How Valid are Patient Reports of Family History of Illness?

1980 ◽  
Vol 19 (03) ◽  
pp. 162-164 ◽  
Author(s):  
Rachel Harris ◽  
W. Margaret ◽  
Kathleen Hunter
Keyword(s):  
Family History ◽  
Medical History ◽  
Cancer Patients ◽  
Cause Of Death ◽  
Death Certificate ◽  
Recall Rate ◽  
Patient Reports ◽  
Small Subgroup ◽  
History Of ◽  
Medical Histories

The recall rate of patients’ family medical histories was studied in 200 cancer and non-cancer patients. Data on age and cause of death for parents and grandparents were collected. Although most patients knew the age and cause of death of parents, less than half knew for grandparents. Cancer patients had significantly greater recall for maternally related relatives. A subsample of patients’ family medical histories was compared to death certificate data. Patients’ reports were found to be highly inaccurate. Since only a small subgroup could provide medical history data for grandparents, the generaliz-ability for history of family illness is questioned.

scholarly journals Health Monitor System

2021 ◽  
Vol 9 (VIII) ◽  
pp. 103-106
Author(s):  
M. Ujair Hoble
Keyword(s):  
Medical History ◽  
The People ◽  
Medical Sector ◽  
Medical Reports ◽  
History Of ◽  
Suitable Treatment ◽  
Medical Histories ◽  
Almost All ◽  
Health Monitor ◽  
Crucial Part

Health is a crucial part of human lives. Nowadays, healthcare is becoming vital each day, as there are lots of diseases that emerge around us. Technology is transforming the medical sector by massively impacting almost all practices and processes of medical professionals. Despite this, many of the people and medical staff still dealing with paper-based medical records and prescriptions while conducting treatment. When a patient wants to appoint any hospital or clinic, to carry previous medical reports or past prescriptions is becoming essential for them. It is necessary because the doctor gets an idea about the patient’s health status by referring to their previous medical histories, helping for better treatments and medications. However, patients cannot maintain every medical documentary for years. Conventionally, the doctor asks patients about their previous diseases, prescription, or medicine details orally, nevertheless it becomes difficult to get exact information from the patient. Sometimes, it becomes more important for the doctor to know about the medical history of a person so that they can provide suitable treatment with better clarity of that person’s health. Focussing on this, a smart medical assistant system is designed where doctors can record all prescriptions, treatment, or medical details of the patient on software instead of writing on a paper. All these records are stored in the central cloud and made visible to doctors as well as patients. Each patient has assigned a unique authentication card for maintaining the privacy of their medical history account. Doctors can access and update a patient’s medical history anytime and anywhere by logging into their account through a smartcard swipe. The system can avoid overdue to treatment decisions. Likewise, the system helps to keep transparency about medicines and treatment.

scholarly journals Evaluating the Effect of Health Education Intervention on the Health Beliefs and Behaviors of First-Degree Female Relatives of Breast Cancer Patients

2021 ◽  
Author(s):  
Sule Olgun ◽  
Berna Dizer
Keyword(s):  
Breast Cancer ◽  
Family History ◽  
Health Education ◽  
Breast Cancer Risk ◽  
Cancer Risk ◽  
Cancer Patients ◽  
Health Beliefs ◽  
Breast Cancer Patients ◽  
History Of ◽  
And Behaviors

Abstract Background Breast cancer risk increases by 80% in the presence of BRCA1 and BRCA2 gene mutations in the same family. In particular, a woman whose sister or mother has breast cancer has a 2- to 5-fold higher risk of developing breast cancer compared with other women. For this reason, recommendations should have been made regarding breast cancer prevention and/or early detection for women with first-degree family history of breast cancer. Aim The aim of this study was to evaluate the effect of health education, which was provided to first-degree female relatives of breast cancer patients, on their health beliefs and behaviors. Study Design and Methods The study sample included 50 women with a first-degree relative being treated for breast cancer in the chemotherapy and radiotherapy unit of a university hospital. A one-group pretest-posttest design was used. The pretest consisted of the health belief model scale and a questionnaire regarding the women’s sociodemographic information and breast cancer screening behaviors. After the pretest, the patients received health education regarding breast cancer risk factors and screening methods. The posttest was conducted 3 weeks after the education using the same assessment tools. Results After education, there were statistically significant increases in rates of practicing breast self-examination, having clinical breast examinations, and undergoing breast ultrasound/mammography compared with pretest results. Conclusions Health workers should possess knowledge and experience about breast cancer which will enable them to effectively undertake an educational role, especially for high-risk groups such as women with first-degree family history of breast cancer.

