A generic computerized method for the estimate of familial risks
نویسندگان
چکیده
Most guidelines developedfor cancers screening and for cardiovascular risk management use rules to estimate familial risk. These rules are complex, dificult to memorize, and need to collect a complete pedigree. This paper describes a generic computerized method to estimate familial risks and its implementation in an internet-based application. The program is based on 3 generic models: a model of the family; a model of familial risk; a display modelfor the pedigree. The model offamily allows to represent each member ofthefamily and to construct and display a family tree. The model offamilial risk is generic and allows easy update of the program with new diseases or new rules. It was possible to implement guidelines dealing with breast and colorectal cancer and cardiovascular diseases prevention. First evaluation with general practitioners showed that the program was usable. Impact on quality offamilial risk estimate should be more documented.
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