/ /

  • linkedin
  • Increase Font
  • Sharebar

    Is genetic testing for cancer survivors underutilized?


    More than 80% of women with a history of either breast or ovarian cancer may not be receiving necessary genetic testing, according to a new study in the Journal of Clinical Oncology.

    For the analysis, investigators used pooled cross-sectional data from 3 Cancer Control Modules on the National Health Interview Survey from 2005, 2010, and 2015. Women with a history of breast and/or ovarian cancer who met select 2017 National Comprehensive Cancer Network eligibility criteria for age of diagnosis and family history were eligible.

    Have you read: Do genes play a role in endometriosis?

    Of the 47,218 women who were studied, 2.7% had a history of breast cancer and 0.4% had a history of ovarian cancer. Among women with a history of breast cancer, 35.6% met one eligibility criterion. Of that subset, 29.0% discussed genetic testing; 20.2% were advised to undergo genetic testing; and 15.3% underwent genetic testing. Among the women with a history of ovarian cancer, 15.1% discussed genetic testing; 13.1% were advised to have genetic testing; and 10.5% underwent genetic testing. Looking at data on women who met only 4 breast cancer eligibility criteria and all of the patients who had a history of ovarian cancer, the investigators estimated that 1.2 to 1.3 million women failed to receive genetic testing.

    The authors concluded that fewer than 1 in 5 women with a history of breast cancer or ovarian cancer who met select criteria had undergone genetic testing and most had never even discussed genetic testing with a health care provider. They said that national efforts to address these discrepancies are warranted.

    NEXT: Can in-office hysteroscopy evaluate uterine pathology

    Miranda Hester
    Ms. Hester is Content Specialist with Contemporary OB/GYN and Contemporary Pediatrics.
    Judith M. Orvos, ELS
    Judith M. Orvos, ELS, is a a BELS-certified medical writer and editor and an editorial consultant for Contemporary OB/GYN.

    1 Comment

    You must be signed in to leave a comment. Registering is fast and free!

    All comments must follow the ModernMedicine Network community rules and terms of use, and will be moderated. ModernMedicine reserves the right to use the comments we receive, in whole or in part,in any medium. See also the Terms of Use, Privacy Policy and Community FAQ.

    • UBM User
      Barriers to Entry: CIGNA makes me, a board certified Ob/Gyn who personally is a BRCA carrier & utilizes NCCN guidelines, send to a GC (genetics counselor) to authorize BRCA-panel testing. Patients don't take the extra step to go or call to someone they don't know and thus CIGNA has effectively saved money which is their true mission statement! #Shameful!


    Latest Tweets Follow