Accuracy of Reported Family History and Effectiveness of Medical Record Requests in Genetic Counseling for Alzheimer Disease |
| |
Authors: | Emily L. R. Alexander Rachel K. Butler Colleen Guimond Blair Butler A. Dessa Sadovnick |
| |
Affiliation: | (1) Prenatal Biochemistry Laboratory, Women’s Health Centre of British Columbia, Vancouver, BC, Canada;(2) UBC Clinic for Alzheimer Disease and Related Disorders, University of British Columbia Hospital, Vancouver, BC, Canada;(3) Department of Obstetrics and Gynaecology, University of British Columbia, Vancouver, BC, Canada;(4) Department of Medical Genetics and Division of Neurology, Faculty of Medicine, University of British Columbia, 113-2211 Wesbrook Mall, Vancouver, BC, V6T 2B5, Canada; |
| |
Abstract: | The University of British Columbia Hospital Clinic for Alzheimer Disease and Related Disorders (UBCH-CARD) invests significant effort to obtain medical records for the confirmation of patient–reported family histories of dementia. The effectiveness of requesting these records was assessed through a review of the 275 requests made by UBCH-CARD genetic counselors during the 24-month period of January 1, 2005–December 31, 2006. The results were categorized according to outcome. Useful medical records were obtained from 92 (33.5%) requests: 77 (28%) records supported, and 15 (5.5%) records did not support, the patient–reported information. An additional 20 (7.5%) requests yielded only vague information. When verification was possible, patient–reported family histories of Alzheimer disease, dementia, or memory loss were accurate in 84% of cases. During the study period, almost 500 h of genetic counselor work time was spent obtaining, reviewing, and following-up on records received. Changes made to UBCH-CARD procedure in response to these findings are discussed. |
| |
Keywords: | |
本文献已被 PubMed SpringerLink 等数据库收录! |
|