Most US women undergoing BRCA genetic testing do not receive genetic counseling, despite improved patient knowledge and satisfaction among patients who receive this service via a genetics clinician, according to a study of 3,628 women in the American BRCA Outcomes and Utilization of Testing (ABOUT) Study. Lack of physician recommendation was cited as the most commonly reported reason. The study found:
• 5.3% of participants receiving comprehensive testing were identified with mutations.
• Only 36.8% of participants reported receiving genetic counseling from a genetics clinician prior to testing; the lowest rates (12.3%) were among patients of OBGYNs.
• Those who received genetic counseling demonstrated greater knowledge about BRCA and expressed greater understanding and satisfaction.
Citation: Armstrong J, Toscano M, Kotchko N, et al. Utilization and outcomes of BRCA genetic testing and counseling in a national commercially insured population: The ABOUT study. [Published online ahead of print October 1, 2015]. JAMA Oncol. doi: jamaoncol.2015.3048.