Family health history: an essential starting point for personalized risk assessment and disease prevention

Per Med. 2016 Sep;13(5):499-510. doi: 10.2217/pme-2016-0007. Epub 2016 Aug 3.

Abstract

Family health history (FHH) information is well established as a basis for assessing a patient's personal disease risk, but is underutilized for diagnosis and making medical recommendations. Epidemiological and genetic information have heightened the value of FHH to an individual's health. This has motivated the development of new FHH collection tools and strategies for family members, but will require greater awareness and knowledge by both patients and practitioners. FHH will be increasingly important as genomic data become a mainstay of medical diagnostics, since in many cases, a medically important FHH results from lineage-specific genetic variants. The impact of complementary FHH and genomic information will drive the pursuit of personalized and precise targeting of treatments and interventions aimed at maintaining patient health.

Keywords: asymptomatic diagnosis; disease risk; evidence-based medicine; familial mutation; genetic epidemiology; genetic testing; genomics.