20.500.12556/DKUM-84740 Family history tools for primary care a systematic review Background: Many medical family history (FH) tools are available for various settings. Although FH tools can be a powerful health screening tool in primary care (PC), they are currently underused. Objectives: This review explores the FH tools currently available for PC and evaluates their clinical performance. Methods: Five databases were systematically searched until May 2021. Identified tools were evaluated on the following criteria: time-to-complete, integration with electronic health record (EMR) systems, patient administration, risk-assessment ability, evidence-based management recommendations, analytical and clinical validity and clinical utility. Results: We identified 26 PC FH tools. Analytical and clinical validity was poorly reported and agreement between FH and gold standard was commonly inadequately reported and assessed. Sensitivity was acceptable; specificity was found in half of the reviewed tools to be poor. Most reviewed tools showed a capacity to successfully identify individuals with increased risk of disease (6.2-84.6% of high and/or moderate or increased risk individuals). Conclusion: Despite the potential of FH tools to improve risk stratification of patients in PC, clinical performance of current tools remains limited as well as their integration in EMR systems. Twenty-one FH tools are designed to be self-administered by patients. genetics family medicine meta-analyses genetika družinska medicina meta-analize true false true Angleški jezik Slovenski jezik Neznano 2023-07-17 13:23:42 2023-07-17 13:23:42 2023-07-18 03:08:12 0000-00-00 00:00:00 2022 0 0 75-86 iss. 1 Vol. 28 Dec. 2022 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2022-12-01 614 107039747 10.1080/13814788.2022.2061457 1381-4788 RAZ_Mirosevic_Spela_2022.pdf RAZ_Mirosevic_Spela_2022.pdf 1 238A4DE146E348952F257FF948EF5215 ac2424058c7805ba54caff388a7e4eee8dd94177e725e179857f6e7c04f3766d d766d004-2494-11ee-8abb-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=168818 https://www.tandfonline.com/doi/full/10.1080/13814788.2022.2061457 1 63b66569-2494-11ee-8abb-00155d000105 https://dk.um.si/Dokument.php?lang=slv&id=168817 Medicinska fakulteta 0 0 0