Abstract TP175: Migraines and the Risk of Hemorrhagic Stroke

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Muhammad Umar Farooq ◽  
Kathie Thomas
Keyword(s):  
Ischemic Stroke ◽  
Medical History ◽  
Hemorrhagic Stroke ◽  
The United States ◽  
Future Studies ◽  
History Of ◽  
Medical Histories ◽  
Get With The Guidelines ◽  
The Relationship ◽  
Sample Set

Background and Objectives: Migraine is a common neurological disorder affecting 38 million people in the United States. Hemorrhagic stroke accounts for 13% of all stroke cases and the risk of having a hemorrhagic stroke is 94 in 100,000 or 0.94%. There are two types of hemorrhagic stroke; intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH). Previous research has investigated the association between migraine and vascular disease, with several studies demonstrating a possible link between migraines and ischemic stroke. The relationship between migraine and hemorrhagic stroke remains unclear. Methods: A retrospective review from January 2012-December 2014 of hemorrhagic stroke patients (n=3682) from 30 Michigan hospitals using a Get With the Guidelines (GWTG) database was conducted. Stroke subtypes and patient medical histories were examined. This sample set was comprised of 46.95% males and 53.05% females. Results: It was found that the risk for hemorrhagic stroke increased from 0.94% to 2.12% with a medical history of migraines. The risk of ICH with a history of migraine in this study was 1.41%, while the risk of SAH with a history of migraine was 3.11%. The median age for a hemorrhagic stroke in this sample set was 67 years. A patient with a medical history that included migraines, had a median hemorrhagic stroke age of 55 years. Of these patients with a history of migraine who developed a hemorrhagic stroke, 74.7% were female and 25.3% were male. Conclusions: This study demonstrated that a higher risk of hemorrhagic stroke is associated with a history of migraines. The median age for an individual with a hemorrhagic stroke and history of migraine was significantly lower (12 years) than the median age of the sample, which indicates that migraines as a risk factor for stroke might be more significant in middle age. Additionally, this risk seemed to impact females much more than males. A limitation of this study is that GWTG Stroke does not include whether the patient has a migraine with or without aura. Migraine with aura has been associated at a higher rate with ischemic stroke than migraine without aura. It would be beneficial for future studies regarding migraine and hemorrhagic stroke to include whether the migraine was associated with or without aura.

What Goes Down, Might Come Up!

2020 ◽  
pp. 83-94
Author(s):  
Sharon E. Mace
Keyword(s):  
Weight Gain ◽  
Family History ◽  
Medical History ◽  
Diagnostic Testing ◽  
Physical Exam ◽  
Past Medical History ◽  
Bilious Vomiting ◽  
Underlying Illness ◽  
History Of ◽  
Comprehensive History

In infants, vomiting is usually benign, but it can also portend significant underlying illness or injury. It is important to remember that although vomiting is commonly from the gastrointestinal (GI) tract itself, it may also be due to more generalized, systemic disorders or injuries (non-GI causes). As with most pediatric complaints a comprehensive history and physical exam is critical to direct both diagnostic testing and management. Remember the past medical history in infants includes neonatal history, growth and developmental history (include weight gain), social and family history. A history of bilious vomiting in an infant should always raise concerns occurs with obstruction, therefore, bilious vomiting always warrants evaluation.

PSA levels in unaffected first degree relatives of prostate cancer patients are higher than in men without family history of the disease

2002 ◽  
Vol 1 (1) ◽  
pp. 75
Author(s):  
A. Valerie ◽  
L. Cormier ◽  
G. Cancel-Tassin ◽  
M. Giordanella ◽  
M. Kuntz ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Family History ◽  
Cancer Patients ◽  
First Degree Relatives ◽  
History Of

scholarly journals The Family-History of Cancer-Patients

BMJ ◽  
1884 ◽  
Vol 1 (1222) ◽  
pp. 1039-1040 ◽  
Author(s):  
W. R. Williams
Keyword(s):  
Family History ◽  
Cancer Patients ◽  
Family History Of Cancer ◽  
The Family ◽  
History Of ◽  
History Of Cancer

Family history of cardiovascular disease and cardiovascular comorbidities risk in a pediatric cancer population.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. 10518-10518
Author(s):  
Thomas Patrick Curtin ◽  
Wendy Kohlmann ◽  
Luke Devon Maese ◽  
Zhe Yu ◽  
Karen Curtin ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Family History ◽  
Cancer Patients ◽  
Pediatric Cancer ◽  
Pediatric Patients ◽  
Cvd Risk ◽  
First Degree Relatives ◽  
Pediatric Cancers ◽  
Pediatric Cancer Patients ◽  
History Of

