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Published in: Journal of Genetic Counseling 1/2012

01-02-2012 | Original Research

Primary Care Physicians’ Awareness, Experience and Opinions of Direct-to-Consumer Genetic Testing

Authors: Karen P. Powell, Whitney A. Cogswell, Carol A. Christianson, Gaurav Dave, Amit Verma, Sonja Eubanks, Vincent C. Henrich

Published in: Journal of Genetic Counseling | Issue 1/2012

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Abstract

The purpose of this study was to assess primary care physicians’ awareness, experience, opinions and preparedness to answer patients’ questions regarding direct-to-consumer (DTC) genetic testing. An anonymous survey was mailed to 2,402 family and internal medicine providers in North Carolina. Of the 382 respondents, 38.7% (n = 148) were aware of and 15% (n = 59) felt prepared to answer questions about DTC genetic tests. Respondents aged 50 or older were more likely to be aware of DTC genetic testing than those less than 40 years old (OR = 2.42). Male providers were more likely to feel prepared to answer questions than female providers (OR = 2.65). Among respondents who reportedly were aware, family practitioners were more likely than internists (OR = 3.30) to think DTC testing was clinically useful, and 18.9% had patients ask questions or bring in test results. The small percent of physicians who were aware of DTC genetic testing or felt prepared to answer questions about it suggests that education of providers will be necessary if testing becomes more widespread.
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Literature
go back to reference 2009 by the numbers. (2009). Nature Medicine, 15(12), 1351–1352. 2009 by the numbers. (2009). Nature Medicine, 15(12), 1351–1352.
go back to reference American Society of Human Genetics. (2007). ASHG statement on direct-to-consumer genetic testing. American Journal of Human Genetics, 81, 635–637.CrossRef American Society of Human Genetics. (2007). ASHG statement on direct-to-consumer genetic testing. American Journal of Human Genetics, 81, 635–637.CrossRef
go back to reference Baars, M. J. H., Henneman, L., & ten Kate, L. P. (2005). Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists and pediatricians: a global problem. Genetics in Medicine, 7(9), 605–610.PubMedCrossRef Baars, M. J. H., Henneman, L., & ten Kate, L. P. (2005). Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists and pediatricians: a global problem. Genetics in Medicine, 7(9), 605–610.PubMedCrossRef
go back to reference Billings, P. R., Kohn, M. A., de Cuevas, M., Beckwith, J., Alper, J. S., & Natowicz, M. R. (1992). Discrimination as a consequence of genetic testing. American Journal of Human Genetics, 50(3), 476–482.PubMed Billings, P. R., Kohn, M. A., de Cuevas, M., Beckwith, J., Alper, J. S., & Natowicz, M. R. (1992). Discrimination as a consequence of genetic testing. American Journal of Human Genetics, 50(3), 476–482.PubMed
go back to reference Burke, W. (2004). Genetic testing in primary care. Annual Review of Genomics and Human Genetics, 5, 1–14.PubMedCrossRef Burke, W. (2004). Genetic testing in primary care. Annual Review of Genomics and Human Genetics, 5, 1–14.PubMedCrossRef
go back to reference Caulfield, T. A. (2001). The informed gatekeeper?: A commentary on genetic tests, marketing pressure and the role of primary care physicians. Health Law Review, 9(3), 14–18.PubMed Caulfield, T. A. (2001). The informed gatekeeper?: A commentary on genetic tests, marketing pressure and the role of primary care physicians. Health Law Review, 9(3), 14–18.PubMed
go back to reference Dillman, D. A., Smyth, J. D., & Christian, L. M. (2009). Internet, mail and mixed-mode surveys: The tailored design method (3rd ed.). Wiley, Inc. Dillman, D. A., Smyth, J. D., & Christian, L. M. (2009). Internet, mail and mixed-mode surveys: The tailored design method (3rd ed.). Wiley, Inc.
go back to reference Evans, J. P., & Green, R. D. (2009). Direct to consumer genetic testing: avoiding a culture war. Genetics in Medicine, 11(8), 568–569.PubMedCrossRef Evans, J. P., & Green, R. D. (2009). Direct to consumer genetic testing: avoiding a culture war. Genetics in Medicine, 11(8), 568–569.PubMedCrossRef
go back to reference Gollust, S. E., Wilfond, B. S., & Chandros Hull, S. (2003). Direct to consumer sales of genetic services on the internet. Genetics in Medicine, 5(4), 332–337.PubMedCrossRef Gollust, S. E., Wilfond, B. S., & Chandros Hull, S. (2003). Direct to consumer sales of genetic services on the internet. Genetics in Medicine, 5(4), 332–337.PubMedCrossRef
