Comparing Outcomes of Genetic Counseling Options in Breast and Ovarian Cancer: An Integrative Review

Fournier, Danielle; Bazzell, Angela F.; Dains, Joyce E.

doi:10.1188/18.onf.96-105

Cited by 27 publications

(35 citation statements)

References 25 publications

(69 reference statements)

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“…When examining the literature specific to genetics consultation via live videoconferencing, the term “telegenetics,” is most often used, but the terms “virtual health” (Weissman, Zellmer, Gill, & Wham, 2018), “televideo” (Voils et al, ), and web‐based/video (National Society of Genetic Counselors, ) were also noted. Collectively, these studies have demonstrated improved access to care in underserved areas with high levels of patient satisfaction and outcomes similar to in‐person consultations across many patient populations and medical indications (Abrams & Geier, ; Bradbury et al, ; Buchanan et al, ; Coelho, Arnold, Nayler, Tischkowitz, & MacKay, ; D'Agincourt‐Canning et al, ; Fournier, Bazzell, & Dains, ; Gattas, MacMillan, Meinecke, Loane, & Wootton, ; Gray et al, ; Hardy & Grinzaid, ; Hawkins, Creighton, Ho, McManus, & Hayden, ; Hilgart et al, ; Hopper, Buckman, & Edwards, ; Kubendran, Sivamurthy, & Schaefer, ; Lea et al, ; Mette et al, ; Otten, Birnie, Lucassen, Ranchor, & van Langen, ; Schwartz et al, ; Solomons, Lamb, Lucas, McDonald, & Miesfeldt, ; Stalker et al, ; Sutphen et al, ; Weissman et al, ; Wenger et al, ; Zilliacus et al, ; Zilliacus, Meiser, Lobb, Kirk, et al, ). Some studies have shown reductions in cost and time per patient for the clinic and/or the patient (Buchanan et al, ; D'Agincourt‐Canning et al, ; Otten, Birnie, Ranchor, & van Langen, ; Schwartz et al, ; Weissman et al, ), shorter wait times (Cohen et al, ; Kubendran et al, ; Stalker et al, ; Weissman et al, ), and a larger geographic reach (Cohen et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…access, genetic counseling, genetic services, rural, service delivery, telegenetics, telehealth, telemedicine, telephone counseling, underserved Fournier, Bazzell, & Dains, 2018;Gattas, MacMillan, Meinecke, Loane, & Wootton, 2001;Gray et al, 2000;Hardy & Grinzaid, 2017;Hawkins, Creighton, Ho, McManus, & Hayden, 2013;Hilgart et al, 2012;Hopper, Buckman, & Edwards, 2011;Kubendran, Sivamurthy, & Schaefer, 2017;Lea et al, 2005;Mette et al, 2016;Otten, Birnie, Lucassen, Ranchor, & van Langen, 2016;Schwartz et al, 2014;Solomons, Lamb, Lucas, McDonald, & Miesfeldt, 2018;Stalker et al, 2006;Sutphen et al, 2010;Weissman et al, 2018;Wenger et al, 2014;Zilliacus et al, 2011;Zilliacus, Meiser, Lobb, Kirk, et al, 2010). Some studies have shown reductions in cost and time per patient for the clinic and/or the patient (Buchanan et al, 2015;D'Agincourt-Canning et al, 2008;Otten, Birnie, Ranchor, & van Langen, 2016;Schwartz et al, 2014;Weissman et al, 2018), shorter wait times (Cohen et al, 2013;Kubendran et al, 2017;Stalker et al, 2006;Weissman et al, 2018), and a larger geographic reach (Cohen et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Clinical models of telehealth in genetics: A regional telegenetics landscape

Terry

Wylie

Raspa

et al. 2019

Journal of Genetic Counseling

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The use of live video consultations in genetics has been shown to improve patient access with high satisfaction; however, little is known about the current landscape of clinical telehealth models in the field of genetics (i.e., telegenetics). This survey aimed to address that gap across seven states and the District of Columbia. Among 51 self‐defined telegenetics programs responding to an online survey, 32 currently utilized live videoconferencing as at least one of their technologies (i.e., were “video‐capable”). Analysis of this subgroup revealed that medical institutions were the most common program setting, and prenatal and cancer services were the most common sub‐specialty. Forty‐seven percent of these programs reported billing insurance for patient care. When exploring measures of patient access among these programs, 56% had a wait time of under 2 weeks, 25% saw more than 50 patients per month, 50% estimated their geographic reach at over 200 miles, and 59% were able to provide remote telegenetics consultations to patients’ homes. Professional licensure was reported as the biggest barrier, and patient access and convenience were reported as the largest benefit and success. Among the 19 remaining programs, eight currently active programs exclusively used telephone technology; these were less likely to have a geneticist (p = 0.01), had a shorter wait time (p = 0.04), and had been established for a longer time (p = 0.02) when compared to video‐capable programs. Further, two currently active programs indicated the use of store‐and‐forward telehealth. Finally, nine programs were currently planning their programs, with a focus on video‐capable technologies and more varied patient specialties. We observed a diverse landscape of telehealth models being utilized to provide genetic services, and the data demonstrated that these programs are focused on enhancing patient access. Our query about telegenetics drew responses from programs that were not using live videoconferencing technology models, which prompts further exploration, and challenges us to develop consensus around the meaning of “telegenetics.” Similarly, our data suggest a need for continued research to assess the equivalency, accessibility, and role of telephone consultations across genetic services. While a multitude of policy factors influence which service delivery models are utilized, further research on these varied approaches, and their associated patient outcomes, is also needed to inform program development.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical models of telehealth in genetics: A regional telegenetics landscape

