Making a Referral for Genetic Services: Where to Turn and What to Expect

1999 ◽  
pp. 166-172
Keyword(s):  
Genetic Services

scholarly journals Comparing models of delivery for cancer genetics services among patients receiving primary care who meet criteria for genetic evaluation in two healthcare systems: BRIDGE randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kimberly A. Kaphingst ◽  
Wendy Kohlmann ◽  
Rachelle Lorenz Chambers ◽  
Melody S. Goodman ◽  
Richard Bradshaw ◽  
...  
Keyword(s):  
Primary Care ◽  
Genetic Counseling ◽  
Cancer Susceptibility ◽  
Cancer Genetics ◽  
Controlled Trial ◽  
Standard Of Care ◽  
Healthcare Systems ◽  
Genetic Services ◽  
Inherited Cancer ◽  
Services Delivery

Abstract Background Advances in genetics and sequencing technologies are enabling the identification of more individuals with inherited cancer susceptibility who could benefit from tailored screening and prevention recommendations. While cancer family history information is used in primary care settings to identify unaffected patients who could benefit from a cancer genetics evaluation, this information is underutilized. System-level population health management strategies are needed to assist health care systems in identifying patients who may benefit from genetic services. In addition, because of the limited number of trained genetics specialists and increasing patient volume, the development of innovative and sustainable approaches to delivering cancer genetic services is essential. Methods We are conducting a randomized controlled trial, entitled Broadening the Reach, Impact, and Delivery of Genetic Services (BRIDGE), to address these needs. The trial is comparing uptake of genetic counseling, uptake of genetic testing, and patient adherence to management recommendations for automated, patient-directed versus enhanced standard of care cancer genetics services delivery models. An algorithm-based system that utilizes structured cancer family history data available in the electronic health record (EHR) is used to identify unaffected patients who receive primary care at the study sites and meet current guidelines for cancer genetic testing. We are enrolling eligible patients at two healthcare systems (University of Utah Health and New York University Langone Health) through outreach to a randomly selected sample of 2780 eligible patients in the two sites, with 1:1 randomization to the genetic services delivery arms within sites. Study outcomes are assessed through genetics clinic records, EHR, and two follow-up questionnaires at 4 weeks and 12 months after last genetic counseling contactpre-test genetic counseling. Discussion BRIDGE is being conducted in two healthcare systems with different clinical structures and patient populations. Innovative aspects of the trial include a randomized comparison of a chatbot-based genetic services delivery model to standard of care, as well as identification of at-risk individuals through a sustainable EHR-based system. The findings from the BRIDGE trial will advance the state of the science in identification of unaffected patients with inherited cancer susceptibility and delivery of genetic services to those patients. Trial registration BRIDGE is registered as NCT03985852. The trial was registered on June 6, 2019 at clinicaltrials.gov.

scholarly journals Randomized study of remote telehealth genetic services versus usual care in oncology practices without genetic counselors

2021 ◽  
Author(s):  
Cara N. Cacioppo ◽  
Brian L. Egleston ◽  
Dominique Fetzer ◽  
Colleen Burke Sands ◽  
Syeda A. Raza ◽  
...  
Keyword(s):  
Usual Care ◽  
Randomized Study ◽  
Genetic Services ◽  
Genetic Counselors

scholarly journals Protocol Implementation for Provision of Genetic Services

1999 ◽  
Vol 45 (4, Part 2 of 2) ◽  
pp. 78A-78A
Author(s):  
Sara E Kolb ◽  
Maricela C Aguilar ◽  
Maura W Dinenberg ◽  
Celia I Kaye
Keyword(s):  
Genetic Services ◽  
Protocol Implementation

Genetic Family Histories: An Aid to Social Work Assessment

1993 ◽  
Vol 74 (4) ◽  
pp. 195-206 ◽  
Author(s):  
Barbara Bernhardt ◽  
Julia B. Rauch
Keyword(s):  
Social Work ◽  
Genetic Services ◽  
Case Scenario ◽  
Worst Case ◽  
Worst Case Scenario ◽  
Family Histories ◽  
Work Assessment ◽  
Focus Depth ◽  
Service Training ◽  
Agency Design

The focus, depth, and use of genetic family histories vary depending on the agency purpose and the client's presenting problem. Failure to obtain genetic family histories can result in inaccurate assessment and incomplete or misdirected services. In the worst-case scenario, failure to obtain such information and to advise clients of available genetic services are potential grounds for malpractice and wrongful-adoption suits. The authors discuss approaches to obtaining and recording genetic family histories and present criteria for referral to genetic services. The authors recommend that agency administrators consider consulting with a genetic professional to determine the appropriate focus of genetic family histories within the agency, design a protocol, and arrange in-service training in use of the protocol.

The impact of MSAFP screening on genetic services, 1984-1986

1988 ◽  
Vol 31 (1) ◽  
pp. 223-230 ◽  
Author(s):  
Frank Greenberg ◽  
John M. Opitz ◽  
James F. Reynolds ◽  
Frank Greenberg
Keyword(s):  
Genetic Services ◽  
The Impact

scholarly journals Survey of medical genetic services in Italy: year 2011

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniela Giardino ◽  
Rita Mingarelli ◽  
Tiziana Lauretti ◽  
Antonio Amoroso ◽  
Lidia Larizza ◽  
...  
Keyword(s):  
Genetic Services ◽  
Medical Genetic ◽  
Medical Genetic Services

scholarly journals Knowledge and attitudes of the South African public with regard to congenital and inherited disorders

Curationis ◽  
1984 ◽  
Vol 7 (2) ◽  
Author(s):  
J. Hof ◽  
H.M. Esterhuysen ◽  
C.J. V.d. Merwe ◽  
C. V.d. Burgh ◽  
L. Lomberg
Keyword(s):  
South Africa ◽  
South African ◽  
Genetic Services ◽  
European Countries ◽  
Genetic Service ◽  
The South ◽  
Inherited Disorders ◽  
Community Based ◽  
Knowledge And Attitudes ◽  
Department Of Health

In the U.S.A. and most European countries the establishment of community based genetic services has emerged only within the last decade. There has been a tendency for the relevant government departments to assume partial or complete responsibility for these services. In South Africa such a community based genetic service under direction of the Genetic Services Division of the Department of Health and Welfare was conceptualised in 1971 and put into operation in 1975.

scholarly journals Genetic Conditions Among Patients Receiving Genetic Services in Middle Tennessee

1993 ◽  
Vol 86 (1) ◽  
pp. 42-45 ◽  
Author(s):  
AMY WOODWARD ◽  
SONIA ALVES ◽  
MERLIN G. BUTLER
Keyword(s):  
Genetic Services ◽  
Middle Tennessee
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