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Adherence to Recommended Risk Management among Unaffected Women with a BRCA Mutation.

Publication ,  Journal Article
Buchanan, AH; Voils, CI; Schildkraut, JM; Fine, C; Horick, NK; Marcom, PK; Wiggins, K; Skinner, CS
Published in: J Genet Couns
February 2017

Identifying unaffected women with a BRCA mutation can have a significant individual and population health impact on morbidity and mortality if these women adhere to guidelines for managing cancer risk. But, little is known about whether such women are adherent to current guidelines. We conducted telephone surveys of 97 unaffected BRCA mutation carriers who had genetic counseling at least one year prior to the survey to assess adherence to current guidelines, factors associated with adherence, and common reasons for performing and not performing recommended risk management. More than half of participants reported being adherent with current risk management recommendations for breast cancer (69 %, n = 67), ovarian cancer (82 %, n = 74) and both cancers (66 %, n = 64). Older age (OR = 10.53, p = 0.001), white race (OR = 8.93, p = 0.019), higher breast cancer genetics knowledge (OR = 1.67, p = 0.030), higher cancer-specific distress (OR = 1.07, p = 0.002) and higher physical functioning (OR = 1.09, p = 0.009) were significantly associated with adherence to recommended risk management for both cancers. Responses to open-ended questions about reasons for performing and not performing risk management behaviors indicated that participants recognized the clinical utility of these behaviors. Younger individuals and those with lower physical functioning may require targeted interventions to improve adherence, perhaps in the setting of long-term follow-up at a multi-disciplinary hereditary cancer clinic.

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Published In

J Genet Couns

DOI

EISSN

1573-3599

Publication Date

February 2017

Volume

26

Issue

1

Start / End Page

79 / 92

Location

United States

Related Subject Headings

  • Risk Reduction Behavior
  • Ovarian Neoplasms
  • Mutation
  • Humans
  • Genetics & Heredity
  • Genetic Testing
  • Genetic Predisposition to Disease
  • Genetic Counseling
  • Genes, BRCA2
  • Genes, BRCA1
 

Citation

APA
Chicago
ICMJE
MLA
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Buchanan, A. H., Voils, C. I., Schildkraut, J. M., Fine, C., Horick, N. K., Marcom, P. K., … Skinner, C. S. (2017). Adherence to Recommended Risk Management among Unaffected Women with a BRCA Mutation. J Genet Couns, 26(1), 79–92. https://doi.org/10.1007/s10897-016-9981-6
Buchanan, Adam H., Corrine I. Voils, Joellen M. Schildkraut, Catherine Fine, Nora K. Horick, P Kelly Marcom, Kristi Wiggins, and Celette Sugg Skinner. “Adherence to Recommended Risk Management among Unaffected Women with a BRCA Mutation.J Genet Couns 26, no. 1 (February 2017): 79–92. https://doi.org/10.1007/s10897-016-9981-6.
Buchanan AH, Voils CI, Schildkraut JM, Fine C, Horick NK, Marcom PK, et al. Adherence to Recommended Risk Management among Unaffected Women with a BRCA Mutation. J Genet Couns. 2017 Feb;26(1):79–92.
Buchanan, Adam H., et al. “Adherence to Recommended Risk Management among Unaffected Women with a BRCA Mutation.J Genet Couns, vol. 26, no. 1, Feb. 2017, pp. 79–92. Pubmed, doi:10.1007/s10897-016-9981-6.
Buchanan AH, Voils CI, Schildkraut JM, Fine C, Horick NK, Marcom PK, Wiggins K, Skinner CS. Adherence to Recommended Risk Management among Unaffected Women with a BRCA Mutation. J Genet Couns. 2017 Feb;26(1):79–92.
Journal cover image

Published In

J Genet Couns

DOI

EISSN

1573-3599

Publication Date

February 2017

Volume

26

Issue

1

Start / End Page

79 / 92

Location

United States

Related Subject Headings

  • Risk Reduction Behavior
  • Ovarian Neoplasms
  • Mutation
  • Humans
  • Genetics & Heredity
  • Genetic Testing
  • Genetic Predisposition to Disease
  • Genetic Counseling
  • Genes, BRCA2
  • Genes, BRCA1