Terry

Wylie

Raspa

et al. 2019

Journal of Genetic Counseling

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“…Furthermore, for FDRs in underserviced areas, a telephone-based approach may represent a lowintensity option to provide personalized risk and screening information with health behavioral strategies. [21][22][23] Since the onset of our study, Kinney et al found that, compared with a mailed educational brochure, a telephonebased intervention was effective in improving colonoscopy screening rates in "at-risk relatives" of patients with CRC. 24 They found that greater than one-third of patients in the telephone group who received a personalized CRC risk assessment and counseling session underwent a colonoscopy within 9 months, compared with 16% of controls.…”

Section: Introductionmentioning

confidence: 73%

“…In addition, although brochures have demonstrated some success, they may be less effective than approaches in which a counselor is available to respond to questions and address misinformation or psychosocial issues. Furthermore, for FDRs in underserviced areas, a telephone‐based approach may represent a low‐intensity option to provide personalized risk and screening information with health behavioral strategies …”

Section: Introductionmentioning

confidence: 99%

Telephone versus in‐person colorectal cancer risk and screening intervention for first‐degree relatives: A randomized controlled trial

Esplen

Harrington

Leung

et al. 2019

Cancer

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Background Having a first‐degree relative (FDR) with colorectal cancer (CRC) is a significant risk factor for CRC. Counseling for FDRs regarding CRC risk factors and personalized risk is important to improve knowledge and screening compliance. Methods A 3‐arm randomized controlled trial compared tailored in‐person and telephone CRC counseling interventions with controls among FDRs who were not mutation carriers for known hereditary cancer syndromes, but who were considered to be at an increased risk based on family history. It was hypothesized that both telephone and in‐person approaches would increase CRC knowledge, screening adherence, perceived risk accuracy, and psychosocial functioning compared with controls. The authors anticipated greater satisfaction with the in‐person approach. CRC knowledge, risk perception, psychosocial functioning, and intention to screen were assessed at baseline and at 2‐week and 2‐month follow‐ups (primary endpoint). Results A total of 278 FDRs (mean age, 47.4 years, standard deviation, 11.38 years) participated. At baseline, participants reported low to moderate CRC knowledge and overestimations of risk. Screening adherence was 73.7%. At 2 months, participants in the in‐person arm and telephone arm demonstrated improvements in knowledge and perceived risk and were not found to be statistically different from each other. However, when comparing each intervention with controls, knowledge in the in‐person arm was found to be statistically significantly higher, but the difference between the telephone and control arms was not. Cancer‐related stress reduced over time in all groups. Intervention benefits were maintained at 1 year. Baseline screening intent/adherence were high, and therefore did not reach statistically significant improvement. Conclusions Tailored in‐person or telephone formats for providing CRC risk counseling, incorporating behavioral interventions, appear to improve knowledge and risk perceptions, with high client satisfaction.

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“…This may affect either the primary or permanent dentition and can range from 5 or fewer missing teeth (hypodontia), 6 or more (oligodontia), to complete absence of teeth (anodontia). Dental agenesis may occur in isolation or as part of a syndrome [7].…”

mentioning

confidence: 99%

Association between Dental Agenesis and Cancer-A Systematic Review of Literature

Andrade¹

2019

OAJDS

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Cancer is a heterogeneous disease with clinical and etiological diversity. Teeth are formed from neural crest-derived mesenchyme and epithelium of the first branchial arch and part of the frontonasal process. Dental agenesis is characterized by congenital absence of teeth, affecting approximately 5% to 7% of the population, being more prevalent in the permanent dentition. Some types of cancers such colorectal, ovarian, lung and breast are described as containing association with dental agenesis, having induction factors in association where the mutation in some genes functions as these induction factors for the two pathologies. Through the model of the PRISMA review platform, literature databases were analyzed, where keywords of association of dental agenesis and cancer were used. We found 151 articles that made the association, but only 7 specifically met the search requirements. Some genes such as AXIN2, EDA, FGF3, FGFR2, FGFR10, MSX1 and PAX9 are directly associated with dental agenesis and cancers, such as colorectal, ovarian, lung and breast, since the inactivation of some of them also acts as an induction factor in the developmental predisposition neoplastic. More genetic studies are needed to prove the association between dental agenesis and other types of cancers. However, it is observed that people with dental agenesis already have pre-established genetic alterations, which acts as a facilitator of the development of cancer.

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Comparing Outcomes of Genetic Counseling Options in Breast and Ovarian Cancer: An Integrative Review

Abstract: The demand for genetic counseling will grow as advances in cancer genomics reveal genes that may contribute to cancer predisposition. Innovative delivery models are necessary to ensure that all people have access to care.

Cited by 27 publications

References 25 publications

Clinical models of telehealth in genetics: A regional telegenetics landscape

Clinical models of telehealth in genetics: A regional telegenetics landscape

Telephone versus in‐person colorectal cancer risk and screening intervention for first‐degree relatives: A randomized controlled trial

Association between Dental Agenesis and Cancer-A Systematic Review of Literature

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