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Factors Impacting Intent to Share Multigenic Cancer Testing Results in a Community Hospital Setting.

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|September 28, 2024
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This summary is machine-generated.

Many cancer patients intend to share hereditary cancer screening results with family, but some hesitate. Understanding these decisions is key to supporting genetic cancer risk evaluations in diverse communities.

Keywords:
cascade screeningfamily communicationgenetic counselinghealth disparitiesmultigenic panel testing

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Area of Science:

  • Genetics
  • Oncology
  • Public Health

Background:

  • Multi-gene, multi-cancer hereditary cancer risk screenings offer benefits for both patients and their families.
  • Extending these screenings into diverse settings is crucial for equitable cancer prevention and treatment.
  • Limited research exists on the impact and support needs for diverse populations undergoing genetic cancer screening.

Purpose of the Study:

  • To examine patient perspectives on sharing genetic screening results with at-risk family members.
  • To understand factors influencing the decision to share or withhold hereditary cancer risk information.
  • To inform strategies for supporting cascade genetic testing in diverse communities.

Main Methods:

  • A survey was conducted with a racially diverse sample of cancer patients receiving multi-gene, multi-cancer risk screening.
  • Patient intentions regarding sharing genomic screening results with family members were assessed.
  • Factors influencing the decision to share results were analyzed.

Main Results:

  • A high intent to share results was observed, but intentions varied by family member type.
  • Over one-fourth of participants were uncertain about or intended to withhold results from at least one at-risk family member.
  • Intent to share was lower when participants identified no benefit to sharing, particularly for siblings compared to children.

Conclusions:

  • Understanding patient decisions about sharing genetic cancer screening results is vital for supporting cascade testing.
  • Clinicians need to address factors influencing result sharing to ensure equitable access to genetic cancer risk evaluations.
  • Supporting diverse patient populations in sharing results can help reduce disparities in cancer care outcomes.