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- W2940093954 abstract "Objectives With increasing importance of prompt access to genetic counseling and testing for women with epithelial ovarian cancer (EOC), we evaluated the efficacy of a new collaborative model of care in Nova Scotia between Medical Genetics and the Dalhousie Division of Gynaecologic Oncology. We also assessed the study cohorts preferences on timing for genetic counseling. Methods A retrospective chart review was performed on all women diagnosed with EOC from 2012 to 2017 (n = 387). Pertinent clinical outcomes were categorized and wait-times to different nodes of the clinical pathway assessed. A questionnaire was sent to this same cohort of women to identify preference for the timing of genetic counseling, as well as other factors that may contribute to the decision to pursue genetic testing (n=103 living). Chi-square and Wilcoxon rank sum tests were used to compare demographic and clinical variables pre and post implementation of new model. Results We identified a 48.2% (95% CI 39.4 to 56.7) increase in referral to genetics following implementation of the new care model. Wait time from referral to first appointment decreased by 67.8days (95% CI 43.2 to 92.45), p Conclusions This novel model of care for women newly diagnosed with EOC in Nova Scotia was successful in increasing referral rates for genetic counseling, and ultimately, genetic testing. Women favoured referral to genetic services at the time of diagnosis, highlighting the importance for timely access." @default.
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- W2940093954 date "2019-05-01" @default.
- W2940093954 modified "2023-10-12" @default.
- W2940093954 title "TIMELY ACCESS TO GENETIC COUNSELING FOR WOMEN WITH EPITHELIAL OVARIAN CANCER IN NOVA SCOTIA" @default.
- W2940093954 doi "https://doi.org/10.1016/j.jogc.2019.02.245" @default.
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