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Shore ND, Lenz L, Cogan ES, Iliev D, Spencer L, Flake DD, Meek S, Davis T, Copeland K, Finch R, Schiff W, Korman H, Rao M, Belkoff L, Jalkut M, Mariados N, D'Anna R, Mehlhaff B, Slavin TP, Cohen TD. Hereditary cancer risk assessment and genetic testing in the community urology practice setting. Prostate 2022; 82:850-857. [PMID: 35239202 DOI: 10.1002/pros.24327] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 02/09/2022] [Accepted: 02/14/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVES To evaluate the feasibility of integrating a hereditary cancer risk assessment (HCRA) process in the community urology practice setting for patients with prostate cancer (PCa). METHODS In this prospective intervention, an HCRA process was implemented across six different community urology clinics between May 2019 and April 2020. The intervention included a process integration during which the workflow at each site was refined, a post-integration period during which HCRA was conducted in all patients with PCa, and a follow-up period during which healthcare providers and patients reported their satisfaction with the HCRA and genetic testing process. RESULTS Among patients who completed a family history assessment during the post-integration period, 23.6% met guideline criteria for genetic testing. Of all patients seen at the clinic during the post-integration period, 8.7% completed genetic testing; this was a twofold increase over the period immediately preceding process integration (4.2%), and a sevenfold increase over the same period 1 year prior (1.2%). The majority of providers reported that the HCRA was as important as other regularly performed assessments (61.0%) and planned to continue using the process in their practice (68.3%). Most patients believed that the genetic test results were important for their future cancer care (84.7%) and had already shared their test results with at least one family member (63.2%). CONCLUSIONS This study demonstrated that implementing an HCRA process in the community urology practice setting was feasible, generally favored by providers and patients, and resulted in an increase in the number of patients with PCa who completed genetic testing.
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Affiliation(s)
- Neal D Shore
- Carolina Urologic Research Center/GenesisCare, Myrtle Beach, South Carolina, USA
| | - Lauren Lenz
- Myriad Genetics, Inc., Salt Lake City, Utah, USA
| | | | - Diana Iliev
- Myriad Genetics, Inc., Salt Lake City, Utah, USA
| | | | - Darl D Flake
- Myriad Genetics, Inc., Salt Lake City, Utah, USA
| | | | | | | | - Robert Finch
- Myriad Genetics, Inc., Salt Lake City, Utah, USA
| | - William Schiff
- Urology Associates of Central California, Fresno, California, USA
| | | | - Manoj Rao
- Urologic Specialists of Northwest Indiana, Merrillville, Indiana, USA
| | | | - Mark Jalkut
- Associated Urologists of North Carolina, Raleigh, North Carolina, USA
| | - Neil Mariados
- Associated Medical Professionals, Syracuse, New York, USA
| | | | | | | | - Todd D Cohen
- Myriad Genetics, Inc., Salt Lake City, Utah, USA
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