Genetic cancer risk assessment in general practice: systematic review of tools available, clinician attitudes, and patient outcomes

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Figure 1.
Flowchart of study selection process.

Domain	Attitude
Role of GP	Screening patients for inherited cancer risk is potentially important to GP practice
Knowledge and ability	Lack of confidence about GP knowledge Gail model and MeTree improve how GPs practise medicine without affecting workflow
Impact on patient	–
Restriction in practice	Increased time needed to consult patients newly determined to be at high risk

Domain	Attitude
Role of GP	Genetic risk assessment is potentially an important role for GPs but should be specified
Knowledge and ability	Lack of knowledge about assessing genetic risk Lack of confidence in ability to interpret genetic test results and explain them to patients Lack of skills in taking appropriate family history, and knowledge about guidelines and services
Impact on patient	Lack of confidence in discussing benefits, risks, and limitations of genetic testing (particularly unnecessary anxiety, legal repercussions, ethical implications)
Restriction in practice	Insufficient time Further education required