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Research ArticleHealth Policy

Primary Care Implications of the Expanded National Guidelines for Germline Testing of Patients Previously Diagnosed with Colorectal Cancer

Steven Sorscher
The Journal of the American Board of Family Medicine April 2023, 36 (2) 360-365; DOI: https://doi.org/10.3122/jabfm.2022.220288R1
Steven Sorscher
Author is in private practice as an oncologist.
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References

  1. 1.↵
    American Cancer Society [Internet]. Cancer facts and statistics; 2022 [accessed 2022 Nov 1]. Available from: https://www.cancer.org/research/cancer-facts-statistics.html.
  2. 2.↵
    American Cancer Society [Internet]. ACS key statistics for colorectal cancer; 2022 [accessed 2022 Nov 1]. Available from: https://www.cancer.org/cancer/colon-rectal cancer/about/key-statistics.html#:∼:text=In%20addition%2C%20treatments%20for%20colorectal,cancer%20in%20the%20United%20States.
  3. 3.↵
    1. Benson AB,
    2. Venook AP,
    3. Al-Hawary MM,
    4. et al.
    [Internet]. NCCN clinical practice guidelines in oncology (NCCN guidelines) colon cancer, version 1.2022; 2022. Available from: https://www.nccn.org/professionals/physician_gls/pdf/colon.pdf.
  4. 4.↵
    1. Gupta S,
    2. Weiss JM,
    3. Axel L,
    4. et al
    . Clinical practice guidelines in oncology (NCCN guidelines) genetic/familial high-risk assessments: colorectal, version 1.2022; 2022. Available from: https://www.nccn.org/professionals/physician_gls/pdf/genetics_colon.pdf.
  5. 5.↵
    1. Jagsi R,
    2. Huang G,
    3. Griffith K,
    4. et al
    . Attitudes toward and use of cancer management guidelines in a national sample of medical oncologists and surgeons. J Natl Compr Canc Netw 2014;12:204–12.
    OpenUrlAbstract/FREE Full Text
  6. 6.↵
    National Comprehensive Cancer Center Network [Internet]. About clinical practice guidelines; 2022 [accessed 2022 Nov 1]. Available from: https://www.nccn.org/guidelines/guidelines-process/about-nccn-clinical-practice-guidelines.
  7. 7.↵
    1. Poplin R,
    2. Zook JM,
    3. DePristo M,
    4. et al
    . Challenges of accuracy in germline clinical sequencing data. JAMA 2021;326:268–9.
    OpenUrl
  8. 8.↵
    1. Lynce F,
    2. Isaacs C
    . How far do we go with genetic evaluation? Gene, panel, and tumor testing. Educational Book 2016;E72–8.
  9. 9.↵
    1. Srinivasan P,
    2. Bandlamudi C,
    3. Jonsson P,
    4. et al
    . The context-specific role of germline pathogenicity in tumorigenesis. Nat Genet 2021;53:1577–85.
    OpenUrl
  10. 10.↵
    National Comprehensive Cancer Network [Internet]. Family history and inherited cancer genes; 2022 [accessed 2022 Nov 1]. Available from:https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/inherited-cancer-genes-and-increased-cancer-risk/family-history-and-inherited-cancer-genes#:∼:text=Genetic%20specialists%20estimate%20that%20between,of%20different%20types%20of%20cance.
  11. 11.↵
    National Cancer Institute [Internet]. Causes and prevention; 2022 [accessed 2022 Nov 1]. Available from: https://www.cancer.gov/about-cancer/causes-prevention/genetics.
  12. 12.↵
    1. Kastrinos F,
    2. Syngal S
    . Inherited colorectal cancer syndromes. Cancer J 2011;17:405–15.
    OpenUrlCrossRefPubMedWeb of Science
  13. 13.↵
    1. Burn J,
    2. Sheth H,
    3. Elliott F,
    4. et al
    . Cancer prevention with aspirin in hereditary colorectal cancer (Lynch syndrome), 10-year follow-up and registry-based 20-year data in a CAPP2 study: a double blind, randomized, placebo-controlled trial. Lancet 2020;395:1855–63.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Pearlman R,
    2. Frankel WL,
    3. Swanson B
    , Ohio Colorectal Cancer Prevention Initiative Study Groupet al. Prevalence and spectrum of germline cancer susceptibility gene mutations among patients with early-onset colorectal cancer. JAMA Oncol 2017;3:464–71.
    OpenUrl
  15. 15.↵
    1. Yurgelun MB,
    2. Kulke MH,
    3. Fuchs CS,
    4. et al
    . Cancer susceptibility gene mutations in individuals with colorectal cancer. J Clin Oncol 2017;35:1086–95.
    OpenUrlCrossRefPubMed
  16. 16.↵
    1. Uson PLS,
    2. Riegert-Johnson D,
    3. Boardman L,
    4. et al
    . Germline cancer susceptibility gene testing in unselected patients with colorectal adenocarcinoma: a multicenter prospective trial. Clin Gastroenterol Hepatol 2022;20:e508–28.
    OpenUrlPubMed
  17. 17.↵
    1. Jiang W,
    2. Li L,
    3. Ke C-F,
    4. et al
    . Universal germline testing among patients with colorectal cancer: clinical actionability and optimized panel. J Med Genet 2022;59:370–6.
    OpenUrlAbstract/FREE Full Text
  18. 18.↵
    1. Daly MB,
    2. Tuya P,
    3. Buys SS,
    4. et al.
    [Internet]. NCCN clinical practice guidelines in oncology (NCCN guidelines): genetic/familial assessment: breast, ovarian and pancreatic, version 2.2022; 2022. Available from: https://www.nccn.org/professionals/physician_gls/pdf/genetics_bop.pdf.
  19. 19.↵
    1. Walker JL,
    2. Powell CB,
    3. Chen L-M,
    4. et al
