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I would like to thank the authors for highlighting an important and overlooked area of genomics in primary care, especially as primary care actions can have a beneficial impact on future cancer risk. They propose a set of actions to improve coding and management of risk. Many practices are already accessing Ardens Recording Templates, and in SystmOne, there is a Lynch syndrome recording template, which contains codes and actions. Using this systematically would simplify and standardise recording, coding and audit of the points highlighted in the Editorial. It could be an excellent Qi project for Trainees and an audit for appraisals.
I note that CAPP3 has reported results now, as highlighted in the Editorial.1 This is potentially practice changing data, highlighting that even lower aspirin doses can be effective. As the evidence is integrated into guidelines, it would mean at some point ensuring that appropriate doses are offered.
Reference
1. Cancer Research UK. Low-dose aspirin can prevent bowel cancer in people with Lynch syndrome. 2025. https://news.cancerresearchuk.org/2025/06/24/capp3-low-dose-of-aspirin-can-prevent-bowel-cancer-in-people-with-lynch-syndrome/
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British Journal of General Practice
