Display options
Share it on

Oncologist. 2021 Dec;26(12):e2302-e2305. doi: 10.1002/onco.13928. Epub 2021 Aug 26.

Recall of Genomic Testing Results Among Patients with Cancer.

The oncologist

Sam E Wing, Hengrui Hu, Lisa Lopez, Ilana Solomon, Jenny Shen, Catherine Raquel, Melissa Sur, Joseph Chao, Mihaela Cristea, Marwan Fakih, Joanne Mortimer, Sumanta Pal, Karen Reckamp, Yuan Yuan, Stacy W Gray

Affiliations

  1. Department of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, California, USA.
  2. Department of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  3. School of Nursing, University of Texas at Austin, Austin, Texas, USA.
  4. Department of Medical Oncology & Therapeutics Research, City of Hope Comprehensive Cancer Center, Duarte, California, USA.
  5. Department of Psychology, Stony Brook University, Stony Brook, New York, USA.
  6. College of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA.
  7. University of South Florida, Morsani College of Medicine, Tampa, Florida, USA.
  8. Department of Medical Oncology, Cedars-Sinai Medical Center, California, Los Angeles, USA.

PMID: 34355454 DOI: 10.1002/onco.13928

Abstract

BACKGROUND: Genomic testing of somatic and germline DNA has transformed cancer care. However, low genetic knowledge among patients may compromise care and health outcomes. Given the rise in genomic testing, we sought to understand patients' knowledge of their genetic test results.

MATERIALS AND METHODS: We conducted a survey-based study with 85 patients at a comprehensive cancer center. We compared self-reported recall of (a) having had somatic/germline testing and (b) their specific somatic/germline results to the genomic test results documented in the medical record.

RESULTS: Approximately 30% of patients did not recall having had testing. Of those who recalled having testing, 44% of patients with pathogenic/likely pathogenic germline mutations and 57% of patients with reported somatic alterations did not accurately recall their specific gene or variant-level results.

CONCLUSION: Given significant knowledge gaps in patients' recall of genomic testing, there is a critical need to improve patient-directed education and return-of-results strategies.

© 2021 The Authors. The Oncologist published by Wiley Periodicals LLC on behalf of AlphaMed Press.

References

  1. Krakow M, Ratcliff CL, Hesse BW et al. Assessing genetic literacy awareness and knowledge gaps in the US population: Results from the Health Information National Trends Survey. Public Health Genomics 2017;20:343-348. - PubMed
  2. Haga SB, Barry WT, Mills R et al. Public knowledge of and attitudes toward genetics and genetic testing. Genet Test Mol Biomarkers. 2013;17:327-335. - PubMed
  3. Gray SW, Hicks-Courant K, Lathan CS et al. Attitudes of patients with cancer about personalized medicine and somatic genetic testing. J Oncol Pract 2012;8:329-335, 322 p following 335. - PubMed
  4. Lacour RA, Daniels MS, Westin SN et al. What women with ovarian cancer think and know about genetic testing. Gynecol Oncol 2008;111:132-136. - PubMed
  5. Matthews A, Cummings S, Thompson S et al. Genetic testing of African Americans for susceptibility to inherited cancers. J Psychosoc Oncol 2000;18:1-19. - PubMed
  6. Yanes T, Willis AM, Meiser B et al. Psychosocial and behavioral outcomes of genomic testing in cancer: A systematic review. Eur J Hum Genet 2019;27:28-35. - PubMed
  7. Freedman RA, Kouri EM, West DW et al. Racial/ethnic disparities in knowledge about one's breast cancer characteristics. Cancer 2015;121:724-732. - PubMed
  8. Molster C, Charles T, Samanek A et al. Australian study on public knowledge of human genetics and health. Public Health Genomics 2009;12:84-91. - PubMed
  9. Blanchette PS, Spreafico A, Miller FA, et al. Genomic testing in cancer: Patient knowledge, attitudes, and expectations. Cancer 2014;120:3066-3073. - PubMed
  10. Langer MM, Roche MI, Brewer NT et al. Development and validation of a genomic knowledge scale to advance informed decision-making research in genomic sequencing. MDM Policy Pract 2017;2:2381468317692582. - PubMed

Publication Types