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从遗传学角度来看:优化生殖系检测结果为阴性个体的筛查.pdf

上传人: 明**** 编号:1012432 2025-12-21 14页 763.80KB

1、A Genetic Perspective:Optimizing Screening for Individuals with Negative Germline TestingLindsey Byrne,MS,CGCLindsey.byrneosumc.eduObjectives Describe the role of Genetic Counselors in multidisciplinary hereditary renal cancer clinics.Highlight the discrepancies in screening guidelines for individua

2、ls with familial renal cancer risk(negative germline testing).Genetic Counseling Referrals and Outcomes 253%increase in referrals!Referredn=377Appointment Completedn=279Testedn=240P/LPn=35Carriern=1VUSn=66Negativen=144Assessing Genetic and Urologic Providers on Renal Screening Recommendations for In

3、dividuals with a Family History of Renal Cancer This study aimed to assess current practices regarding screening recommendations for patients with familial RCC risk,evaluate the perceived need for formalized screening guidelines,and identify optimal clinician involvement for developing such guidelin

4、es.A survey of 35 questions was sent out using listservs,professional connections,and snowball methods.Participants were eligible if they currently cared for individuals with RCC and can read English.Genetic CounselorMedical OncologistAPPRN Medical OncologyGeneticistEndocrinologistUrologist010203040

5、50Job TitleJob TitleYears in the Field0-531(44%)6-1013(19%)11-1515(21%)16+11(16%)Formal Genetics TrainingN=62Genetic Counseling Masters degree46(74%)Cancer Genetics Training/Certification13(21%)Fellowship2(3%)No answer and blank9(15%)Results:Participant CharacteristicsGender IdentityFemale62(89%)Mal

6、e7(10%)Prefer not to say1(1%)Race/EthnicityWhite59(84%)Asian9(13%)Middle Eastern or Northern African2(3%)Other Race/Ethnicity1(1%)Prefer not to answer1(1%)Non-Hispanic/Latino68(97%)Hispanic/Latino2(3%)Age Range20-2917(24%)30-3924(34%)40-4911(16%)50-5915(21%)60-693(4%)Results:Participant Characterist

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根据报告的内容,全文主要探讨了遗传咨询在多学科遗传性肾癌诊所中的作用,以及针对家族性肾癌风险个体(阴性基因检测)的筛查指南差异。以下是关键点: 1. 研究发现,遗传咨询在肾癌筛查中的参与度显著增加, referrals 增加 253%。 2. 评估了遗传和泌尿科医生对家族性肾癌风险个体筛查建议的实践,发现存在差异。 3. 91.4% 的参与者认为需要制定基于经验/家族风险的筛查指南。 4. 遗传咨询师、泌尿科医生和医学肿瘤学家是制定指南的主要参与者。 5. 研究强调了制定共识驱动的、基于证据的指南的必要性,以提高临床护理的一致性和患者-医生沟通。
"家族肾癌风险筛查指南缺失?" "遗传咨询师在肾癌筛查中的关键作用?" "优化肾癌家族筛查,专家共识何在?"
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