantly between centres for doctor's satisfaction with the provision of referral criteria and prescribing information. In conclusion, there were relatively few significant differences in psychosocial outcomes between centres, considering the wide variation in service organisation and activity. These significant differences were not consistent across the centres, therefore, differences could not be linked to specific aspects of service provision.
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spelling pubmed-24098622009-09-10 A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes Hopwood, P Wonderling, D Watson, M Cull, A Douglas, F Cole, T Eccles, D Gray, J Murday, V Steel, M Burn, J McPherson, K Br J Cancer Clinical The aim of the study was to compare psychosocial outcomes for 50 new clinic attendees, referred for cancer genetic counselling to five UK centres. The centres represented England, Scotland and Wales, and were randomly selected from groups ranked by different levels of clinical activity in cancer genetics practice. Questionnaires assessed demographic data, risk perception, mental health and use of health services pre-consultation and at 1 and 12 months follow-up. Satisfaction was measured for attendees and referring doctors at follow-up. A total of 256 unaffected adults fulfilled the study criteria. The five centres varied widely with respect to service organisation and activity, but all had a greater proportion of unaffected attendees with a breast cancer risk (61–91%) than either a bowel cancer risk (0–33%) or ovarian cancer risk (3–25%). There were no significant differences in the psychosocial data between centres pre-counselling. No significant change over time occurred for any of the centres for risk perception or general psychological distress. There were significant differences between centres in reduction of cancer worry from baseline to 12 months and with the number of women who were recommended to have mammographic surveillance who had not received this. Overall, one-third of women for whom mammography had been recommended had not been screened within 1 year of follow-up. Subsequent attendance at the GP, but not at a hospital, was associated with risk level, but differences between centres could not be analysed. Satisfaction differed significantly between centres for 4 : 14 aspects of service provision and with 3 : 17 items concerning communication; satisfaction was high overall. Over 90% of referring doctors were moderately/very satisfied with the service, but 23% were dissatisfied with waiting times and 19% with access to preventive treatment. Results differed significantly between centres for doctor's satisfaction with the provision of referral criteria and prescribing information. In conclusion, there were relatively few significant differences in psychosocial outcomes between centres, considering the wide variation in service organisation and activity. These significant differences were not consistent across the centres, therefore, differences could not be linked to specific aspects of service provision. Nature Publishing Group 2004-08-31 2004-08-10 /pmc/articles/PMC2409862/ /pubmed/15305197 http://dx.doi.org/10.1038/sj.bjc.6602081 Text en Copyright © 2004 Cancer Research UK https://creativecommons.org/licenses/by/4.0/This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material.If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/.
spellingShingle Clinical
Hopwood, P
Wonderling, D
Watson, M
Cull, A
Douglas, F
Cole, T
Eccles, D
Gray, J
Murday, V
Steel, M
Burn, J
McPherson, K
A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes
title A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes
title_full A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes
title_fullStr A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes
title_full_unstemmed A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes
title_short A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes
title_sort randomised comparison of uk genetic risk counselling services for familial cancer: psychosocial outcomes
topic Clinical
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2409862/
https://www.ncbi.nlm.nih.gov/pubmed/15305197
http://dx.doi.org/10.1038/sj.bjc.6602081
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