Evidence map›Paper›PMID 32099586›Full record

ArticleHereditary cancer in clinical practice2020

Group plus "mini" individual pre-test genetic counselling sessions for hereditary cancer shorten provider time and improve patient satisfaction.

Jaclyn Hynes, Andrée MacMillan, Sara Fernandez, Karen Jacob, Shannon Carter, Sarah Predham, Holly Etchegary, Lesa Dawson

Open access · goldAbstract read
In one paragraph

Article in Hereditary cancer in clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Jaclyn Hynes1Clinical Epidemiology, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador Canada.
Andrée MacMillan2Provincial Medical Genetics Program, Health Sciences Centre, Eastern Health Authority, St. John's, Newfoundland and Labrador Canada.
Sara Fernandez2Provincial Medical Genetics Program, Health Sciences Centre, Eastern Health Authority, St. John's, Newfoundland and Labrador Canada.
Karen Jacob2Provincial Medical Genetics Program, Health Sciences Centre, Eastern Health Authority, St. John's, Newfoundland and Labrador Canada.
Shannon Carter2Provincial Medical Genetics Program, Health Sciences Centre, Eastern Health Authority, St. John's, Newfoundland and Labrador Canada.
Sarah Predham2Provincial Medical Genetics Program, Health Sciences Centre, Eastern Health Authority, St. John's, Newfoundland and Labrador Canada.
Holly Etchegary1Clinical Epidemiology, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador Canada.
Lesa Dawson3Gynecologic Oncology, Faculty of Medicine, Memorial University, St. John's, Newfoundland and Labrador Canada.ORCID 0000-0002-6879-6602
St. John’s Health Sciences Centre · CAMemorial University of Newfoundland · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGenetic counselling (GC) is an integral component in the care of individuals at risk for hereditary cancer predisposition syndromes (CPS). In many jurisdictions, access to timely counselling and testing is limited by financial constraints, by the shortage of genetics professionals and by labor-intensive traditional models of individual pre and post-test counselling. There is a need for further research regarding alternate methods of GC service delivery and implementation. This quality improvement project was initiated to determine if pretest group GC followed immediately by a 'mini' individual session, would be acceptable to patients at risk for hereditary breast and colon cancer.

methodsPatients on waitlists for GC at the Provincial Medical Genetics Program in St. John's, NL, Canada (

resultsSixty participants completed questionnaires. The majority of participants strongly agreed that they were comfortable with the group session (58/60); the explanation of cancer genetics was clear (54/59); they understood their cancer risks (50/60); and they would recommend such a session to others (56/59). 38/53 respondents disagreed or strongly disagreed that they would prefer to wait for a traditional private appointment. All 5 participating genetic counselors reported a preference for this model. At the end of the pilot project, the waitlist for counselling/testing was reduced by 12 months.

conclusionsGroup pre-test genetic counselling combined with immediate "mini" individual session is strongly supported by patients and reduces wait times. Additional formal investigation of this approach in larger numbers of patients is warranted.

Indexed as

Genetic counselingHereditary breast ovarianInherited cancersLynch syndrome

Identifiers

PMID32099586
PMCPMC7029530
OpenAlexW3012648599

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.