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Published on: August 20, 2018

Medical management adherence as an outcome of genetic counseling in a pediatric setting

Sarah Rutherford1, Xue Zhang2, Carrie Atzinger1

  • 11] Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio, USA [2] Division of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Genetics in Medicine : Official Journal of the American College of Medical Genetics
|July 23, 2013
PubMed

Insights

Including a genetic counselor in initial pediatric genetics visits significantly improved patient adherence to management recommendations. This finding highlights the value of genetic counselors in pediatric care.

Area of Science:

  • Medical Genetics
  • Pediatric Healthcare
  • Patient Adherence Research

Background:

  • Pediatric genetics clinics manage complex patient needs.
  • Patient adherence to medical recommendations is crucial for effective treatment.
  • The role of genetic counselors in initial consultations is not fully understood.

Purpose of the Study:

  • To assess the impact of genetic counselor inclusion in initial pediatric genetics visits.
  • To compare patient adherence rates between visits with and without a genetic counselor.

Main Methods:

  • Retrospective chart review of 198 pediatric patients from a general genetics clinic.
  • Comparison of adherence rates between a group seen by genetics physicians only (n=98) and a group seen by a geneticist and genetic counselor (n=100).
  • Abstraction of medical management recommendations and adherence evidence from medical records.

Main Results:

  • Patient adherence was significantly associated with the inclusion of a genetic counselor (P = 0.009).
  • Genetic counselor involvement improved adherence across all management recommendation categories.
  • While recommendation type influenced adherence, genetic counselor presence enhanced compliance.

Conclusions:

  • Involvement of a genetic counselor in initial pediatric genetics visits may correlate with increased patient adherence.
  • Further research is recommended to validate these findings in diverse settings and explore links to improved medical outcomes.
Abstract

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