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Genetic counseling may involve but is a distinct process from, genetic testing. 8 This process often involves one or more visits with a genetic counselor (board certified allied health professional), specially trained nurse, or physician, and involves shared decision‐making between the patient and provider. Counseling to promote informed choices and adaptation to the risk or condition”. Education about inheritance, testing, management, prevention, resources, and research. The National Society of Genetic Counselors defines genetic counseling as integrating “Interpretation of family and medical histories to assess the chance of disease occurrence or recurrence. Genetic counseling is critical to identify patients at risk for inherited cancer syndromes, facilitate genetic testing, and guide management decisions.

Population carrier rates for these pathogenic variants are high, ranging from 1/40 to 1/400 for BRCA1/2 (depending on ethnic background) and 1/300 to 1/400 for Lynch syndrome. 1, 2, 3, 4 Common examples are hereditary breast and ovarian cancer syndrome (HBOC eg, BRCA1/2) and Lynch syndrome. The majority of individuals receiving genetic counseling reported they did so because their doctor recommended it (66%), with smaller proportions describing self (12%), family (10%), or media (5%) influences as the primary reason.Īt least 5%‐15% of cancer diagnoses in the United States are due to inherited cancer syndromes. Of those receiving genetic counseling focused on breast/ovarian cancer, 3% were male and 97% female (breast cancer alone‐4% male, 96% female) for colorectal cancer, 49% male and 51% female, and for “other” cancers, 60% male and 40% female. An estimated 2.1 million individuals have undergone genetic counseling focused on breast/ovarian cancer, 1.3 million on colorectal cancer, and 1.4 million on “other” cancers. Among the unaffected, female sex (OR: 1.70 ), non‐Hispanic black race (OR: 1.44, reference: non‐Hispanic white), graduate education (OR: 1.76, reference: less than high school), and age (OR: 1.06 ) predicted higher rates of genetic counseling.

After adjustment, however, only female sex (Odds Ratio : 1.78 ) remained a significant predictor of genetic counseling among the affected. On bivariate analysis, there were significant differences in proportions undergoing genetic counseling by sex, race/ethnicity, insurance, citizenship, education, age, and cancer status ( P < 0.01).

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