Document Detail


Pitfalls in Tay-Sachs carrier detection: physician referral patterns and patient ignorance.
MedLine Citation:
PMID:  2739956     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tay-Sachs carrier detection testing prior to pregnancy is more desirable than intra-pregnancy testing because it is technically easier, less expensive, and associated with less anxiety and less urgency. However, more than 80% of individuals referred for testing were pregnant women and/or their partners. The literature of the last several years has been silent on these and related issues. A questionnaire designed to determine the factors responsible for these circumstances was sent to 404 physicians (231 obstetrician/gynecologists and 173 internists and family physicians). Of the delivered questionnaires, 49.5% were completed and returned. The majority of obstetrician/gynecologists responding refer patients for Tay-Sachs carrier detection. Internists and family physicians do not, and their responses indicate a lack of pertinent knowledge. In addition, despite physician referral, patients delayed testing until pregnancy. While educational efforts have been targeted to obstetrician/gynecologists, expanded educational activities for internists, family physicians, and patients are required.
Authors:
D A Shapiro; L R Shapiro
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  New York state journal of medicine     Volume:  89     ISSN:  0028-7628     ISO Abbreviation:  N Y State J Med     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-08-09     Completed Date:  1989-08-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401064     Medline TA:  N Y State J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  317-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Education, Medical, Continuing
Female
Heterozygote Detection*
Humans
Male
Patient Compliance
Patient Education as Topic*
Physicians, Family / education
Pregnancy
Referral and Consultation*
Tay-Sachs Disease / diagnosis*
Comments/Corrections
Comment In:
N Y State J Med. 1989 Oct;89(10):585   [PMID:  2608220 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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