Prompting Primary Care Providers about Increased Patient Risk As a Result of Family History: Does It Work?

Article Figures & Data

Table 1. Demographics and High Risk Conditions for Subjects

Variable	n (%)
Sex
Female	320 (65.0)
Male	172 (35.0)
Age, years
Mean (SD)	49.7 (8.0)
Range	35–65
Race
White	454 (92.3)
Black	15 (3.0)
Other or multiple races	23 (4.7)
Conditions with increased risk
Heart disease	339 (68.9)
Stroke	295 (60.0)
Diabetes	236 (48.0)
Breast cancer^*	87 (27.2)
Colon cancer	75 (15.2)
Ovarian cancer^*	36 (11.3)
Diseases at elevated risk, n
0	17 (3.5)
1	137 (27.8)
2	150 (30.5)
3	134 (27.2)
4	43 (8.7)
5	9 (1.8)
6	2 (0.4)

Table 2. Number and Type of Changes in the Problem Summary List

Condition for Which a Family History Risk Existed	Patients at Elevated Risk (n)	Visits (n)	PSL Entries of Elevated Risk (n)
Condition for Which a Family History Risk Existed	Patients at Elevated Risk (n)	Visits (n)	Before Visits	At or After Visit	Total
Heart disease	339	577	0	0	0
Diabetes	236	418	0	0	0
Stroke	295	515	1	2	3
Colon cancer	75	124	1	0	1
Breast cancer^*	87	139	13	1	14
Ovarian cancer^*	36	60	0	0	0

Table 3. Comparison of Provider Responses to Family History Prompt By Visit Type^*

Data are n (%).
↵* P value < .001, Fisher exact test (applies to the entire table).
↵† Five observations were missing visit type information and are not included here.
HME, health maintenance exam.

Table 4. Distribution of Patient Prompts by Risk Status

	Cancer Risk Only	Noncancer Risk Only	Both Cancer and Noncancer Risk	Not at Risk
Disease type risk status	29	325	120	17
Disease-specific risk status	Specified Disease Risk Only	Other Disease Risk Only	Both Specified and Other Disease Risk	Not at Risk
Diabetes	39	239	196	17
Heart disease	45	136	293	17
Stroke	30	179	265	17
Colon cancer	7	399	68	17
Breast cancer^*	13	231	74	1
Ovarian cancer^*	3	282	33	1