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Genetics of Colorectal Cancer (PDQ®)
Health Professional VersionLast Modified: 07/16/2008
Table 7B. Summary of Studies Evaluating Interest in or Intention to Have Genetic Counseling and Testing for Lynch Syndrome*

Study Population  N  Interest or Intention in Genetic Counseling (GC) or Genetic Testing (GT) 
Unaffected§ FDRs of CRC patients undergoing treatment [11] 45 51% definite GT intention; 31% probable
CRC patients and unaffected individuals undergoing Lynch syndrome genetic counseling [15] 31 CRCs; 34 unaffected Pre-counseling: 100% (29). GT intention among CRCs who were aware of GT. 92% (30) GT intention among unaffecteds who were aware of GT
Post-counseling: No one decided against testing, but 5 unaffecteds (18%); 1 CRC undecided
CRC patients, unaffected FDRs, and age/gender-matched controls recruited from HCCR and driver’s license/Medicare records [9] 105 If relative is a carrier: GT intention for 67% of CRCs; 75% of FDRs; 60% of controls
If insurance covers cost: GT intention for 17% of CRCs; 75% of FDRs; 40% of controls

*All studies used a cross-sectional design, with the exception of one study, which used focus groups.[9] All studies were conducted in the United States, with the exception of one German study.[15]
†Indicates number of participants older than 18 years, unless otherwise specified.
‡Type of genetic test not specified.
§Unaffected = no previous diagnosis of colorectal cancer.

References

  1. Ramsey SD, Wilson S, Spencer A, et al.: Attitudes towards genetic screening for predisposition to colon cancer among cancer patients, their relatives and members of the community. Results of focus group interviews. Community Genet 6 (1): 29-36, 2003.  [PUBMED Abstract]

  2. Lerman C, Marshall J, Audrain J, et al.: Genetic testing for colon cancer susceptibility: Anticipated reactions of patients and challenges to providers. Int J Cancer 69 (1): 58-61, 1996.  [PUBMED Abstract]

  3. Keller M, Jost R, Haunstetter CM, et al.: Comprehensive genetic counseling for families at risk for HNPCC: impact on distress and perceptions. Genet Test 6 (4): 291-302, 2002.  [PUBMED Abstract]


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