scholarly journals Promoting guideline-based cancer genetic risk assessment for hereditary breast and ovarian cancer in ethnically and geographically diverse cancer survivors: Rationale and design of a 3-arm randomized controlled trial

2018 ◽  
Vol 73 ◽  
pp. 123-135 ◽  
Author(s):  
Anita Y. Kinney ◽  
Rachel Howell ◽  
Rachel Ruckman ◽  
Jean A. McDougall ◽  
Tawny W. Boyce ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Risk Assessment ◽  
Randomized Controlled Trial ◽  
Genetic Risk ◽  
Controlled Trial ◽  
Cancer Genetic ◽  
Breast And Ovarian Cancer ◽  
Genetic Risk Assessment ◽  
Randomized Controlled ◽  
Cancer Genetic Risk Assessment

Mammography adherence among medically underserved women undergoing cancer genetic risk assessment.

2020 ◽  
Vol 38 (15_suppl) ◽  
pp. 1554-1554
Author(s):  
Candice Schwartz ◽  
Ifeanyi Beverly Chukwudozie ◽  
Silvia Tejeda ◽  
Ganga Vijayasiri ◽  
Ivy Abraham ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Primary Healthcare ◽  
Genetic Risk ◽  
Ethnically Diverse ◽  
Screening Mammography ◽  
Medically Underserved ◽  
Cancer Genetic ◽  
Genetic Risk Assessment ◽  
Underserved Women ◽  
Cancer Genetic Risk Assessment

1554 Background: Medically underserved women bear a disproportionate burden of breast cancer (BC) mortality. Early detection is vital for reducing BC deaths. Cancer genetic risk assessment (CGRA) provides an opportunity to identify women at highest risk so that risk-adapted screening can be implemented. The effect of CGRA on mammography adherence among underserved women is unknown. Methods: We conducted a study to test the feasibility of performing cancer genetic risk assessment (CGRA) as part of standard primary healthcare at two Federally Qualified Health Centers in Chicago, IL. Racial/ethnically diverse women age 25-69 without a personal history of BC underwent CGRA at the time of an annual well-visit and received the result from their PCP. Medical record review provided data on mammography adherence. Demographic data and measures of perceived BC risk, BC cultural beliefs, fatalism, and BC worry were collected with an enrollment survey. McNemar’s test compared the rate of adherence to screening mammography before and after implementation of CGRA, defined as completing a screening mammogram within 18 months prior to or following CGRA, resp., among women eligible for screening (age > 40 at study enrollment). Logistic regression models tested for associations between mammography adherence and demographic characteristics/health beliefs. Results: Data was available for 90 participants with increased BC risk (IR) who were eligible for screening and 98 eligible, average risk (AR) participants (in total, 61% black and 37% Latina). Overall, adherence improved from 38% at baseline to 49% following CGRA (p = 0.03). Adherence increased from 35% to 51% among IR participants (p = 0.04), and from 40% to 47% among AR participants (p = 0.39). Data on predictors of adherence will be presented. Conclusions: Implementing CGRA as a standard component of primary healthcare improved adherence to screening mammography among racial/ethnically diverse underserved women. The effect was seen primarily in those with increased risk. This intervention could be used to improve uptake of mammography in the subgroup of underserved women who benefit the most from screening.

Abstract A35: Barriers to cancer genetic risk assessment in the border region of south Texas

2015 ◽  
Author(s):  
Lindsey Mette ◽  
Ivette Torres ◽  
Anna Maria Pulido Saldivar ◽  
Natalie Poullard ◽  
Gail Tomlinson
Keyword(s):  
Risk Assessment ◽  
Genetic Risk ◽  
South Texas ◽  
Border Region ◽  
Cancer Genetic ◽  
Genetic Risk Assessment ◽  
Cancer Genetic Risk Assessment
Sign in / Sign up

Export Citation Format

Share Document