Table 5.
Factors Associated with Referral to Cancer Genetics Specialists
| |
Referral |
||
|---|---|---|---|
| Yes (n, %) | No (n, %) | p-Value | |
| Demographics | |||
| aGender | <0.0005 | ||
| Male | 233 (46.5) | 268 (53.5) | |
| Female | 203 (62.7) | 121 (37.3) | |
| Age, years | 0.406 | ||
| <50 | 214 (51.1) | 205 (48.9) | |
| 50+ | 224 (54.0) | 191 (46.0) | |
| aSpecialty | <0.0005 | ||
| OB/GYN | 142 (77.2) | 42 (22.8) | |
| Internal medicine | 92 (38.8) | 145 (61.2) | |
| Family medicine | 153 (46.5) | 176 (53.5) | |
| Years in practice | 0.371 | ||
| <5 | 54 (54.6) | 45 (45.4) | |
| 5–10 | 79 (49.1) | 82 (50.9) | |
| 11–15 | 64 (53.8) | 55 (46.2) | |
| 16–20 | 53 (45.7) | 63 (54.3) | |
| 20+ | 185 (55.4) | 149 (44.6) | |
| Academic affiliation | 0.142 | ||
| Teaching hospital | 223 (56.9) | 169 (43.1) | |
| Nonteaching hospital | 224 (51.7) | 209 (48.3) | |
| aAccess to genetic counselor | <0.0005 | ||
| >10 miles | 135 (31.3) | 296 (68.7) | |
| Within 10 miles | 299 (75.7) | 96 (24.3) | |
| Cancer genetic risk assessment practices | |||
| Take a three-generation pedigree | <0.0005 | ||
| Yes | 169 (62.1) | 103 (37.9) | |
| No | 270 (48.0) | 293 (52.0) | |
| Ask for ethnicity | <0.0005 | ||
| Yes | 178 (61.8) | 110 (38.2) | |
| No | 261 (47.7) | 286 (52.3) | |
| Use statistical assessment tools | <0.0005 | ||
| Yes | 82 (73.9) | 29 (26.1) | |
| No | 357 (49.3) | 367 (50.7) | |
| Comfort with cancer genetics information | |||
| Sufficient risk assessment tools | 0.201 | ||
| Always/often | 169 (56.5) | 130 (43.5) | |
| Sometimes | 184 (51.0) | 177 (49.0) | |
| Rarely/never | 81 (48.8) | 85 (51.2) | |
| Comfort providing screening/prevention recommendations | 0.300 | ||
| Very comfortable/ somewhat comfortable | 300 (54.15) | 254 (45.85) | |
| Somewhat uncomfortable/very uncomfortable/neither comfortable nor uncomfortable | 137 (50.18) | 136 (49.82) | |
a
Statistically significant after multiple logistic regression analysis.