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Table 4 Uptake of risk-based guideline recommendations

From: Implementation-effectiveness trial of systematic family health history based risk assessment and impact on clinical disease prevention and surveillance activities

Guideline Recommendation

Familial risk recommendation (% of total population, 95% CI)

Pre-intervention

Uptake of risk-based guidelines

Post-intervention

Uptake of risk-based guidelines

Provider uptake

(%, 95% CI)a

Patient uptake

(%, 95% CI)b

Provider uptake

(%, 95% CI)a

Patient uptake

(%, 95% CI)b

Any familial recommendation

278 (15.2, 13.6—16.9)

69 (22.6)

48 (69.6)

83 (27.2)

69 (81.2)

 • Breast MRI

54 (3.0, 2.2—3.9)

3 (5.5, 1.4 -16.3)

3 (100, 31.0—100)

6 (11.1, 4.6 – 23.3)

4 (66.6, 24.1 – 94.0)

 • Chemoprevention

106 (5.8, 4.8—7.0)

0 (0, 0 – 4.4)

0

0 (0, 0 – 4.4)

0

 • Early or EMF CRC Screening (for patients < 50)

67 (3.7, 2.9—4.7)

19 (28.4, 18.3 – 40.9)

13 (68.4, 43.5 – 86.4)

24 (35.8, 24.7 – 48.5)

19 (79.2, 57.3 – 92.0)

 • EMF (for patients >  = 50)

78 (4.3, 3.4—5.3)

47 (60.3, 48.5 – 71.0)

32 (68.1, 52.7 – 80.5)

53 (67.9, 56.3 – 77.8)

46 (86.8, 74.0 – 94.1)

Monogenic recommendation

543 (29.7, 27.6—31.9)

n/ac

n/ac

51 (9.4, 7.1 – 12.2)

34 (66.7, 52.0 – 78.9)

  1. a% of total population that received the specified recommendation
  2. b% of participants who complete the specified recommendation of those with provider uptake
  3. cGC referrals were abstracted manually from the EMR and were not captured pre-intervention