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Erschienen in: Journal of Genetic Counseling 4/2007

01.08.2007 | Original Research

Knowledge and Expectations of Women Undergoing Cancer Genetic Risk Assessment: A Qualitative Analysis of Free-Text Questionnaire Comments

verfasst von: C. Phelps, F. Wood, P. Bennett, K. Brain, J. Gray

Erschienen in: Journal of Genetic Counseling | Ausgabe 4/2007

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Abstract

Individuals undergoing cancer genetic risk assessment have been found to have a poor understanding of the process, which may affect how well they cope with learning their risk. This paper reports free-text data from questionnaires completed by women undergoing a randomised controlled trial of a psychological intervention. Of the 268 women undergoing genetic assessment for familial breast/ovarian cancer risk who were invited to take part in the trial, 157 women returned research questionnaires. Of these, 97 women provided free-text comments upon referral to a cancer genetics clinic, 62 provided comments whilst waiting for risk information (average, moderate or high), and 36 women provided comments following notification of risk. This paper reports a thematic analysis of the free-text data. Themes reflected individuals’ poor knowledge and uncertainty about genetic risk assessment. How well individuals responded to learning their risk depended upon whether expectations had been met. Regardless of risk, individuals undergoing cancer genetic risk assessment are likely to benefit from increased information about its process and timescales, and access to increased psychological support. Free-text comments can provide valuable data about individuals’ expectations and knowledge of genetics services.
Literatur
Zurück zum Zitat Appleton, S., Fry, A., Rees, G., Rush, R., & Cull, A. (2000). Psychosocial effects of living with an increased risk of breast cancer: an exploratory study using telephone focus groups. Psychooncology, 9, 511–521.PubMedCrossRef Appleton, S., Fry, A., Rees, G., Rush, R., & Cull, A. (2000). Psychosocial effects of living with an increased risk of breast cancer: an exploratory study using telephone focus groups. Psychooncology, 9, 511–521.PubMedCrossRef
Zurück zum Zitat Bennett, P., Phelps, C., Brain, K. Hood, K., & Gray, J. (in press). A randomised controlled trial of a brief self-help coping intervention designed to reduce distress when awaiting genetic risk information. J Psychosom Res Bennett, P., Phelps, C., Brain, K. Hood, K., & Gray, J. (in press). A randomised controlled trial of a brief self-help coping intervention designed to reduce distress when awaiting genetic risk information. J Psychosom Res
Zurück zum Zitat Berkenstadt, M., Shiloh, S., Barkai, G., Bat-Miriam Katznelson, M., & Goldman, B. (1999). Perceived personal control (PPC): A new concept in measuring outcome of genetic counseling. Am J Med Genet, 82, 53–59.PubMedCrossRef Berkenstadt, M., Shiloh, S., Barkai, G., Bat-Miriam Katznelson, M., & Goldman, B. (1999). Perceived personal control (PPC): A new concept in measuring outcome of genetic counseling. Am J Med Genet, 82, 53–59.PubMedCrossRef
Zurück zum Zitat Bish, A., Sutton, S., Jacobs, C., Levene, S., Ramirez, A., & Hodgson, S. (2002). Changes in psychological distress after cancer genetic counseling: a comparison of affected and unaffected women. Br J Cancer, 86(1), 43–50.PubMedPubMedCentralCrossRef Bish, A., Sutton, S., Jacobs, C., Levene, S., Ramirez, A., & Hodgson, S. (2002). Changes in psychological distress after cancer genetic counseling: a comparison of affected and unaffected women. Br J Cancer, 86(1), 43–50.PubMedPubMedCentralCrossRef
Zurück zum Zitat Bonadona, V., Saltel, P., Desseigne, F., Mignotte, H., Saurin, J.-C., Wang, Q., et al. (2002). Cancer patients who experienced diagnostic testing for cancer susceptibility: reactions and behavior after the disclosure of a positive test result. Cancer Epidemiol Biomarkers Prev, 11, 97–104.PubMed Bonadona, V., Saltel, P., Desseigne, F., Mignotte, H., Saurin, J.-C., Wang, Q., et al. (2002). Cancer patients who experienced diagnostic testing for cancer susceptibility: reactions and behavior after the disclosure of a positive test result. Cancer Epidemiol Biomarkers Prev, 11, 97–104.PubMed
