Errors in delivery of cancer genetics services: implications for practice.
Conn Med
; 74(7): 413-23, 2010 Aug.
Article
em En
| MEDLINE
| ID: mdl-20806621
ABSTRACT
UNLABELLED Advances in genetics have prompted recommendations that all healthcare providers perform genetic counseling and testing. Some experts are concerned about potential negative outcomes from cancer genetic testing performed without genetic counseling by certified genetics professionals. We report a national series of cases illustrating negative outcomes of cancer genetic testing performed without counseling by a qualified provider. Three major patterns emerged from analysis of these cases 1) Wrong genetic test ordered, 2) Genetic test results misinterpreted, and 3) Inadequate genetic counseling. Negative outcomes included unnecessary prophylactic surgeries, unnecessary testing, psychosocial distress, and false reassurance resulting in inappropriate medical management. CONCLUSION:
With the complexities of cancer genetic counseling and testing, it may be unrealistic to expect all clinicians to provide these services. A more realistic approach is better provider education and a framework in which healthcare providers identify patients who would benefit from a referral to a certified genetic counselor or experienced cancer genetics professional.
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Base de dados:
MEDLINE
Assunto principal:
Testes Genéticos
/
Erros de Diagnóstico
/
Genes Neoplásicos
/
Aconselhamento Genético
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limite:
Female
/
Humans
/
Male
Idioma:
En
Revista:
Conn Med
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Estados Unidos