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- W3098779664 abstract "<h3>Background:</h3> Guidelines updated by the United States Preventive Services Task Force (USPSTF) in 2019 recommend referral to genetic counseling for asymptomatic women that have a family history of cancers potentially associated with variants in the breast cancer type 1 and 2 susceptibility genes (<i>BRCA1</i> and <i>BRCA2</i>). <h3>Methods:</h3> I performed a needs assessment for <i>BRCA</i>-related cancer genetic counseling among undifferentiated women seeking primary care at an urban, academic medical center with an underserved population. Adult, English-speaking women with outpatient primary care appointments were surveyed. Questions included personal and family history of potentially <i>BRCA</i>-related malignancies, history of genetic counseling and/or testing, and a version of the USPSTF-recommended 7-Question Family History Screening (FHS-7) tool, modified to promote accessibility among women with low health literacy. <h3>Results:</h3> Out of 397 women, 97 women (24.4% ± 4.2%, 95% CI) met criteria for referral to genetic counseling. Among women with referral indications, 80 women (82.4% ± 7.6%) had no prior contact with genetic counseling and/or testing services (comprising 20.1% ± 3.9% of all women surveyed). The most common indication for <i>BRCA</i>-related genetic counseling referral was family history of female breast cancer before age 50 years. <h3>Conclusions:</h3> The rate that undifferentiated women seeking primary care met 2019 USPSTF criteria for <i>BRCA</i>-related cancer genetic counseling referral (24.4% ± 4.2%) exceeds earlier estimates (4 to 5%) but agrees with later, population-level estimates (24.1%). Health systems will need to appropriately allocate capacity to genetic counseling services and/or reconsider the appropriateness of FHS-7 as a primary care risk-stratification tool." @default.
- W3098779664 created "2020-11-23" @default.
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- W3098779664 date "2020-11-01" @default.
- W3098779664 modified "2023-10-12" @default.
- W3098779664 title "BRCA-Related Cancer Genetic Counseling is Indicated in Many Women Seeking Primary Care" @default.
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- W3098779664 doi "https://doi.org/10.3122/jabfm.2020.06.190461" @default.
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