Youngs, A; Forman, A; Elms, M; Kohut, K; Hlaing, MT; Short, J; Hanson, H; Snape, K
(2024)
Digital innovation for cancer risk assessment allows large-scale service redevelopment of regional cancer genetics service delivery.
Fam Cancer.
ISSN 1573-7292
https://doi.org/10.1007/s10689-024-00407-x
SGUL Authors: Snape, Katie Mairwen Greenwood
Abstract
Family-history assessment can identify individuals above population-risk for cancer to enable targeted Screening, Prevention and Early Detection (SPED). The online patient-facing cancer Family History Questionnaire Service (cFHQS) is a digitalised, resource efficient tool for family history data capture to facilitate this. The capturing of digital data from cFHQS allows for data interrogation of patients referred to Clinical Genetics for the purposes of service improvement. Digital data from 4,044 cFHQS respondents over a three-year period was collected and interrogated with respect to the number and type of familial tumour diagnoses to enable service improvement and streamlining of referral pathways. 81% of colorectal and 71% of breast screening assessments were population- or moderate-risk. Most patients who completed cFHQS reported more than one diagnosis of cancer/tumour/polyps in their family. 2.5% of family history assessment patients had a second indication that required assessment that would have been missed if single tumour type assessment was undertaken. Implementation of an innovative, digital family history data collection pathway has allowed large scale interrogation of referral patterns and assessment outcomes to enable service development. The high volume of inappropriate referrals to Clinical Genetics for population and moderate risk patients highlighted the need for dedicated secondary care pathway provision for these patients. The use of cFHQS streamlined family history assessment allows for redistribution of resources to improve equity and access to genetic cancer risk assessment.
Item Type: |
Article
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Additional Information: |
© The Author(s) 2024
Open Access 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 licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence 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 licence, visit http://creativecommons.org/licenses/by/4.0/. |
Keywords: |
Assessment, Cancer surveillance, Digital, Family history, Patient-facing resource, 1112 Oncology and Carcinogenesis, Oncology & Carcinogenesis |
SGUL Research Institute / Research Centre: |
Academic Structure > Institute of Medical & Biomedical Education (IMBE) |
Journal or Publication Title: |
Fam Cancer |
ISSN: |
1573-7292 |
Language: |
eng |
Dates: |
Date | Event |
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1 July 2024 | Published Online | 1 June 2024 | Accepted |
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Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
Project ID | Funder | Funder ID |
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UNSPECIFIED | South East Genomic Medicine Service Alliance | UNSPECIFIED | UNSPECIFIED | Health Education England | UNSPECIFIED |
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PubMed ID: |
38954285 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/116634 |
Publisher's version: |
https://doi.org/10.1007/s10689-024-00407-x |
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