    . Society of Gynecologic Oncology recommendations for the prevention of ovarian cancer. Cancer 2015;121:2108–20.
    OpenUrlPubMed
  20. 20.↵
    1. Mahdavi M,
    2. Nassiri M,
    3. Kooshyar MM,
    4. et al
    . Hereditary breast cancer; genetic penetrance and current status with BRCA. J Cell Physiol 2019 May;234:5741–50.
    OpenUrl
  21. 21.↵
    1. Duenas DM,
    2. Shipman KJ,
    3. Porter KM,
    4. et al
    . Motivations and concerns of patients considering participation in an implementation study of a hereditary cancer risk assessment program in diverse primary care settings. Genet Med 2022;24:610–21.
    OpenUrl
  22. 22.↵
    1. Halverson CME,
    2. Wessinger BC,
    3. Clayton EW,
    4. Wiesner GL
    . Patients’ willingness to reconsider genetic testing after initially declining: mention it again. J Genet Couns 2020;29:18–24.
    OpenUrl
  23. 23.↵
    President’s Cancer Panel [Internet]. Closing gaps in cancer screening: connecting people, communities, and systems to improve equity and access; 2022 [accessed 2022 Nov 1]. Available from: https://prescancerpanel.cancer.gov/report/cancerscreening/.
  24. 24.↵
    1. Williams CD,
    2. Bullard AJ,
    3. O'Leary M,
    4. Thomas R,
    5. Redding TS,
    6. Goldstein K
    . Racial/ethnic disparities in BRCA counseling and testing: a narrative review. J Racial Ethn Health Disparities 2019;6:570–83.
    OpenUrl
  25. 25.↵
    1. Hoskins PJ,
    2. Gotlieb WH
    . Missed therapeutic and prevention opportunities in women with BRCA-mutated epithelial ovarian cancer and their families due to low referral rates for genetic counseling and BRCA testing: a review of the literature. CA Cancer J Clin 2017;67:493–506.
    OpenUrlPubMed
  26. 26.↵
    1. Luctkar-Flude M,
    2. Aiken A,
    3. McColl MA,
    4. Tranmer J,
    5. Langley H
    . Are primary care providers implementing evidence-based care for breast cancer survivors? Can Fam Physician 2015;61:978–84.
    OpenUrlAbstract/FREE Full Text
  27. 27.↵
    1. Green MJ,
    2. Botkin JR
    . “Genetic exceptionalism” in medicine: clarifying the differences between genetic and non-genetic tests. Ann Intern Med 2003;138:571–5.
    OpenUrlCrossRefPubMedWeb of Science
  28. 28.↵
    1. Burke W,
    2. Parens E,
    3. Chung WK
    . The challenge of genetic variants of uncertain clinical significance: a narrative review. Ann Intern Med 2022;175:994–1000.
    OpenUrl
  29. 29.↵
    1. Crabtree BF,
    2. Miller WL,
    3. Howard J,
    4. et al
    . Cancer survivorship care roles for primary care physicians. Ann Fam Med 2020;18:202–9.
    OpenUrlAbstract/FREE Full Text
  30. 30.↵
    1. Burke W
    . Genetic testing in primary care. Annu Rev Genomics Hum Genet 2004;5:1–14.
    OpenUrlCrossRefPubMedWeb of Science
  31. 31.↵
    1. Hong S,
    2. Nekhlyudov L,
    3. Didwania A,
    4. Olopade O,
    5. Ganschow P
    . Cancer survivorship care: exploring the role of the general internist. J Gen Intern Med 2009;24:495–500.
    OpenUrlPubMed
  32. 32.↵
    1. Nekhlyudov L,
    2. Greenfield S
    . Cancer survivorship care for the general internist: have we paved the way for a smoother transition? J Gen Intern Med 2009;24:381–2.
    OpenUrlPubMedWeb of Science
  33. 33.↵
    1. Rubin G,
    2. Berendsen A,
    3. Crawford SM,
    4. et al
    . The expanding role of primary care in cancer control. Lancet Oncol 2015;16:1231–72.
    OpenUrlCrossRefPubMed
  34. 34.↵
    1. Lemke AA,
    2. Amendola LM,
    3. Kuchta K,
    4. et al
    . Primary care physician experiences with integrated population-scale genetic testing: a mixed-methods assessment. JPM 2020;10:165.
    OpenUrl
  35. 35.↵
    1. Hauser D,
    2. Obeng AO,
    3. Fei K,
    4. et al
    . Views of primary care providers on testing patients for genetic risks for common chronic diseases. Health Aff (Millwood) 2018;37:793–800.
    OpenUrlPubMed
  36. 36.↵
    1. Osler W
    . The Quotable Osler. 2008. ACP Press.
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The Journal of the American Board of Family     Medicine: 36 (2)
The Journal of the American Board of Family Medicine
Vol. 36, Issue 2
March/April 2023
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Primary Care Implications of the Expanded National Guidelines for Germline Testing of Patients Previously Diagnosed with Colorectal Cancer
Steven Sorscher
The Journal of the American Board of Family Medicine Apr 2023, 36 (2) 360-365; DOI: 10.3122/jabfm.2022.220288R1

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Primary Care Implications of the Expanded National Guidelines for Germline Testing of Patients Previously Diagnosed with Colorectal Cancer
Steven Sorscher
The Journal of the American Board of Family Medicine Apr 2023, 36 (2) 360-365; DOI: 10.3122/jabfm.2022.220288R1
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    • The Expanded National Comprehensive Cancer Network Guidelines for Genetic Testing
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Keywords

  • Colorectal Cancer
  • Genetic Testing
  • Germline Mutation
  • Primary Health Care
  • Risk Assessment

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