Academic Journal
Breast cancer patients' experiences and outcomes of mainstream genetic testing with and without genetic counseling.
| Τίτλος: | Breast cancer patients' experiences and outcomes of mainstream genetic testing with and without genetic counseling. |
|---|---|
| Συγγραφείς: | Beard C; Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia.; Department of Medicine, The University of Melbourne, Melbourne, VIC, Australia., Monohan K; Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia., Lang N; Graduate School of Health, University of Technology Sydney, Sydney, NSW, Australia., Cicciarelli L; Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia., James PA; Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia.; Department of Medicine, The University of Melbourne, Melbourne, VIC, Australia.; Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, VIC, Australia., Forrest LE; Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia.; Department of Medicine, The University of Melbourne, Melbourne, VIC, Australia.; Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, VIC, Australia. |
| Πηγή: | Future oncology (London, England) [Future Oncol] 2026 Jun; Vol. 22 (14), pp. 1703-1710. Date of Electronic Publication: 2026 May 27. |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Taylor & Francis Country of Publication: England NLM ID: 101256629 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1744-8301 (Electronic) Linking ISSN: 14796694 NLM ISO Abbreviation: Future Oncol Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2024- : [Milton Park, Oxfordshire] : Taylor & Francis Original Publication: London : Future Medicine Ltd., c2005- |
| Ιατρικοί όροι (MeSH): | Genetic Counseling*/psychology , Breast Neoplasms*/genetics , Breast Neoplasms*/psychology , Breast Neoplasms*/diagnosis , Genetic Testing*/methods , Genetic Testing*/statistics & numerical data, Humans ; Female ; Middle Aged ; Adult ; Decision Making ; Aged ; Genetic Predisposition to Disease ; Surveys and Questionnaires |
| Περίληψη: | Background: As demand for breast cancer germline testing has increased, mainstream genetic testing models of care have been implemented to increase access to genetic testing. This study examined patients' experiences of mainstream genetic testing and compared outcomes between patients seen only by their breast specialist and those who also received genetic counseling. Patients and Methods: A mixed methods approach using a survey and qualitative interviews examined decision-making, adaption to result, and family communication. Outcomes were compared by receipt of genetic counseling or not. Qualitative data were analyzed deductively. Results: Sixty-eight participants completed the survey and 20 were interviewed. Most appreciated the mainstream pathway due to an existing relationship with their cancer specialist and avoidance of extra appointments. There were no differences between those who received genetic counseling compared to those who did not regarding decision regret, cancer risk perception, or adaptation to their genetic test result. Participants who had genetic counseling had higher knowledge scores likely due to the lasting impact of their positive genetic test result. Conclusion: Patients preferred the mainstream model of care, however, genetic counselor involvement was valued by those who received a pathogenic variant due to receiving counseling about the familial implications of their genetic diagnosis. |
| Contributed Indexing: | Keywords: Breast cancer; genetic counseling; genetic testing; mainstream genetic testing; service delivery models |
| Entry Date(s): | Date Created: 20260528 Date Completed: 20260713 Latest Revision: 20260726 |
| Update Code: | 20260726 |
| PubMed Central ID: | PMC13367088 |
| DOI: | 10.1080/14796694.2026.2677772 |
| PMID: | 42204927 |
| Βάση Δεδομένων: | MEDLINE |
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