| Title: | Family history tools for primary care : a systematic review |
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| Authors: | ID Miroševič, Špela (Author)
ID Klemenc-Ketiš, Zalika (Author)
ID Peterlin, Borut (Author) |
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| Files: |  RAZ_Mirosevic_Spela_2022.pdf (1,51 MB)
MD5: 238A4DE146E348952F257FF948EF5215
 https://www.tandfonline.com/doi/full/10.1080/13814788.2022.2061457
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| Language: | English |
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| Work type: | Unknown |
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| Typology: | 1.02 - Review Article |
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| Organization: | MF - Faculty of Medicine
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| Abstract: | 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. |
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| Keywords: | genetics, family medicine, meta-analyses |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Publication date: | 01.12.2022 |
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| Year of publishing: | 2022 |
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| Number of pages: | 75-86 |
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| Numbering: | Vol. 28, iss. 1 |
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| PID: | 20.500.12556/DKUM-84740  |
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| UDC: | 614 |
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| ISSN on article: | 1381-4788 |
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| COBISS.SI-ID: | 107039747 |
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| DOI: | 10.1080/13814788.2022.2061457 |
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| Publication date in DKUM: | 17.07.2023 |
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| Views: | 513 |
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| Downloads: | 15 |
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| Metadata: |    |
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| Categories: | Misc.
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