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To this aim, a semi\u2010structured telephone interview was administered to 82 women. Most participants considered the information received as clear (96.2 %) and helpful (76.8 %). Thirty\u2010eight (46.3 %) stated that their perceived risk of BC had changed after the counseling: for 40.2 % it had decreased, for 6.1 % increased; however, women highly overestimating their risk at the baseline (\u22654\u2010fold) failed to show improvements in risk perception accuracy. Sixty\u2010six women (80.5 %) stated they had followed the recommended surveillance, while 19.5 % had not, mainly due to difficulties in arranging examinations. Most women (89.0 %) had shared the information with their relatives, with 57.3 % reporting other family members had undertaken the recommended surveillance. BC risk assessment was associated with high rates of satisfaction and had a favorable impact on risk perception in a subgroup of women. The impact on surveillance adhesion extended to relatives. Organized programs for identification and surveillance may help identify a larger fraction of at\u2010risk women and overcome the reported difficulties in arranging surveillance.<\/jats:p>","DOI":"10.1007\/s10897-015-9884-y","type":"journal-article","created":{"date-parts":[[2015,9,10]],"date-time":"2015-09-10T00:40:08Z","timestamp":1441845608000},"page":"405-411","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of Genetic Counseling in Women with a Family History of Breast Cancer in Italy"],"prefix":"10.1002","volume":"25","author":[{"given":"Lea","family":"Godino","sequence":"first","affiliation":[{"name":"Unit of Medical Genetics, Department of Medical and Surgical Sciences (DIMEC), S.Orsola\u2010Malpighi Hospital University of Bologna Building 11 via Massarenti, 9 Bologna 40138 Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabetta","family":"Razzaboni","sequence":"additional","affiliation":[{"name":"Modena Cancer Center Modena Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margherita","family":"Bianconi","sequence":"additional","affiliation":[{"name":"Unit of Medical Genetics, Department of Medical and Surgical Sciences (DIMEC), S.Orsola\u2010Malpighi Hospital University of Bologna Building 11 via Massarenti, 9 Bologna 40138 Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Turchetti","sequence":"additional","affiliation":[{"name":"Unit of Medical Genetics, Department of Medical and Surgical Sciences (DIMEC), S.Orsola\u2010Malpighi Hospital University of Bologna Building 11 via Massarenti, 9 Bologna 40138 Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9,10]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"AIRTUM. 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