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Clinical genetics issues encountered by family physicians
Louise S Acheson1, Kurt C Stange, Stephen Zyzanski
1Family Medicine Research Division and Comprehensive Cancer Center, Case Western Reserve University and University Hospitals of Cleveland, OH 44106-5036, USA.
Summary
Family physicians frequently discuss genetic conditions like cancer and Alzheimer's but rarely refer patients for genetics consultation. Access to genetic services is challenging, especially in rural areas.
Area of Science:
- Genetics
- Family Medicine
- Medical Genetics
Background:
- Family physicians encounter diverse genetics-related clinical issues.
- Understanding these issues is crucial for primary care and genetics service planning.
Purpose of the Study:
- To document the spectrum of genetics-related clinical issues managed by family physicians.
- To identify the frequency of referrals to genetics consultants for various genetic conditions.
Main Methods:
- A nationwide survey of 498 family physicians was conducted.
- Physicians reported discussions and referrals for 19 genetic conditions over one year.
- Factor analysis was used to categorize the genetic conditions.
Main Results:
- 190 physicians responded (38% rate).
- Common discussions involved cancers, cardiovascular disease, and Alzheimer's.
- Referrals were infrequent, particularly for cardiovascular disease and dementia, with access to genetics consultation being difficult for many.
Conclusions:
- Family physicians address numerous genetic issues, referring most frequently for perinatal conditions and familial cancers.
- Genetics consultation access is limited, especially in rural settings.
- Findings can inform genetics service organization and primary care education.