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Clinician-led germline genetic testing (mainstreaming) is viewed favorably by oncologists for guiding cancer treatment. Further education and resources are recommended to overcome barriers and ensure program success.

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Area of Science:

  • Oncology
  • Clinical Genetics
  • Health Services Research

Background:

  • Germline genetic testing is crucial for guiding oncology treatment decisions.
  • Mainstream genetic testing, arranged by non-genetics specialists, is increasingly offered to cancer patients.
  • Understanding clinician perspectives is vital for the success of mainstreaming initiatives.

Purpose of the Study:

  • To evaluate clinician views on the established mainstream genetic testing program for ovarian, breast, prostate, and endometrial cancers.
  • To assess clinician interest in adopting mainstream genetic testing practices.

Main Methods:

  • A repeated cross-sectional study utilizing web-based surveys in two health districts across seven hospitals in NSW.
  • Data collected from 54 participating clinicians (70% response rate).

Main Results:

  • Clinicians already using mainstream testing (n=30) reported high satisfaction (76%), finding it time-efficient and accessible.
  • A significant majority (88%) of clinicians not yet engaged (n=24) expressed interest in learning more.
  • Identified barriers include time constraints, knowledge maintenance, and the consenting/counseling process.

Conclusions:

  • The mainstreaming program is perceived by clinicians as a valuable approach for germline testing in oncology patients.
  • Ongoing education and accessible resources are essential for the continued success and expansion of the program.