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

Full text not available from this repository.

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:
CreatorsEmailORCIDORCID Put Code
Dick, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Aue, ViktoriaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wesselmann, SimoneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bredart, AnneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dolbeault, SylvieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Devilee, PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Stoppa-Lyonnet, DominiqueUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmutzler, Rita K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rhiem, KerstinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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:
KeywordsLanguage
BRCA2 MUTATION CARRIERS; BREAST-CANCER; BILATERAL MASTECTOMY; OVARIAN-CANCER; RISK; WOMEN; HISTORYMultiple languages
Oncology; Obstetrics & GynecologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/59849

Downloads

Downloads per month over past year

Altmetric

Export

Actions (login required)

View Item View Item