Universität zu Köln

Bredart, Anne, Anota, Amelie, Dick, Julia, Kuboth, Violetta, Lareyre, Olivier, De Pauw, Antoine, Cano, Alejandra ORCID: 0000-0003-3850-1460, Stoppa-Lyonnet, Dominique, Schmutzler, Rita, Dolbeault, Sylvie and Kop, Jean-Luc ORCID: 0000-0002-6963-8411 (2018). Patient-Centered Care in Breast Cancer Genetic Clinics. Int. J. Environ. Res. Public Health, 15 (2). BASEL: MDPI. ISSN 1660-4601

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Abstract

With advances in breast cancer (BC) gene panel testing, risk counseling has become increasingly complex, potentially leading to unmet psychosocial needs. We assessed psychosocial needs and correlates in women initiating testing for high genetic BC risk in clinics in France and Germany, and compared these results with data from a literature review. Among the 442 counselees consecutively approached, 212 (83%) in France and 180 (97%) in Germany, mostly BC patients (81% and 92%, respectively), returned the 'Psychosocial Assessment in Hereditary Cancer' questionnaire. Based on the Breast and Ovarian Analysis of Disease Incidence and Carrier Estimation Algorithm (BOADICEA) BC risk estimation model, the mean BC lifetime risk estimates were 19% and 18% in France and Germany, respectively. In both countries, the most prevalent needs clustered around the living with cancer and children-related issues domains. In multivariate analyses, a higher number of psychosocial needs were significantly associated with younger age (b = 0.05), higher anxiety (b = 0.78), and having children (b = 1.51), but not with country, educational level, marital status, depression, or loss of a family member due to hereditary cancer. These results are in line with the literature review data. However, this review identified only seven studies that quantitatively addressed psychosocial needs in the BC genetic counseling setting. Current data lack understandings of how cancer risk counseling affects psychosocial needs, and improves patient-centered care in that setting.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bredart, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Anota, Amelie UNSPECIFIED UNSPECIFIED UNSPECIFIED Dick, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Kuboth, Violetta UNSPECIFIED UNSPECIFIED UNSPECIFIED Lareyre, Olivier UNSPECIFIED UNSPECIFIED UNSPECIFIED De Pauw, Antoine UNSPECIFIED UNSPECIFIED UNSPECIFIED Cano, Alejandra UNSPECIFIED orcid.org/0000-0003-3850-1460 UNSPECIFIED Stoppa-Lyonnet, Dominique UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmutzler, Rita UNSPECIFIED UNSPECIFIED UNSPECIFIED Dolbeault, Sylvie UNSPECIFIED UNSPECIFIED UNSPECIFIED Kop, Jean-Luc UNSPECIFIED orcid.org/0000-0002-6963-8411 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-197246
DOI:	10.3390/ijerph15020319
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	15
Number:	2
Date:	2018
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language HEREDITARY BREAST/OVARIAN CANCER; RISK-ASSESSMENT; OVARIAN-CANCER; SUPPORTIVE CARE; NEEDS; PANEL; IMPACT; BRCA1; WOMEN; MODEL Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/19724