Effective Referral of Low-Income Women at Risk for Hereditary Breast and Ovarian Cancer to Genetic Counseling: A Randomized Delayed Intervention Control Trial.

• Autores: Rena J. Pasick, Galen Joseph, Susan L Stewart, Celia Kaplan, Robin Lee, Judith Luce, Sharon K. Davis, Titas Marquez, Tung T. Nguyen, Claudia Guerra
• Localización: American journal of public health, ISSN 0090-0036, Vol. 106, Nº. 10, 2016, págs. 1842-1848
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Objectives: To determine the effectiveness of a statewide telephone service in identifying low-income women at risk for hereditary breast and ovarian cancer and referring them to free genetic counseling. Methods: From June 2010 through August 2011, eligible callers to California's toll-free breast and cervical cancer telephone service were screened for their family histories of breast and ovarian cancer. High-riskwomenwere identified and called for a baseline survey and randomization to an immediate offer of genetic counseling or a mailed brochure on how to obtain counseling. Clinic recordswere used to assess receipt of genetic counseling after 2 months. Results: Among 1212 eligible callers, 709 (58.5%) agreed to answer family history questions; 102 (14%) were at high risk (25% Hispanic, 46% White, 10% Black, 16% Asian, 3% of other racial/ethnic backgrounds). Of the high-risk women offered an immediate appointment, 39%received counseling during the intervention period, as compared with 4.5% of those receiving the brochure. Conclusions: A public health approach to the rare but serious risk of hereditary breast and ovarian cancer can be successful when integrated into the efforts of existing safety net organizations. [ABSTRACT FROM AUTHOR]