PURPOSE: Obtainment of family history and accurate assessment is essential for the identification of families at risk for @entity4310 . Our study compared the extent to which the family @entity5 history in the physician medical record reflected that entered by @entity1 directly into a touch-screen family history computer program. @entity1 AND METHODS: The study cohort consisted of 362 @entity1 seen at a comprehensive @entity5 center ambulatory clinic over a 1-year period who voluntarily used the computer program and were a mixture of new and return @entity1 . The computer entry was assessed by genetics staff and then compared with the medical record for corroboration of family history information and appropriate physician risk assessment. RESULTS: Family history information from the medical record was available for comparison to the computer entry in 69%. It was most often completed on new @entity1 only and not routinely updated. Of the 362 computer entries, 101 were assigned to a high-risk category. Evidence in the records confirmed 69 high-risk individuals. Documentation of physician risk assessment (ie, notation of significant family @entity5 history or hereditary risk) was found in only 14 of the high-risk charts. Only seven high-risk individuals (6.9%) had evidence of referral for genetic consultation. CONCLUSION: This study demonstrates the need to collect family history information on all new and established @entity1 in order to perform adequate @entity5 risk assessment. The lack of identification of @entity1 at highest risk seems to be directly correlated with insufficient data collection, risk assessment, and documentation by medical staff.

Identification and referral of families at high risk for XXXX susceptibility.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity4310 :: ('MESH:D009386', 'Disease') :: ['hereditary cancer']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