Zurück zum Zitat Bottorff, J. L., Balneaves, L. G., Buxton, J., Ratner, P. A., McCullum, M., Chalmers, K., et al. (2000). Falling through the cracks: women’s experiences of ineligibility for genetic testing for risk of breast cancer. Can Fam Physician, 46, 1449–1456.PubMedPubMedCentral Bottorff, J. L., Balneaves, L. G., Buxton, J., Ratner, P. A., McCullum, M., Chalmers, K., et al. (2000). Falling through the cracks: women’s experiences of ineligibility for genetic testing for risk of breast cancer. Can Fam Physician, 46, 1449–1456.PubMedPubMedCentral
Zurück zum Zitat Brain, K., Gray, J., Norman P., France, E., Anglim, C., et al. (2000). Randomized trial of a specialist genetic assessment service for familial breast cancer. J Natl Cancer Inst, 92, 1345–1351.PubMedCrossRef Brain, K., Gray, J., Norman P., France, E., Anglim, C., et al. (2000). Randomized trial of a specialist genetic assessment service for familial breast cancer. J Natl Cancer Inst, 92, 1345–1351.PubMedCrossRef
Zurück zum Zitat Brain, K., Norman, P., Gray, J., Mansel, R., Rogers, C., & Harper, P. (2002). A randomized trial of specialist genetic assessment: psychological impact on women at different levels of familial breast cancer risk. Br J Cancer, 86(2), 233–238.PubMedPubMedCentralCrossRef Brain, K., Norman, P., Gray, J., Mansel, R., Rogers, C., & Harper, P. (2002). A randomized trial of specialist genetic assessment: psychological impact on women at different levels of familial breast cancer risk. Br J Cancer, 86(2), 233–238.PubMedPubMedCentralCrossRef
Zurück zum Zitat Braithwaite, D., Emery, H., Walter, F., Prevost, A., & Sutton, S. (2004). Psychological impact of genetic counseling for familial cancer: a systematic review and meta-analysis. J Natl Cancer Inst, 96(2), 122–133.PubMedCrossRef Braithwaite, D., Emery, H., Walter, F., Prevost, A., & Sutton, S. (2004). Psychological impact of genetic counseling for familial cancer: a systematic review and meta-analysis. J Natl Cancer Inst, 96(2), 122–133.PubMedCrossRef
Zurück zum Zitat Broadstock, M., Michie, S., & Marteau, T. M. (2000). The psychological consequences of predictive genetic testing: a systematic review. Eur J Hum Genet, 8, 731–738.PubMedCrossRef Broadstock, M., Michie, S., & Marteau, T. M. (2000). The psychological consequences of predictive genetic testing: a systematic review. Eur J Hum Genet, 8, 731–738.PubMedCrossRef
Zurück zum Zitat Calman, K., & Hine, D. (1995). A policy framework for commissioning cancer services. London: Department of Health. Calman, K., & Hine, D. (1995). A policy framework for commissioning cancer services. London: Department of Health.
Zurück zum Zitat Codori, A., Peterson, G. M., Miglioretti, D. L., Larkin, E. K., Bushey, M. T., Young, C., et al. (1999). Attitudes towards colon cancer gene testing: factors predicting test uptake. Cancer Epidemiol Biomarkers Prev, 8, 345–351.PubMed Codori, A., Peterson, G. M., Miglioretti, D. L., Larkin, E. K., Bushey, M. T., Young, C., et al. (1999). Attitudes towards colon cancer gene testing: factors predicting test uptake. Cancer Epidemiol Biomarkers Prev, 8, 345–351.PubMed
Zurück zum Zitat Collins, V., Halliday, J., Warren, R., & Williamson, R. (2000). Assessment of education and counseling offered by a familial colorectal cancer clinic. Clin Genet, 57, 48–55.PubMedCrossRef Collins, V., Halliday, J., Warren, R., & Williamson, R. (2000). Assessment of education and counseling offered by a familial colorectal cancer clinic. Clin Genet, 57, 48–55.PubMedCrossRef
Zurück zum Zitat Cull, A., Anderson, E., Campbell, S., Mackay, J., Smythe, E., & Steel, M. (1999). The impact of genetic counseling about breast cancer risk on women’s risk perceptions and levels of distress. Br J Cancer, 79(3–4), 501–508.PubMedPubMedCentralCrossRef Cull, A., Anderson, E., Campbell, S., Mackay, J., Smythe, E., & Steel, M. (1999). The impact of genetic counseling about breast cancer risk on women’s risk perceptions and levels of distress. Br J Cancer, 79(3–4), 501–508.PubMedPubMedCentralCrossRef
