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McGarragle KM, Aronson M, Semotiuk K, et al. Patient-physician relationships, health self-efficacy, and gynecologic cancer screening among women with Lynch syndrome. Hered Cancer Clin Pract. 2019;17:24doi: 10.1186/s13053-019-0123-7.
McGarragle, K. M., Aronson, M., Semotiuk, K., Holter, S., Hare, C. J., Ferguson, S. E., Cohen, Z., & Hart, T. L. (2019). Patient-physician relationships, health self-efficacy, and gynecologic cancer screening among women with Lynch syndrome. Hereditary cancer in clinical practice, 1724. https://doi.org/10.1186/s13053-019-0123-7
McGarragle, Kaitlin M, et al. "Patient-physician relationships, health self-efficacy, and gynecologic cancer screening among women with Lynch syndrome." Hereditary cancer in clinical practice vol. 17 (2019): 24. doi: https://doi.org/10.1186/s13053-019-0123-7
McGarragle KM, Aronson M, Semotiuk K, Holter S, Hare CJ, Ferguson SE, Cohen Z, Hart TL. Patient-physician relationships, health self-efficacy, and gynecologic cancer screening among women with Lynch syndrome. Hered Cancer Clin Pract. 2019 Aug 13;17:24. doi: 10.1186/s13053-019-0123-7. eCollection 2019. PMID: 31423292; PMCID: PMC6693236.
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Hered Cancer Clin Pract. 2019 Aug 13;17:24. doi: 10.1186/s13053-019-0123-7. eCollection 2019.

Patient-physician relationships, health self-efficacy, and gynecologic cancer screening among women with Lynch syndrome.

Hereditary cancer in clinical practice

Kaitlin M McGarragle, Melyssa Aronson, Kara Semotiuk, Spring Holter, Crystal J Hare, Sarah E Ferguson, Zane Cohen, Tae L Hart

Affiliations

  1. 1Ryerson University, 350 Victoria Street, Toronto, ON M5B 2K3 Canada.
  2. 2Zane Cohen Centre for Digestive Diseases, Sinai Health System, Box 24-60 Murray Street, Toronto, ON M5T 3L9 Canada.
  3. Division of Gynecologic Oncology, Princess Margaret Hospital, 610 University Avenue, Toronto, ON M5G 2M9 Canada.
  4. 4Department of Psychiatry, University of Toronto, 250 College Street, Toronto, ON M5T 1R8 Canada.

PMID: 31423292 PMCID: PMC6693236 DOI: 10.1186/s13053-019-0123-7

Abstract

BACKGROUND: Lynch syndrome, a hereditary cancer syndrome, predisposes women to colorectal, endometrial, and ovarian cancer. Current guidelines recommend that women with Lynch syndrome undergo risk-reducing gynecological surgery to reduce their chances of developing endometrial or ovarian cancer. Little is known about how women with Lynch syndrome perceive gynecological cancer screening, or the psychosocial factors associated with screening attitudes and behaviour.

METHODS: This study used a cross-sectional, quantitative design. Using self-report questionnaire data from a sample of women with Lynch syndrome (

RESULTS: Data analyses showed that transvaginal ultrasound was the most common screening behaviour (57%) followed by pelvic ultrasound (47%). Only 22% of participants underwent endometrial biopsy. Patient-physician relationships were related to greater health self-efficacy to manage Lynch syndrome and greater perceived effectiveness of gynecological screening. However, health self-efficacy and better patient-physician relationships were not associated with increased engagement in gynecological cancer screening.

CONCLUSIONS: The data suggest that feeling efficacious about managing one's Lynch syndrome and screening is related to positive interactions and communication with one's family physician. While this is encouraging, future research should examine educating both family physicians and patients about current guidelines for Lynch syndrome gynecological screening recommendations.

Keywords: Gynecological screening; Information; Lynch syndrome; Patient-physician relationship; Self-efficacy

Conflict of interest statement

Competing interestsThe authors declare that they have no competing interests.

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