10518 Background: Survival rates for childhood cancer patients have improved dramatically, but the growing survivor population suffers from increased treatment-related toxicity including high risk for cardiovascular disease (CVD). While the link between chemotherapy and radiation to cardiotoxicity is well established, few studies seek to determine if an underlying familial risk for cardiovascular disease contributes or predicts this risk. The Utah Population Database (UPDB) is a genealogical resource linked to statewide cancer diagnoses and electronic medical data in which family history is objectively determined. Methods: We calculated the risk of subsequent CVD (ICD-9 401-449) in relatives of 5602 pediatric cancer patients diagnosed at ages 0-19 in Utah from 1966-2013 with no congenital CVD-related anomalies (ICD-9 745-747, 758-759). We identified 964 patients with subsequent CVD diagnoses. Cox models provided recurrence-risk estimates in first-degree relatives of patients compared to relatives of 5:1 matched controls. Results: Pediatric cancer patients were at 5-fold risk of CVD compared to controls ( P< 10-15). In pediatric patients with subsequent CVD, first-degree relatives were at 30% increased CVD risk compared to relatives of cancer-free controls (HR = 1.31, 95%CI 1.16-1.47; P< 10-5). In pediatric patients without CVD, only parents exhibited slight CVD risk (HR = 1.08, 95%CI 1.03-1.14; P= 0.002). In 685,000 individuals with a non-congenital CVD history, pediatric cancers among their first-degree relatives were associated with a similar increased risk of subsequent CVD, compared to pediatric cancers among relatives of controls with no CVD events (HR = 1.39, 95%CI 1.18-1.64, P< 10-4). Conclusions: The UPDB is powerful for investigating comorbidities in cancer patients and their families without recall bias from self-reported family medical history. A family history of CVD may increase risk of CVD-related comorbidities among pediatric cancer patients by 30-40% beyond that observed in patients without a CVD family history. This finding suggests that in addition to a cancer family history, a CVD-related family history should be assessed in children diagnosed with cancer.

Psycho-Oncology: Cancer patients with past suicide attempts, or a family history of suicide.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. e23173-e23173
Author(s):  
Daniela Gercovich ◽  
Ernesto Gil Deza ◽  
Flavio Tognelli ◽  
Carlos Fernando Garcia Gerardi ◽  
Claudia Lorena Acuna ◽  
...  
Keyword(s):  
Family History ◽  
Cancer Patients ◽  
Cancer Diagnosis ◽  
Illicit Drugs ◽  
Suicide Attempts ◽  
The United States ◽  
Population Characteristics ◽  
History Of ◽  
Psychological Risk

e23173 Background: “The suicide rate in cancer patients is twice that observed in the general population in the United States” (JNCI vol 100, 24, page 1750, 2008). This paper focuses ona population with great psychological risk: cancer patients (Pt) with previous suicide attempts (SA) or a family history of suicide (FS); both grouped under SAFS for the purpose of this study. Methods: Between 9/26/2012 and 11/28/2018 all new patients (Pt) admitted to IOHM filled out a Past Medical History Form (PMHF) (ASCO 2013 ABST. e17539) with their preexisting clinical conditions. The database was locked and anonymized. Those with a history of SAFS before cancer diagnosis were selected. Results: Out of 15,617 Pt, 184 Pt (1.2%) were SAFS(141 Pt were SA, 39 Pt were FS and 4 Pt were both). The relative risk ofSA was ten times larger for those with FS. Psychiatric Medication: Antipsychotics: 15Pt (8%), Antidepressants: 23 Pt (12%) and Benzodiazepines 45 Pt(24%), No treatment 101 Pt (55%). Population Characteristics: Sex: F:144 Pt . M: 40 Pt. Age: 56y (r = 26-88). Tumor Dx: Breast (65 Pt ) - Gastrointestinal (24 Pt) - Urological (21 Pt ) - Lung (21 Pt ) -Gynecological (19 Pt) - Hematological (11 Pt) -Head &Neck (8 Pt) - Endocrine (7 Pt) - Other (8 Pt). Stages: Early (0-I-II-III): 130 Pt, Advanced: 54 Pt. Ob-Gyn history:25 Pt (17%) nulliparous, 18 Pt (12%) with one child, 77 Pt (53%) with 2 or 3 children and 24 Pt (17%) with more than 3 children; 62 Pt (43%) had previous abortions. Average severe comorbidities (respiratory and psychiatric) was 3 per Pt (r = 0-18). Toxic habits: Smoking: 120 Pt (65%), Alcohol: 37 Pt (20%) and Illicit Drugs: 4 Pt (2%). Follow-up: 19 months (r = 0-70). No Pt had any SA, or commited suicide, during the follow-up.Living patients:177 (96%). Conclusions: 1) In our vast cohort, 184 Pt (1.2%) were identified as highly vulnerable psychiatric Pt due to SAFS. 2) Given the high psychological risk and stressful cancer diagnosis, 83 Pt (45%) were prescribed psychiatric drugs. 3) Follow-up of SAFS Pt by a multidisciplinary team is requiredfor adequate Pt and family support.

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