Zurück zum Zitat Dorval, M., Patenaude, A. F., Schneider, K. A., Kieffer, S. A., DiGianni, L., Kalkbrenner, K., et al. (2000). Anticipated versus actual emotional reactions to disclosure of results of genetic tests for cancer susceptibility: findings from p53 and BRCA1 testing programs. J Clin Oncol, 18(10), 2135–2142.PubMedCrossRef Dorval, M., Patenaude, A. F., Schneider, K. A., Kieffer, S. A., DiGianni, L., Kalkbrenner, K., et al. (2000). Anticipated versus actual emotional reactions to disclosure of results of genetic tests for cancer susceptibility: findings from p53 and BRCA1 testing programs. J Clin Oncol, 18(10), 2135–2142.PubMedCrossRef
Zurück zum Zitat Foster, C., Eeles, R., Ardern-Jones, A., Moynihan, C., & Watson, M. (2004). Juggling roles and expectations: dilemmas faced by women talking to relatives about cancer and genetic testing. Psychol Health, 19(4), 439–455.CrossRef Foster, C., Eeles, R., Ardern-Jones, A., Moynihan, C., & Watson, M. (2004). Juggling roles and expectations: dilemmas faced by women talking to relatives about cancer and genetic testing. Psychol Health, 19(4), 439–455.CrossRef
Zurück zum Zitat Fraser, L., Bramald, S., Chapman, C., Chu, C., Cornelius, V., Douglas, F., et al. (2003). What motivates interest in attending a familial cancer genetics clinic? Fam Cancer, 2(3–4), 159–168.PubMed Fraser, L., Bramald, S., Chapman, C., Chu, C., Cornelius, V., Douglas, F., et al. (2003). What motivates interest in attending a familial cancer genetics clinic? Fam Cancer, 2(3–4), 159–168.PubMed
Zurück zum Zitat Fry, A., Cull, A., Appleton, S., Rush, R., Holloway, S., Gorman, D., et al. (2003). A randomised controlled trial of breast cancer genetics services in South East Scotland: psychological impact. Br J Cancer, 89, 653–659.PubMedPubMedCentralCrossRef Fry, A., Cull, A., Appleton, S., Rush, R., Holloway, S., Gorman, D., et al. (2003). A randomised controlled trial of breast cancer genetics services in South East Scotland: psychological impact. Br J Cancer, 89, 653–659.PubMedPubMedCentralCrossRef
Zurück zum Zitat Geer, K. P., Ropka, M. E., Cohn, W. F., Jones, S. M., & Miesfeldt, S. (2001). Factors influencing patients’ decisions to decline cancer genetics counseling services. J Genet Couns, 10(1), 25–40.PubMedCrossRef Geer, K. P., Ropka, M. E., Cohn, W. F., Jones, S. M., & Miesfeldt, S. (2001). Factors influencing patients’ decisions to decline cancer genetics counseling services. J Genet Couns, 10(1), 25–40.PubMedCrossRef
Zurück zum Zitat Green, J., Richards, M., Murton, F., Statham, H., & Hallowell, N. (1997). Family communication and genetic counseling: the case of hereditary breast and ovarian cancer. J Genet Couns, 6(1), 45–60.PubMedCrossRef Green, J., Richards, M., Murton, F., Statham, H., & Hallowell, N. (1997). Family communication and genetic counseling: the case of hereditary breast and ovarian cancer. J Genet Couns, 6(1), 45–60.PubMedCrossRef
Zurück zum Zitat Green, J., & Thorogood, N. (2004). Qualitative methods for health research. London: Sage. Green, J., & Thorogood, N. (2004). Qualitative methods for health research. London: Sage.
Zurück zum Zitat Hallowell, N. (1999). Doing the right thing: genetic risk and responsibility. Sociol Health Illn, 21(5), 597–621.CrossRef Hallowell, N. (1999). Doing the right thing: genetic risk and responsibility. Sociol Health Illn, 21(5), 597–621.CrossRef
Zurück zum Zitat Hallowell, N., Murton, F., Statham, H., Green, J., & Richards, M. (1997). Women’s need for information before attending genetic counseling for familial breast or ovarian cancer: a questionnaire, interview, and observational study. Brit Med J, 314, 281.PubMedCrossRefPubMedCentral Hallowell, N., Murton, F., Statham, H., Green, J., & Richards, M. (1997). Women’s need for information before attending genetic counseling for familial breast or ovarian cancer: a questionnaire, interview, and observational study. Brit Med J, 314, 281.PubMedCrossRefPubMedCentral
Zurück zum Zitat Harper, P. S. (1997). Presymptomatic testing for late-onset genetic disorders: Lessons from Huntington’s disease. In P. S. Harper & A. J. Clarke (Eds.), Genetics, society and clinical practice. Oxford: BIOS Scientific Publishers. Harper, P. S. (1997). Presymptomatic testing for late-onset genetic disorders: Lessons from Huntington’s disease. In P. S. Harper & A. J. Clarke (Eds.), Genetics, society and clinical practice. Oxford: BIOS Scientific Publishers.
