Erschienen in:
26.10.2017 | Breast Oncology
Comment on “Can Breast Surgeons Provide Breast Cancer Genetic Testing? An American Society of Breast Surgeons Survey”
verfasst von:
Deborah Cragun, PhD, MS, Susan Vadaparampil, PhD, MPH, Courtney Scherr, PhD, Tuya Pal, MD
Erschienen in:
Annals of Surgical Oncology
|
Sonderheft 3/2017
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Excerpt
Findings in the article by Beitsch and Whitworth
1 draw further attention to ongoing debate about the delivery of genetic services. The results of a brief survey completed by breast surgeons suggest overall support to deliver cancer genetic services; however, we contend the data do not support the authors’ conclusion that “most breast surgeons already perform the key elements considered necessary for appropriate genetic testing—obtaining a 3-generation pedigree, providing separate counseling events before and after genetic testing, with interpretation of results—and that many already do so routinely.” Although 63% of respondents reported routinely obtaining a 3-generation pedigree, the survey did not address whether they discuss the following from the American Society of Breast Cancer Surgeons Consensus Statement: (1) risks associated with BRCA mutations; (2) positive, negative, or inconclusive results; and (3) medical and ethical implications of testing or sharing information with family members.
2 Thus, additional evidence is needed before concluding that breast surgeons cover standard counseling elements. …
