Elizabeth Lobb
Women's preferences and consultants' communication of risk in consultations about familial breast cancer: impact on patient outcomes
University of Sydney
risk information conveyed part expert counselling women increased risk breast cancer potentially impacts decision making screening prophylactic strategies psychological adjustment australian geneticists genetic counsellors working cancer genetics nominated risk counselling central feature work1 also women attending genetic counselling expect discuss family members risk26however studies consistently reported high levels inaccurate risk perception women high risk even counselling suggesting risk counselling currently practised optimal710the information conveyed risk related breast cancer exceedingly complex statistics commonly presented patients include population individual risk breast cancer also cancers associated brca1 brca2 mutations example ovarian cancer risk may presented separately different age groups men ashkenazi jewish background conveys higher risk proportion population risk attributable germline mutations may presented risk may given unaffected persons chance developing breast cancer affected persons chance developing second cancer risk estimate may apply next five years next 10 years lifetime probability family may germline breast cancer susceptibility gene mutation may raised finally risk estimates cancer proven mutation carriers broad confidence intervals may discussed chance mutation found testing multitude risk statistics possibly presented sometimes several formats potential leave patient confused distressedalthough previous studies identified type information women breast cancer