Zurück zum Zitat Harper, P. (1998). Genetics and cancer services. London: Department of Health. Harper, P. (1998). Genetics and cancer services. London: Department of Health.
Zurück zum Zitat Henderson, B. J., & Maguire, B. T. (1998). Lay representations of genetic disease and predictive testing. J Health Psychol, 3(2), 233–241.PubMedCrossRef Henderson, B. J., & Maguire, B. T. (1998). Lay representations of genetic disease and predictive testing. J Health Psychol, 3(2), 233–241.PubMedCrossRef
Zurück zum Zitat Holloway, S., Porteous, M., Cetnarskyj, R., Anderson, E., Rush, R., et al. (2004). Patient satisfaction with two different models of cancer genetic services in south-east Scotland. Br J Cancer, 90, 582–589.PubMedPubMedCentralCrossRef Holloway, S., Porteous, M., Cetnarskyj, R., Anderson, E., Rush, R., et al. (2004). Patient satisfaction with two different models of cancer genetic services in south-east Scotland. Br J Cancer, 90, 582–589.PubMedPubMedCentralCrossRef
Zurück zum Zitat Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: a measure of subjective stress. Psychosom Med, 1(3), 209–218.CrossRef Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: a measure of subjective stress. Psychosom Med, 1(3), 209–218.CrossRef
Zurück zum Zitat Huiart, L., Eisinger, F., Stoppa-Lyonnet, D., Nogues, C., Vennin, P., et al. (2002). Effects of genetic consultation on perception of a family of breast/ovarian cancer and determinants of inaccurate perception after the consultation. J Clin Epid, 55(7), 665–675.CrossRef Huiart, L., Eisinger, F., Stoppa-Lyonnet, D., Nogues, C., Vennin, P., et al. (2002). Effects of genetic consultation on perception of a family of breast/ovarian cancer and determinants of inaccurate perception after the consultation. J Clin Epid, 55(7), 665–675.CrossRef
Zurück zum Zitat Iredale, R., Brain, K., Edwards, L., Gray, J., & France, E. (2003). The information and support needs of women at high risk of familial breast and ovarian cancer: how can cancer genetic services give patients what they want? Fam Cancer, 2, 119–121.PubMedCrossRef Iredale, R., Brain, K., Edwards, L., Gray, J., & France, E. (2003). The information and support needs of women at high risk of familial breast and ovarian cancer: how can cancer genetic services give patients what they want? Fam Cancer, 2, 119–121.PubMedCrossRef
Zurück zum Zitat Kent, G., Howie, H., Fletcher, F., Newbury-Ecob, R., & Hosie, K. (2000). The relationship between perceived risk, thought intrusiveness and emotional well-being in women receiving counseling for breast cancer risk in a family historic clinic. Br J Health Psychol, 5, 15–26.CrossRef Kent, G., Howie, H., Fletcher, F., Newbury-Ecob, R., & Hosie, K. (2000). The relationship between perceived risk, thought intrusiveness and emotional well-being in women receiving counseling for breast cancer risk in a family historic clinic. Br J Health Psychol, 5, 15–26.CrossRef
Zurück zum Zitat Leggatt, V., Mackay, J., Marteau, T. M., & Yates, J. R. W. (2000). The psychological impact of a cancer family history questionnaire completed in general practice. J Med Genet, 37, 470–472.PubMedPubMedCentralCrossRef Leggatt, V., Mackay, J., Marteau, T. M., & Yates, J. R. W. (2000). The psychological impact of a cancer family history questionnaire completed in general practice. J Med Genet, 37, 470–472.PubMedPubMedCentralCrossRef
Zurück zum Zitat Lynch, H. T., Lemon, S. J., Durham, C., & Tinley, S. T. (1997). A descriptive study of BRCA1 testing and reactions to disclosure of test results. Cancer, 79(11), 2219–2228.PubMedCrossRef Lynch, H. T., Lemon, S. J., Durham, C., & Tinley, S. T. (1997). A descriptive study of BRCA1 testing and reactions to disclosure of test results. Cancer, 79(11), 2219–2228.PubMedCrossRef
