Electronic health records contain dispersed risk factor information that could be used to prevent breast and ovarian cancer

Author:

Payne Thomas H12ORCID,Zhao Lue Ping3,Le Calvin1,Wilcox Peter1,Yi Troy1,Hinshaw Jesse1,Hussey Duncan1,Kostrinsky-Thomas Alex4,Hale Malika1,Brimm John1,Hisama Fuki M12

Affiliation:

1. University of Washington School of Medicine, Seattle, Washington, USA

2. Brotman Baty Institute for Precision Medicine, Seattle, Washington, USA

3. Fred Hutchison Cancer Research Center, Seattle, Washington, USA

4. Pacific Northwest University of Health Sciences, Yakima, Washington, USA

Abstract

Abstract Objective The genetic testing for hereditary breast cancer that is most helpful in high-risk women is underused. Our objective was to quantify the risk factors for heritable breast and ovarian cancer contained in the electronic health record (EHR), to determine how many women meet national guidelines for referral to a cancer genetics professional but have no record of a referral. Methods and Materials We reviewed EHR records of a random sample of women to determine the presence and location of risk-factor information meeting National Comprehensive Cancer Network (NCCN) guidelines for a further genetic risk evaluation for breast and/or ovarian cancer, and determine whether the women were referred for such an evaluation. Results A thorough review of the EHR records of 299 women revealed that 24 (8%) met the NCCN criteria for referral for a further genetic risk evaluation; of these, 12 (50%) had no referral to a medical genetics clinic. Conclusions Half of the women whose EHR records contain risk-factor information meeting the criteria for further genetic risk evaluation for heritable forms of breast and ovarian cancer were not referred.

Funder

REDcap

National Center for Advancing Translational Sciences/National Institutes of Health

Publisher

Oxford University Press (OUP)

Subject

Health Informatics

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