Disparities in Family History and Family Cancer History in the EHR by Demographic Characteristics

Population health management approaches have the potential to address these disparities by broadly identifying eligible patients and offering genetic services. However, such strategies may also exacerbate existing disparities in cancer genetic services if the required FHI needed as inputs into the CDS algorithm are insufficient or completely missing to a disproportionate extent for some patient subgroups.

For comprehensiveness, we focused on the presence or absence of 3 data elements needed for identification by the CDS algorithm in each observation of cancer family history in a patient’s EHR: specific type of cancer diagnosed in a family member, relationship of the family member to the patient , and age at onset of cancer for the family member. Each observation captured cancer FHI about 1 condition from 1 specific family member.

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