Zurück zum Zitat Marks, D., & Yardley, L. (2004). Research methods for clinical and health psychology. London: Sage.CrossRef Marks, D., & Yardley, L. (2004). Research methods for clinical and health psychology. London: Sage.CrossRef
Zurück zum Zitat McAllister, M., et al. (2002). Management of women with a family history of breast cancer in the North West Region of England: training for implementing a vision of the future. J Med Genet, 39, 531–535.PubMedPubMedCentralCrossRef McAllister, M., et al. (2002). Management of women with a family history of breast cancer in the North West Region of England: training for implementing a vision of the future. J Med Genet, 39, 531–535.PubMedPubMedCentralCrossRef
Zurück zum Zitat McIntosh, A., Shaw, C., Evans, G., Turnbull, N., Barclay, M., Easton, D., et al (2004). Clinical guidelines and evidence review for the classification and care of women at risk of familial breast cancer. London: National Collaborating Centre for Primary Care/University of Sheffield. McIntosh, A., Shaw, C., Evans, G., Turnbull, N., Barclay, M., Easton, D., et al (2004). Clinical guidelines and evidence review for the classification and care of women at risk of familial breast cancer. London: National Collaborating Centre for Primary Care/University of Sheffield.
Zurück zum Zitat Meiser, B., & Halliday, J. L. (2002). What is the impact of genetic counseling in women at increased risk of developing hereditary breast cancer? A meta-analytic review. Soc Sci Med, 54, 1463–1470.PubMedCrossRef Meiser, B., & Halliday, J. L. (2002). What is the impact of genetic counseling in women at increased risk of developing hereditary breast cancer? A meta-analytic review. Soc Sci Med, 54, 1463–1470.PubMedCrossRef
Zurück zum Zitat Michie, S., McDonald, V., & Marteau, T. (1996). Understanding responses to predictive genetic testing: a grounded theory approach. Psychol Health, 11, 455–470.CrossRef Michie, S., McDonald, V., & Marteau, T. (1996). Understanding responses to predictive genetic testing: a grounded theory approach. Psychol Health, 11, 455–470.CrossRef
Zurück zum Zitat Pasacreta, J. V. (1999). Psychosocial issues associated with increased breast and ovarian cancer risk: findings from focus groups. Arch Psychiatr Nurs, 13(3), 127–136.PubMedCrossRef Pasacreta, J. V. (1999). Psychosocial issues associated with increased breast and ovarian cancer risk: findings from focus groups. Arch Psychiatr Nurs, 13(3), 127–136.PubMedCrossRef
Zurück zum Zitat Phelps, C., Bennett, P., Iredale, R. Anstey, S., & Gray, J. (2005). The development of a distraction-based coping intervention for women waiting for genetic risk information: a phase 1 qualitative study. Psychooncology, 15, 169–173.CrossRef Phelps, C., Bennett, P., Iredale, R. Anstey, S., & Gray, J. (2005). The development of a distraction-based coping intervention for women waiting for genetic risk information: a phase 1 qualitative study. Psychooncology, 15, 169–173.CrossRef
Zurück zum Zitat Phelps, C., Platt, K., France, L., Gray, J., & Iredale, R. (2004). Delivering information about cancer genetics via letter to patients at low and moderate risk of familial cancer: a pilot study in Wales. Fam Cancer, 3, 55–59.PubMedCrossRef Phelps, C., Platt, K., France, L., Gray, J., & Iredale, R. (2004). Delivering information about cancer genetics via letter to patients at low and moderate risk of familial cancer: a pilot study in Wales. Fam Cancer, 3, 55–59.PubMedCrossRef
Zurück zum Zitat Pill, R., Wood, F. C., Renold, E., Robling, M., Edwards, A., & Wilkinson C., for the Bridge Study Group. (2003). Welsh women’s comments about breast problems and the care given: a qualitative study in the community. Eur J Cancer Care, 12, 240–248.CrossRef Pill, R., Wood, F. C., Renold, E., Robling, M., Edwards, A., & Wilkinson C., for the Bridge Study Group. (2003). Welsh women’s comments about breast problems and the care given: a qualitative study in the community. Eur J Cancer Care, 12, 240–248.CrossRef
