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Differences in physician referral practices and attitudes regarding hereditary breast cancer by clinical practice
Christine E Koil1, Jessica N Everett, Leah Hoechstetter
1Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Purpose:
To compare physician referral practices and attitudes regarding hereditary breast cancer by clinical practice location.
Methods:
A self-administered survey of 214 physicians in Ohio's tri-state region.
Results:
Rural-practice physicians were less likely to have ever referred for an indication of hereditary breast cancer than urban- and suburban-practice physicians combined. Rural-practice physicians reported stronger barriers to referral, including distance, lack of awareness, lack of effective cancer risk reduction, and lack of patient interest.
Conclusion:
These findings demonstrate a need for increased clinical genetics outreach, physician education, and public awareness of genetic services for hereditary breast cancer in rural areas.
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