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Kałużewski T, Kubiak I, Bednarek M, Sałamunia J, Kucharska D, Kępczyński Ł, Stempień M, Kubicki T, Trzciński R, Gordon-Sönmez Z, Bartosińska-Dyc A, Gach A, Kałużewski B. Report on the Effect of the Implementation of an Early Detection and Prevention of Cancer Program on Families at High Hereditary Risk-Concentrating on Patients Undergoing Genetic Diagnostics and Counseling in Central Poland. Int J Mol Sci 2023; 24:13178. [PMID: 37685988 PMCID: PMC10488022 DOI: 10.3390/ijms241713178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/22/2023] [Accepted: 08/22/2023] [Indexed: 09/10/2023] Open
Abstract
Over a 46-month period, the objectives of the National Cancer Control Program (NCCP, pol. Narodowy Program Zwalczania Chorób Nowotworowych), coordinated by the Ministry of Health, were pursued by conducting genetic diagnostics on individuals at high risk of developing cancer. A total of 1097 individuals were enrolled in the study, leading to the identification of 128 cases of germline mutations. The implementation of the NCCP led to the identification of genetic mutations in 4.43% of the patients qualified for BRCA1 and BRCA2 screening tests, in 18.18% of those qualified for a comprehensive next-generation sequencing (NGS) panel in cases of breast and ovarian cancer, and in 17.36% of cases of colorectal and endometrial cancer. The research conducted allowed us to establish individualized preventive and therapeutic approaches for mutation carriers. However, the results prove that liberalizing the inclusion criteria for high-throughput diagnostics and the use of broad gene panels could significantly increase the percentage of detected carriers. This publication serves as a summary and discussion of the results obtained from the implementation of the NCCP as well as of the role of genetic consulting in personalized medicine.
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Affiliation(s)
- Tadeusz Kałużewski
- Department of Genetics, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, Poland; (Ł.K.)
| | - Izabela Kubiak
- R&D Department, Laboratory of Medical Genetics, GENOS Sp. z o.o., 91-033 Lodz, Poland (B.K.)
- Regional Center for Cancer Prevention, Zduńska Wola District Hospital Sp. z o.o., 98-220 Zdunska Wola, Poland
| | - Michał Bednarek
- R&D Department, Laboratory of Medical Genetics, GENOS Sp. z o.o., 91-033 Lodz, Poland (B.K.)
| | - Jordan Sałamunia
- R&D Department, Laboratory of Medical Genetics, GENOS Sp. z o.o., 91-033 Lodz, Poland (B.K.)
| | - Dorota Kucharska
- R&D Department, Laboratory of Medical Genetics, GENOS Sp. z o.o., 91-033 Lodz, Poland (B.K.)
- Regional Center for Cancer Prevention, Zduńska Wola District Hospital Sp. z o.o., 98-220 Zdunska Wola, Poland
| | - Łukasz Kępczyński
- Department of Genetics, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, Poland; (Ł.K.)
| | - Marek Stempień
- Department of General and Colorectal Surgery with the Subdepartment of Oncological Surgery, Provincial Hospital John Paul II in Bełchatów, 97-400 Belchatow, Poland (R.T.)
| | | | - Radzisław Trzciński
- Department of General and Colorectal Surgery with the Subdepartment of Oncological Surgery, Provincial Hospital John Paul II in Bełchatów, 97-400 Belchatow, Poland (R.T.)
- Institute of Medical Sciences, Collegium Medium of the Jan Kochanowski University in Kielce, 25-369 Kielce, Poland
| | - Zofia Gordon-Sönmez
- Department of Gynecology and Obstetrics, Zduńska Wola District Hospital Sp. z o.o., 98-220 Zdunska Wola, Poland
| | - Anna Bartosińska-Dyc
- Department of Gynecology and Obstetrics, Zduńska Wola District Hospital Sp. z o.o., 98-220 Zdunska Wola, Poland
| | - Agnieszka Gach
- Department of Genetics, Polish Mother’s Memorial Hospital Research Institute, 93-338 Lodz, Poland; (Ł.K.)
| | - Bogdan Kałużewski
- R&D Department, Laboratory of Medical Genetics, GENOS Sp. z o.o., 91-033 Lodz, Poland (B.K.)
- Regional Center for Cancer Prevention, Zduńska Wola District Hospital Sp. z o.o., 98-220 Zdunska Wola, Poland
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