Hereditary cancer risk assessment and genetic testing in the community urology practice setting.

Authors

Neal D. Shore
Lauren Lenz
Elizabeth S. Cogan
Diana Iliev
Lizzie Spencer
Darl D. Flake
Stephanie Meek
Thaylon Davis
Karen Copeland
Robert Finch
Howard Korman, Beaumont Health

Document Type

Article

Publication Date

5-2022

Publication Title

Prostate

Abstract

OBJECTIVES: To evaluate the feasibility of integrating a hereditary cancer risk assessment (HCRA) process in the community urology practice setting for patients with prostate cancer (PCa).

METHODS: In this prospective intervention, an HCRA process was implemented across six different community urology clinics between May 2019 and April 2020. The intervention included a process integration during which the workflow at each site was refined, a post-integration period during which HCRA was conducted in all patients with PCa, and a follow-up period during which healthcare providers and patients reported their satisfaction with the HCRA and genetic testing process.

RESULTS: Among patients who completed a family history assessment during the post-integration period, 23.6% met guideline criteria for genetic testing. Of all patients seen at the clinic during the post-integration period, 8.7% completed genetic testing; this was a twofold increase over the period immediately preceding process integration (4.2%), and a sevenfold increase over the same period 1 year prior (1.2%). The majority of providers reported that the HCRA was as important as other regularly performed assessments (61.0%) and planned to continue using the process in their practice (68.3%). Most patients believed that the genetic test results were important for their future cancer care (84.7%) and had already shared their test results with at least one family member (63.2%).

CONCLUSIONS: This study demonstrated that implementing an HCRA process in the community urology practice setting was feasible, generally favored by providers and patients, and resulted in an increase in the number of patients with PCa who completed genetic testing.

Volume

82

Issue

7

First Page

850

Last Page

857

Recommended Citation

Shore ND, Lenz L, Cogan ES, Iliev D, Spencer L, Flake DD et al. [Korman H] Hereditary cancer risk assessment and genetic testing in the community urology practice setting. Prostate. 2022 May;82(7):850-857. doi: 10.1002/pros.24327. PMID: 35239202.

DOI

10.1002/pros.24327

ISSN

1097-0045

PubMed ID

35239202