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Variations in the Referral Pattern for Genetic Counseling of Patients with Early-Onset Breast Cancer : A Population-Based Study in Southern Sweden

Augustinsson, Annelie LU ; Ellberg, Carolina LU orcid ; Kristoffersson, Ulf LU ; Olsson, Håkan LU orcid and Ehrencrona, Hans LU orcid (2020) In Public Health Genomics 23(3-4). p.100-109
Abstract

Swedish national breast cancer guidelines recommend that all women diagnosed with breast cancer (BC) at the age of 35 years or younger should be referred to their regional oncogenetic clinic for genetic counseling and testing, regardless of family history of cancer. The main objective of this study was to evaluate whether place of residence at BC diagnosis and treating hospital were associated with the fact that not all BC patients diagnosed at ≤35 years in the southern part of Sweden have attended genetic counseling and testing. Between 2000 and 2013, 279 women in the South Swedish Health Care Region were diagnosed with BC at ≤35 years. Information regarding place of residence at BC diagnosis, treating hospital, time of registration... (More)

Swedish national breast cancer guidelines recommend that all women diagnosed with breast cancer (BC) at the age of 35 years or younger should be referred to their regional oncogenetic clinic for genetic counseling and testing, regardless of family history of cancer. The main objective of this study was to evaluate whether place of residence at BC diagnosis and treating hospital were associated with the fact that not all BC patients diagnosed at ≤35 years in the southern part of Sweden have attended genetic counseling and testing. Between 2000 and 2013, 279 women in the South Swedish Health Care Region were diagnosed with BC at ≤35 years. Information regarding place of residence at BC diagnosis, treating hospital, time of registration and first meeting at the Oncogenetic Clinic in Lund, and genetic testing was collected. With a follow-up period until August 2018, 64% were registered at the clinic (60% underwent genetic testing) and 36% were not. BC patients from 2 counties and from rural settings with a population of <10,000 inhabitants were significantly less likely to be registered at the clinic. Our results suggest that place of residence at BC diagnosis and treating hospital were associated with the probability of referral for genetic counseling and testing for women diagnosed with BC at ≤35 years in the South Swedish Health Care Region. We propose, as a generalizable finding, that further educational and outreach activities within the health care system and the community may be needed to ensure that all women diagnosed with early-onset BC receive proper genetic counseling.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Public Health Genomics
volume
23
issue
3-4
pages
10 pages
publisher
Karger
external identifiers
  • scopus:85089506972
  • pmid:32640451
ISSN
1662-8063
DOI
10.1159/000508684
language
English
LU publication?
yes
id
06b08cce-5f2b-4e9d-b200-c3647aaaeef0
date added to LUP
2020-07-17 23:22:09
date last changed
2024-04-03 11:06:10
@article{06b08cce-5f2b-4e9d-b200-c3647aaaeef0,
  abstract     = {{<p>Swedish national breast cancer guidelines recommend that all women diagnosed with breast cancer (BC) at the age of 35 years or younger should be referred to their regional oncogenetic clinic for genetic counseling and testing, regardless of family history of cancer. The main objective of this study was to evaluate whether place of residence at BC diagnosis and treating hospital were associated with the fact that not all BC patients diagnosed at ≤35 years in the southern part of Sweden have attended genetic counseling and testing. Between 2000 and 2013, 279 women in the South Swedish Health Care Region were diagnosed with BC at ≤35 years. Information regarding place of residence at BC diagnosis, treating hospital, time of registration and first meeting at the Oncogenetic Clinic in Lund, and genetic testing was collected. With a follow-up period until August 2018, 64% were registered at the clinic (60% underwent genetic testing) and 36% were not. BC patients from 2 counties and from rural settings with a population of &lt;10,000 inhabitants were significantly less likely to be registered at the clinic. Our results suggest that place of residence at BC diagnosis and treating hospital were associated with the probability of referral for genetic counseling and testing for women diagnosed with BC at ≤35 years in the South Swedish Health Care Region. We propose, as a generalizable finding, that further educational and outreach activities within the health care system and the community may be needed to ensure that all women diagnosed with early-onset BC receive proper genetic counseling.</p>}},
  author       = {{Augustinsson, Annelie and Ellberg, Carolina and Kristoffersson, Ulf and Olsson, Håkan and Ehrencrona, Hans}},
  issn         = {{1662-8063}},
  language     = {{eng}},
  number       = {{3-4}},
  pages        = {{100--109}},
  publisher    = {{Karger}},
  series       = {{Public Health Genomics}},
  title        = {{Variations in the Referral Pattern for Genetic Counseling of Patients with Early-Onset Breast Cancer : A Population-Based Study in Southern Sweden}},
  url          = {{http://dx.doi.org/10.1159/000508684}},
  doi          = {{10.1159/000508684}},
  volume       = {{23}},
  year         = {{2020}},
}