Project Summary and
Objectives:
| OBJECTIVE: |
| a) |
to estimate the frequency,
originator, and context of consultations in primary care in
which family history of breast cancer is discussed; |
| b) |
to describe practitioners'
and women's perceptions of these consultations; and |
| c) |
to set up a
multidisciplinary research team in order to inform the
design of a randomised controlled trial of appropriate
approaches to primary care management of familial breast
cancer risk. |
SUMMARY:
100 GPs and 80 practice nurses
will be recruited by postal survey among all practice teams in one
Health Authority. They will record all consultations with women over
16 years attending the practice in 4 selected weeks (June, December
1997) noting discussion of breast symptoms, cancer and family
history and who originated the discussion. Data will be validated by
a research officer visiting the practice who will check the notes
for further details of consultation and referral.
A sub-sample of willing women
who discussed family history will be interviewed to establish their
views on the appropriateness of the consultation, to pilot possible
measures of distress and anxiety and define epidemiological risk to
inform future trial. Data will be fed back to practitioners at group
meetings and their views on the implications for management
collected.
Publications
Evaluating services for women with familial risk of breast
cancer: consumer push or practitioner pull in primary care
consultations? BMJ (2001); 322: 27-8
Further
information can be obtained from:
Professor Ann-Louise
Kinmonth
Head of Unit
General Practice and
Primary Care Research Unit
University of
Cambridge
Institute of Public
Health
University Forvie
Site
Robinson Way
Cambridge, CB2 2SR
UK
|
