Family health history: underused for actionable risk assessment
Open accessAbstract
Family health history (FHH) is the most useful means of assessing risk for common chronic diseases. The odds ratio for risk of developing disease with a positive FHH is frequently greater than 2, and actions can be taken to mitigate risk by adhering to screening guidelines, genetic counselling, genetic risk testing, and other screening methods. Challenges to the routine acquisition of FHH include constraints on provider time to collect data and the difficulty in accessing risk calculators. Disease-specific and broader risk assessment software platforms have been developed, many with clinical decision support and informatics interoperability, but few access patient information directly. Software that allows integration of FHH with the electronic medical record and clinical decision support capabilities has provided solutions to many of these challenges. Patient facing, electronic medical record, and web-enabled FHH platforms have been developed, and can provide greater identification of risk compared with conventional FHH ascertainment in primary care. FHH, along with cascade screening, can be an important component of population health management approaches to overall reduction of risk.
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Family history remains an important risk assessment tool.
“Although family history remains an important risk assessment tool,48 pedigrees are often small and family histories incomplete.”
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Sorted by citations
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- Authors
- Ginsburg, G. S., Wu, R. R., & Orlando, L. A.
- Affiliations
- Duke University (US)
- Corresponding author
- Ginsburg, Geoffrey S
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2019-08
- Volume
- 394
- Issue
- 10198
- Pages
- 596-603
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- PMC
- PMC6822265
- OpenAlex
- W2965787050
- Cited by
- 105
- References
- 76
- Citations by year
- 2026: 10 · 2025: 14 · 2024: 19 · 2023: 13 · 2022: 19 · 2021: 15 · 2020: 12 · 2019: 3
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Comprehensive Cancer Network
- National Institutes of Health
- National Human Genome Research Institute (U01HG007282)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › BRCA gene mutations in cancer
- Keywords
- family health history, hereditary cancer predisposition, genetic counseling, family screening, clinical decision support, electronic health records, risk calculator, population health management, primary care
- MeSH terms
- Chronic Disease, Humans, Medical History Taking, Software, Odds Ratio, Risk Assessment, Electronic Health Records
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