Evaluation of telephone genetic counselling to facilitate germline BRCA1/2 testing in women with high-grade serous ovarian cancer. View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-04-08

AUTHORS

Erin Tutty, Lara Petelin, Joanne McKinley, Mary-Anne Young, Bettina Meiser, Victoria M Rasmussen, Rowan Forbes Shepherd, Paul A James, Laura E Forrest

ABSTRACT

Systemic healthcare issues and geographical challenges restrict women's access to BRCA1/2 testing to inform the use of tailored treatments for high-grade serous ovarian cancer. Consequently, BRCA1/2 testing in this population is low and improved testing pathways are urgently needed. This study aimed to determine the acceptability and feasibility of telephone genetic counselling (TGC) to facilitate treatment-focused BRCA1/2 testing in Australia for women with high-grade serous ovarian cancer. Women who received TGC were invited to complete a survey examining their experiences of the service. A cost analysis was conducted to compare the service to standard, in-person genetic counselling. One hundred and seven women responded (48% response rate); 8 had a BRCA1/2 variant affecting function. Geographical barriers prevented women from accessing genetic services in the past. All participants had a positive attitude towards testing, and regret following testing was minimal. While the impact of testing was greater for those with a positive test result, overall, genetic testing did not put the additional psychosocial burden on the participants. Participant's evaluations of the telephone interactions with the genetic counsellors were highly satisfactory. The service was also found to be cost-effective. This model of telephone genetic counselling was an acceptable and effective way to reduce barriers to BRCA1/2 testing for women with ovarian cancer. More... »

References to SciGraph publications

  • 2015-06. Disparities in uptake of BRCA1/2 genetic testing in a randomized trial of telephone counseling in GENETICS IN MEDICINE
  • 2016-06. Patient Perceptions of Telephone vs. In-Person BRCA1/BRCA2 Genetic Counseling in JOURNAL OF GENETIC COUNSELING
  • 2014-10. Evaluation of a Clinical Genetics Service – A Quality Initiative in JOURNAL OF GENETIC COUNSELING
  • 2003-04. Assessment of the Effectiveness of Genetic Counseling by Telephone Compared to a Clinic Visit in JOURNAL OF GENETIC COUNSELING
  • 2000-02. Recommendations for Telephone Counseling in JOURNAL OF GENETIC COUNSELING
  • 2004-08. Patient Satisfaction with Cancer Genetic Counseling: A Psychometric Analysis of the Genetic Counseling Satisfaction Scale in JOURNAL OF GENETIC COUNSELING
  • 2015-02. Connecting patients, researchers and clinical genetics services: the experiences of participants in the Australian Ovarian Cancer Study (AOCS) in EUROPEAN JOURNAL OF HUMAN GENETICS
  • 2017-05. Delivering widespread BRCA testing and PARP inhibition to patients with ovarian cancer in NATURE REVIEWS CLINICAL ONCOLOGY
  • 2016-09. Finding all BRCA pathogenic mutation carriers: best practice models in EUROPEAN JOURNAL OF HUMAN GENETICS
  • 2014-06. More breast cancer patients prefer BRCA-mutation testing without prior face-to-face genetic counseling in FAMILIAL CANCER
  • 2000-02. Commentary: What Is and Is Not Telephone Counseling? in JOURNAL OF GENETIC COUNSELING
  • 2016-09. Implementing rapid, robust, cost-effective, patient-centred, routine genetic testing in ovarian cancer patients in SCIENTIFIC REPORTS
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/s41431-019-0390-9

    DOI

    http://dx.doi.org/10.1038/s41431-019-0390-9

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1113300722

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30962500


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