Individuals with a family history of colorectal cancer or colorectal adenomas have an increased risk for colorectal cancer. When no hereditary syndrome is evident, screening is based on empiric risk estimates. The risk is greatest for individuals with specific inherited cancer-predisposing disorders. When conditions such as familial adenomatous polyposis or hereditary nonpolyposis colorectal cancer are diagnosed, specific neoplasm risk estimates can usually be performed based on advances in molecular genetics. These estimates lead to more straightforward and cost-effective approaches to surveillance and management. The National Comprehensive Cancer Center Network (NCCN) and other groups have provided detailed guidelines for evaluating patients based on recognition of clinical syndrome characteristics, followed by appropriate genetic counseling, genetic testing, and optimal surveillance. The NCCN guidelines are used as a frame of reference for this discussion of selected recent advances in human cancer genetics as they apply to clinical practice.
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Mary E. Freivogel and Stephanie A. Cohen
misconceptions about what she noted as an increasing workforce shortage in genetic counseling and, in fact, about the genetic counseling profession itself. Workforce shortages and barriers to care are common in many specialties in healthcare. 2 However
Veena Gujju, Mahum Nadeem, Hussein A. Assi, and Hassan Hatoum
patients with PDAC irrespective of family history. In this quality improvement project, we aim to report a single institution experience in implementing this new guideline, and thus provide real-world data on genetic counseling in clinical practice
Mary Daly
. Genetic counseling is defined as the process of helping people understand and adapt to the medical, psychologic, and familial implications of genetic contributions to disease. The primary reasons cited by women who are considering genetic testing for
Lindsey Kreutzer, Ashley Byerly, Eileen Ngo, Julie K. Johnson, Karl Y. Bilimoria, and Anthony D. Yang
documents. At the specialty/unit-level, perceptions of readiness to implement the QI project were strong, overall; however, one hospital unit (Genetic Counseling) identified a need to strengthen understanding of how the project would personally benefit
abstract, visit http://www.asco.org/ASCOv2/Meetings/Abstracts?&vmview=abst_detail_view&confID=114&abstractID=96835 2012 ASCO Abstract Highlights Operational Aspects of Genetic Counseling Programs In March 2012, ASCO accepted for electronic
Brandie Heald, Shanna Gustafson, Jessica Mester, Patricia Arscott, Katherine Lynch, Jessica Moline, and Charis Eng
purposes. 4 With the inception of CPT code 96040 and licensure, GCs have an avenue for professional recognition within their scope of practice. Furthermore, increased awareness of cancer genetic counseling services has created a higher demand for
Rishi Jain, Michelle J. Savage, Andrea D. Forman, Reetu Mukherji, and Michael J. Hall
Discuss the importance of genetic counseling when using TGP for patients with cancer Genetic testing to inform disease prognostication, therapy targeting, and hereditary cancer risk assessment is increasingly critical to oncology care. The emergence
Brandie Heald and Charis Eng
document the benefit added by their services and that the field can grow and expand with the changing climate of health care. The National Society of Genetic Counselors ( www.nsgc.org ) has prioritized assessing and establishing outcome measures for genetic
Suzanne M. Mahon
visit with a genetics professional takes time (84 minutes 2 to 105 minutes 1 ); an average follow-up visit lasts 74 minutes. 2 Finding ways to efficiently provi genetic counseling services is critical in light of the limited numbers of credentialed
