Referral of patients with a family history of breast/ovarian cancer - GPs' knowledge and expectations

Abstract

Background. Primary care is expected to play a significant role in the management of patients with genetic problems. Currently, this particularly involves patients with a family history of cancer. If GPs are to exercise their gatekeeper role efficiently in this area, they must be able to evaluate genetic risk and make appropriate referral decisions. Objectives. The aim of this study was to examine GPs' ability to assess risk and to make appropriate referral decisions for women with a family history of breast/ovarian cancer, and to determine their expectations of a referral to secondary care. Method. A questionnaire survey was carried out of the 282 GP principals working within Bedfordshire H..