{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T06:56:03Z","timestamp":1785308163486,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"18","license":[{"start":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T00:00:00Z","timestamp":1539561600000},"content-version":"vor","delay-in-days":30,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["2P50CA106743"],"award-info":[{"award-number":["2P50CA106743"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1RR029879"],"award-info":[{"award-number":["UL1RR029879"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2018,9,15]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>The US Preventive Services Task Force (USPSTF) endorses routine screening for genetic risk of breast and\/or ovarian cancer as a component of primary health care. Implementation of this recommendation may prove challenging, especially in clinics serving disadvantaged communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>The authors tested the feasibility of implementing the USPSTF mandate at a federally qualified health center (FQHC) to identify women who were eligible for genetic counseling (GC). A 12\u2010month usual\u2010care phase was followed by a 12\u2010month intervention phase, during which time cancer genetic risk assessment (CGRA) was systematically performed for all women aged 25 to 69 years who presented for an annual examination. Women who were eligible for GC were recruited to participate in the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      After initiating CGRA, 112 women who were eligible for GC consented to study participation, and 56% of them received a referral for GC from their primary care physician. A subgroup of 50 participants were seen by the same primary care physician during both the usual\u2010care and intervention phases. None of these patients was referred for GC during usual care, compared with 64% after the initiation of CGRA (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Only 16% of referred participants attended a GC session.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Implementing USPSTF recommendations for CGRA as a standard component of primary health care in FQHCs is feasible and improves referral of minority women for GC, but more work is needed to understand the beliefs and barriers that prevent many underserved women from accessing cancer genetic services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.31635","type":"journal-article","created":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T07:30:31Z","timestamp":1539588631000},"page":"3733-3741","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["A feasibility study of breast cancer genetic risk assessment in a federally qualified health center"],"prefix":"10.1002","volume":"124","author":[{"given":"Kent F.","family":"Hoskins","sequence":"first","affiliation":[{"name":"Section of Hematology and Oncology, Department of Medicine University of Illinois at Chicago College of Medicine Chicago Illinois"},{"name":"Institute for Health Research and Policy, School of Public Health University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8728-3506","authenticated-orcid":false,"given":"Silvia","family":"Tejeda","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Policy, School of Public Health University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganga","family":"Vijayasiri","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Policy, School of Public Health University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ifeanyi Beverly","family":"Chukwudozie","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Policy, School of Public Health University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mylene H.","family":"Remo","sequence":"additional","affiliation":[{"name":"Section of Hematology and Oncology, Department of Medicine University of Illinois at Chicago College of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiral A.","family":"Shah","sequence":"additional","affiliation":[{"name":"Section of Hematology and Oncology, Department of Medicine University of Illinois at Chicago College of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivy E.","family":"Abraham","sequence":"additional","affiliation":[{"name":"Section of Hematology and Oncology, Department of Medicine University of Illinois at Chicago College of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara E.","family":"Balay","sequence":"additional","affiliation":[{"name":"Section of Hematology and Oncology, Department of Medicine University of Illinois at Chicago College of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara K.","family":"Maga","sequence":"additional","affiliation":[{"name":"Section of Hematology and Oncology, Department of Medicine University of Illinois at Chicago College of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ericka R.","family":"Searles","sequence":"additional","affiliation":[{"name":"Chicago Family Health Center Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veena J.","family":"Korah","sequence":"additional","affiliation":[{"name":"Chicago Family Health Center Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alana","family":"Biggers","sequence":"additional","affiliation":[{"name":"Section of General Internal Medicine University of Illinois at Chicago College of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda R.","family":"Stolley","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Policy, School of Public Health University of Illinois at Chicago Chicago Illinois"},{"name":"Department of Medicine Medical College of Wisconsin Milwaukee Wisconsin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard B.","family":"Warnecke","sequence":"additional","affiliation":[{"name":"Institute for Health Research and Policy, School of Public Health University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.7545954"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/378789a0"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/81.24.1879"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/91.18.1541"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19940201)73:3<643::AID-CNCR2820730323>3.0.CO;2-5"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.1668"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1086\/301670"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2003.07.007"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2015.2690"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.29010"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.7326\/M13-2747"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2003.03.189"},{"key":"e_1_2_8_14_1","unstructured":"National 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