Europe South Asia Asia Pacific Americas Middle East Africa BBC Homepage World Service Education



Front Page

World

UK

UK Politics

Business

Sci/Tech

Health

Education

Sport

Entertainment

Talking Point

In Depth

On Air

Archive
Feedback
Low Graphics
Help

Friday, July 2, 1999 Published at 02:11 GMT 03:11 UK


Health

Computer assesses cancer danger

Computers can help GPs to assess cancer risk

Computer software has been developed that can help doctors to assess a patient's genetic risk of cancer.

In future it could be made available over the Internet for anyone worried about inherited cancer to assess their own risk.


The BBC's Christine McGourty: The programme could be adapted for use over the internet
Risk Assessment in Genetics (RAGs) is a computer programme that assesses the risk of a patient developing cancers such as bowel, ovarian or breast that run in families and suggests an appropriate course of action.

GPs are under increasing pressure to advise patients of the genetic risk of cancer because of greater public awareness of the disease, but many have little knowledge of the subject

Tested by doctors

The software was tested by 15 GPs, who were each consulted by two female "patients" played by actors concerned about their risk of cancer.

Most of the doctors found the programme easy to use and said it was useful in helping them to assess risk - something that can be difficult to do.

However, some felt that they were out of control during the consultation.

Some found it awkward sitting next to their patients with the screen in front of them, unable to predict the information that would be displayed, or to read the body language of the patient.

When the programme calculated that a patient should be considered as "high risk" doctors commented that they felt a sense of panic and wanted to turn the screen away from the patient in order to break the bad news more gently.

Some doctors were also uncomfortable with the speed of the programme, and said that they preferred to stage the process of assessment so that they had time to prepare themselves for presenting bad news.

The software is being evaluated by Dr Jon Emery, of the Cancer Research Campaign.

'A third person in the room'

Dr Emery said: "For many doctors using the computer was like having a third person in the room - one who threatened to take their attention away from the patient."

One solution the GPs offered was for patients to have two separate consultations, one for a doctor or nurse to take information and a second for the doctor to give the result.

The processing would happen when the patient was not present, giving the GP a chance to assimilate the information.

The software was developed by Dr Andrew Coulson at the Imperial Cancer Research Fund's Advanced Computation Laboratories in London.

Dr Coulson said: "Increased public awareness about genetic testing and cancer genetics will put greater pressure on GPs, and genetic clinics.

"This type of software will help ease these strains and given the applicability that computer-based decision support has in cancer, I believe it will be widely used in just a few years' time."



Advanced options | Search tips




Back to top | BBC News Home | BBC Homepage | ©


Health Contents

Background Briefings
Medical notes

Relevant Stories

23 Apr 99 | Health
Computer 'more accurate than cancer doctors'

23 Apr 99 | Health
Computer could cut smear errors

11 Apr 99 | Health
Therapy by CD-Rom





Internet Links


British Medical Association

Cancer Research Campaign

Imperial Cancer Research Fund


The BBC is not responsible for the content of external internet sites.




In this section

Disability in depth

Spotlight: Bristol inquiry

Antibiotics: A fading wonder

Mental health: An overview

Alternative medicine: A growth industry

The meningitis files

Long-term care: A special report

Aids up close

From cradle to grave

NHS reforms: A guide

NHS Performance 1999

From Special Report
NHS in crisis: Special report

British Medical Association conference '99

Royal College of Nursing conference '99