abstract
Highlights
- •A new method of genetic counseling for ovarian cancer patients is proposed.
- •Patients were shown a genetic counseling video and offered immediate testing.
- •A significantly larger proportion of patients were tested using this new algorithm.
Objectives
To
compare the proportion of patients with ovarian, fallopian or
peritoneal carcinoma who receive genetic testing after observing a
genetic counseling video versus after traditional referral for genetic
counseling and testing at physician discretion.
Methods
A
retrospective chart review was performed of all patients seen at the
West Cancer Center for evaluation of ovarian, fallopian or peritoneal
carcinoma from 7/2014 to 8/2015. Patients seen between 7/2014 and
12/2014 were offered standard genetic counseling. We adopted a new
standard of care from 3/2015 to 8/2015 involving the use of a genetic
counseling video on a digital tablet. The video was shown to patients
with ovarian, fallopian or peritoneal cancer, who were then given the
option to undergo genetic testing at the end of the viewing. We compared
the number and proportion of patients who received genetic testing in
both groups.
Results
The initial
group of 267 patients received referral and te\sting at the physician's
discretion between 8/2014 and 12/2014. 77/267 (29%) of these patients
underwent genetic testing. 295 patients viewed the condensed genetic
counseling video with the option to receive testing the same day between
3/2015 and 8/2015. 162/295 (55%) of these patients received testing.
The transition from a referral method to the video counseling method
resulted in a significant increase of patients tested (p < 0.001).
Conclusion
Using
a genetic counseling video and providing an immediate option for
testing significantly increased the proportion of patients with ovarian,
fallopian or peritoneal carcinoma who received genetic testing.
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