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Updated: Feb 15, 2026

Determining the Likelihood of Variant Pathogenicity Using Amino Acid-level Signal-to-Noise Analysis of Genetic Variation
Published on: January 16, 2019
Genetic cancer risk knowledge among Mexican pathogenic variant carriers
Alejandro Aranda-Gutierrez1, Cynthia Villarreal-Garza2, Dione Aguilar-Y-Mendez2
1Departament of Hematology and Oncology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico, Mexico.
Mexican cancer patients with pathogenic variants show moderate genetic knowledge but gaps in understanding. Higher education improves knowledge, yet doesn't increase uptake of risk-reducing surgery or cascade testing.
Area of Science:
- Genetics
- Oncology
- Public Health
Background:
- Genetic cancer risk assessment (GCRA) is crucial for individuals with cancer-associated pathogenic variants (PVs).
- Understanding patient knowledge is key to effective genetic counseling and intervention uptake.
Purpose of the Study:
- To evaluate genetic cancer risk knowledge in Mexican PV carriers using the KnowGene questionnaire.
- To determine if this knowledge correlates with uptake of risk-reducing surgery (RRS) or cascade testing (CT).
Main Methods:
- Cross-sectional study of 261 adult PV carriers in Mexico post-GCRA.
- Utilized the Spanish KnowGene questionnaire assessing inheritance, interpretation, and implications.
- Analyzed associations between knowledge, demographics, and uptake of RRS/CT.
Main Results:
- Mean knowledge score was 9.42/16, with notable gaps in inheritance and variant interpretation.
- Higher education was independently linked to greater genetic knowledge (β = 1.92, p < 0.001).
- No significant association found between knowledge scores and RRS or CT uptake.
Conclusions:
- Mexican PV carriers possess moderate genetic knowledge post-GCRA, with specific areas needing improvement.
- Educational attainment is a key factor influencing knowledge, but not intervention uptake.
- GCRA programs require enhanced communication strategies to overcome barriers and improve decision-making for preventive actions.
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