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Availability and scope of integrated screening for patients with Lynch syndrome.

Publication ,  Journal Article
Frey, MK; Pauk, SJ; Caputo, TA; Moss, HA; Sapra, KJ; Gerber, D; Stewart, JD
Published in: Int J Gynaecol Obstet
November 2015

OBJECTIVE: To assess the availability and capacity of US-based integrated centers for the management of Lynch syndrome. METHODS: A cross-sectional survey of practice patterns in the care of patients with Lynch syndrome was conducted at 33 National Cancer Institute-designated cancer centers in the USA from March 1 to June 1, 2013. Each cancer center was contacted by telephone and the caller used a uniform scripted greeting and survey format. RESULTS: All centers routinely recommended colonoscopy. Other recommended screening modalities were hysterectomy and bilateral salpingo-oophorectomy (29/33; 88%), endoscopy (27/33; 82%), urinalysis (23/33; 70%), endometrial sampling (21/33; 64%), dermatologic examination (19/32; 59%), pelvic ultrasonography (18/33; 55%), serum CA125 level (14/33; 42%), urine cytology (14/33; 42%), computed tomography (1/33; 3%), and magnetic resonance imaging (1/33; 3%). Each center had a multidisciplinary team but the composition varied. A designated team leader was present at 21 centers (64%). Having a team leader was associated with an increased likelihood of recommending endoscopy (P=0.04) and dermatologic surveillance (P=0.01). Only 23 centers (70%) had a system in place for communicating follow-up with patients. CONCLUSION: The lack of consensus in practice patterns recorded among participating centers probably reflected the limited existing evidence on the usefulness of most screening modalities.

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Published In

Int J Gynaecol Obstet

DOI

EISSN

1879-3479

Publication Date

November 2015

Volume

131

Issue

2

Start / End Page

142 / 146

Location

United States

Related Subject Headings

  • United States
  • Practice Patterns, Physicians'
  • Practice Guidelines as Topic
  • Population Surveillance
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Humans
  • Gynecologic Surgical Procedures
  • Female
  • Endoscopy, Gastrointestinal
 

Citation

APA
Chicago
ICMJE
MLA
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Frey, M. K., Pauk, S. J., Caputo, T. A., Moss, H. A., Sapra, K. J., Gerber, D., & Stewart, J. D. (2015). Availability and scope of integrated screening for patients with Lynch syndrome. Int J Gynaecol Obstet, 131(2), 142–146. https://doi.org/10.1016/j.ijgo.2015.05.023
Frey, Melissa K., Sara J. Pauk, Thomas A. Caputo, Haley A. Moss, Katherine J. Sapra, Deanna Gerber, and Joshua D. Stewart. “Availability and scope of integrated screening for patients with Lynch syndrome.Int J Gynaecol Obstet 131, no. 2 (November 2015): 142–46. https://doi.org/10.1016/j.ijgo.2015.05.023.
Frey MK, Pauk SJ, Caputo TA, Moss HA, Sapra KJ, Gerber D, et al. Availability and scope of integrated screening for patients with Lynch syndrome. Int J Gynaecol Obstet. 2015 Nov;131(2):142–6.
Frey, Melissa K., et al. “Availability and scope of integrated screening for patients with Lynch syndrome.Int J Gynaecol Obstet, vol. 131, no. 2, Nov. 2015, pp. 142–46. Pubmed, doi:10.1016/j.ijgo.2015.05.023.
Frey MK, Pauk SJ, Caputo TA, Moss HA, Sapra KJ, Gerber D, Stewart JD. Availability and scope of integrated screening for patients with Lynch syndrome. Int J Gynaecol Obstet. 2015 Nov;131(2):142–146.

Published In

Int J Gynaecol Obstet

DOI

EISSN

1879-3479

Publication Date

November 2015

Volume

131

Issue

2

Start / End Page

142 / 146

Location

United States

Related Subject Headings

  • United States
  • Practice Patterns, Physicians'
  • Practice Guidelines as Topic
  • Population Surveillance
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Humans
  • Gynecologic Surgical Procedures
  • Female
  • Endoscopy, Gastrointestinal