Zurück zum Zitat Ritvo, P., Robinson, G., Irvine, J., Brown, L., Murphy, J., Stewart, D. S., et al. (1999). A longitudinal study of psychological adjustment to familial genetic risk assessment for ovarian cancer. Gynecol Oncol, 74, 331–337.PubMedCrossRef Ritvo, P., Robinson, G., Irvine, J., Brown, L., Murphy, J., Stewart, D. S., et al. (1999). A longitudinal study of psychological adjustment to familial genetic risk assessment for ovarian cancer. Gynecol Oncol, 74, 331–337.PubMedCrossRef
Zurück zum Zitat Scott, S., Prior, L., Wood, F., & Gray, J. (2005). Repositioning the Patient: the implications of being ‘at risk’. Soc Sci Med, 60(8), 1869–1879.PubMedCrossRef Scott, S., Prior, L., Wood, F., & Gray, J. (2005). Repositioning the Patient: the implications of being ‘at risk’. Soc Sci Med, 60(8), 1869–1879.PubMedCrossRef
Zurück zum Zitat Silverman, D. (1993). Qualitative data analysis: interpreting talk, text and interaction. London: Sage. Silverman, D. (1993). Qualitative data analysis: interpreting talk, text and interaction. London: Sage.
Zurück zum Zitat Skirton, H. (2001). The client’s perspective of genetic counseling—a grounded theory study. J Genet Couns, 10(4), 311–329.PubMedCrossRef Skirton, H. (2001). The client’s perspective of genetic counseling—a grounded theory study. J Genet Couns, 10(4), 311–329.PubMedCrossRef
Zurück zum Zitat Thewes, B., Meiser, B., Tucker, M., & Tucker, K. (2003). The unmet information and support needs of women with a family history of breast cancer: a descriptive survey. J Genet Couns, 12(1), 61–76.PubMedCrossRef Thewes, B., Meiser, B., Tucker, M., & Tucker, K. (2003). The unmet information and support needs of women with a family history of breast cancer: a descriptive survey. J Genet Couns, 12(1), 61–76.PubMedCrossRef
Zurück zum Zitat Vernon, S. W., Gritz, E. R., Peterson, G. M., Perz, C. A., Marani, S., Amos, C., et al. (1999). Intention to learn results of genetic testing for hereditary colon cancer. Cancer Epidemiol Biomarkers Prev, 8, 353–360.PubMed Vernon, S. W., Gritz, E. R., Peterson, G. M., Perz, C. A., Marani, S., Amos, C., et al. (1999). Intention to learn results of genetic testing for hereditary colon cancer. Cancer Epidemiol Biomarkers Prev, 8, 353–360.PubMed
Zurück zum Zitat Watson, M., Duvivier, V., Wade Walsh, M., Ashley, S., Davidson, J., Papaikonomou, M., et al. (1998). Family history of breast cancer: what do women understand and recall about their genetic risk? J Med Genet, 35, 731–738.PubMedPubMedCentralCrossRef Watson, M., Duvivier, V., Wade Walsh, M., Ashley, S., Davidson, J., Papaikonomou, M., et al. (1998). Family history of breast cancer: what do women understand and recall about their genetic risk? J Med Genet, 35, 731–738.PubMedPubMedCentralCrossRef
Zurück zum Zitat Wonderling, D., Hopwood, P., Cull, A., Douglas, F., Watson, M., Burn, J., et al. (2001). A descriptive study of UK cancer genetics services: an emerging clinical response to the new genetics. Br J Cancer, 85(2), 166–170.PubMedPubMedCentralCrossRef Wonderling, D., Hopwood, P., Cull, A., Douglas, F., Watson, M., Burn, J., et al. (2001). A descriptive study of UK cancer genetics services: an emerging clinical response to the new genetics. Br J Cancer, 85(2), 166–170.PubMedPubMedCentralCrossRef
Metadaten
Titel
Knowledge and Expectations of Women Undergoing Cancer Genetic Risk Assessment: A Qualitative Analysis of Free-Text Questionnaire Comments
verfasst von
C. Phelps
F. Wood
P. Bennett
K. Brain
J. Gray
Publikationsdatum
01.08.2007
Verlag
Springer US
Erschienen in
Journal of Genetic Counseling / Ausgabe 4/2007
Print ISSN: 1059-7700
Elektronische ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-007-9086-3

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