Universität zu Köln

Dick, Julia, Aue, Viktoria, Wesselmann, Simone, Bredart, Anne, Dolbeault, Sylvie, Devilee, Peter, Stoppa-Lyonnet, Dominique, Schmutzler, Rita K. and Rhiem, Kerstin (2021). Survey on Physicians' Knowledge and Training Needs in Genetic Counseling in Germany. Breast Care, 16 (4). S. 389 - 396. BASEL: KARGER. ISSN 1661-3805

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Abstract

Background: In recent years, germline testing of women with a risk of developing breast and ovarian cancer has increased rapidly. This is due to lower costs for new high-throughput sequencing technologies and the manifold preventive and therapeutic options for germline mutation carriers. The growing demand for genetic counseling meets a shortfall of counselors and illustrates the need to involve the treating clinicians in the genetic testing process. This survey was undertaken to assess their state of knowledge and training needs in the field of genetic counseling and testing. Methods: A cross-sectional survey within the European Bridges Study (Breast Cancer Risk after Diagnostic Gene Sequencing) was conducted among physician members (n = 111) of the German Cancer Society who were primarily gynecologists. It was designed to examine their experience in genetic counseling and testing. Results: Overall, the study revealed a need for training in risk communication and clinical recommendations for persons at risk. One-third of respondents communicated only relative disease risks (31.5%) instead of absolute disease risks in manageable time spans. Moreover, almost one-third of the respondents (31.2%) communicated bilateral and contralateral risk-reducing mastectomy as an option for healthy women and unilateral-diseased breast cancer patients without mutations in high-risk genes (e.g. BRCA1 or BRCA2). Most respondents expressed training needs in the field of risk assessment models, the clinical interpretation of genetic test results, and the decision-making process. Conclusion: The survey demonstrates a gap of genetic and risk literacy in a relevant proportion of physicians and the need for appropriate training concepts.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Dick, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Aue, Viktoria UNSPECIFIED UNSPECIFIED UNSPECIFIED Wesselmann, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Bredart, Anne UNSPECIFIED UNSPECIFIED UNSPECIFIED Dolbeault, Sylvie UNSPECIFIED UNSPECIFIED UNSPECIFIED Devilee, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Stoppa-Lyonnet, Dominique UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmutzler, Rita K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rhiem, Kerstin UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-598498
DOI:	10.1159/000511136
Journal or Publication Title:	Breast Care
Volume:	16
Number:	4
Page Range:	S. 389 - 396
Date:	2021
Publisher:	KARGER
Place of Publication:	BASEL
ISSN:	1661-3805
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language BRCA2 MUTATION CARRIERS; BREAST-CANCER; BILATERAL MASTECTOMY; OVARIAN-CANCER; RISK; WOMEN; HISTORY Multiple languages Oncology; Obstetrics & Gynecology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/59849