go back to reference Greendale, K., & Pyeritz, R. E. (2001). Empowering primary care health professional in medical genetics: how soon? How fast? How far? American Journal of Medical Genetics, 106(3), 223–232.PubMedCrossRef Greendale, K., & Pyeritz, R. E. (2001). Empowering primary care health professional in medical genetics: how soon? How fast? How far? American Journal of Medical Genetics, 106(3), 223–232.PubMedCrossRef
go back to reference Gross, E. D., McBride, C. M., Evans, J. P., & Khoury, M. (2009). Personal utility and genomic information: look before you leap. Genetics in Medicine, 11(8), 575–576.CrossRef Gross, E. D., McBride, C. M., Evans, J. P., & Khoury, M. (2009). Personal utility and genomic information: look before you leap. Genetics in Medicine, 11(8), 575–576.CrossRef
go back to reference Guttmacher, A. E., Jenkins, J., & Uhlmann, W. R. (2001). Genomic medicine: who will practice it? A call to arms. American Journal of Medical Genetics (Semin. Med. Genet.), 106, 216–222.CrossRef Guttmacher, A. E., Jenkins, J., & Uhlmann, W. R. (2001). Genomic medicine: who will practice it? A call to arms. American Journal of Medical Genetics (Semin. Med. Genet.), 106, 216–222.CrossRef
go back to reference Heilman, M. E. (2001). Description and prescription: How gender stereotypes prevent women's ascent up the organizational ladder. Journal of Social Issues, 57(4):657–674. Heilman, M. E. (2001). Description and prescription: How gender stereotypes prevent women's ascent up the organizational ladder. Journal of Social Issues, 57(4):657–674.
go back to reference Holtzman, N. A., & Watson, M. S. (1997). Promoting safe and effective genetic testing in the United States: Final Report of the Task Force on Genetic Testing. Chapter 4: Improving Providers Understanding of Genetic Testing. Available at: http://www.genome.gov/10002396. Accessed on: March 28, 2011. Holtzman, N. A., & Watson, M. S. (1997). Promoting safe and effective genetic testing in the United States: Final Report of the Task Force on Genetic Testing. Chapter 4: Improving Providers Understanding of Genetic Testing. Available at: http://​www.​genome.​gov/​10002396. Accessed on: March 28, 2011.
go back to reference Kolor, K., Liu, T., St. Pierre, J., & Khoury, M. J. (2009). Health care provider and consumer awareness, perceptions and use of direct-to-consumer personal genomic tests, United States, 2008. Genetics in Medicine, 11(8), 595.PubMedCrossRef Kolor, K., Liu, T., St. Pierre, J., & Khoury, M. J. (2009). Health care provider and consumer awareness, perceptions and use of direct-to-consumer personal genomic tests, United States, 2008. Genetics in Medicine, 11(8), 595.PubMedCrossRef
go back to reference Lind, D. S., Rekkas, S., Bui, V., Lam, T., Beierle, E., & Copeland, E. M. (2002). 3rd. Competency-based student self-assessment on a surgery rotation. Journal of Surgical Research, 105(1):31–34. Lind, D. S., Rekkas, S., Bui, V., Lam, T., Beierle, E., & Copeland, E. M. (2002). 3rd. Competency-based student self-assessment on a surgery rotation. Journal of Surgical Research, 105(1):31–34.
go back to reference Lydeard, S. (1996). Avoid surveys masquerading as research [commentary]. British Medical Journal, 313, 733–734.CrossRef Lydeard, S. (1996). Avoid surveys masquerading as research [commentary]. British Medical Journal, 313, 733–734.CrossRef
go back to reference McAvoy, B. R., & Kaner, E. F. S. (1996). General practice postal surveys: a questionnaire too far? British Medical Journal, 313, 732–733.PubMedCrossRef McAvoy, B. R., & Kaner, E. F. S. (1996). General practice postal surveys: a questionnaire too far? British Medical Journal, 313, 732–733.PubMedCrossRef
go back to reference McGuire, A. L., Diaz, C. M., Wang, T., & Hilsenbeck, S. G. (2009). Social networkers’ attitudes toward direct-to-consumer personal genome testing. The American Journal of Bioethics, 9(6–7), 3–10.PubMedCrossRef McGuire, A. L., Diaz, C. M., Wang, T., & Hilsenbeck, S. G. (2009). Social networkers’ attitudes toward direct-to-consumer personal genome testing. The American Journal of Bioethics, 9(6–7), 3–10.PubMedCrossRef
go back to reference Miller, F. A., Carroll, J. C., Wilson, B. J., Bytautas, J. P., Allanson, J., Cappelli, M., et al. (2010). The primary care physician role in cancer genetics; a qualitative study of patient experience. Family Practice, 27, 563–569.PubMedCrossRef Miller, F. A., Carroll, J. C., Wilson, B. J., Bytautas, J. P., Allanson, J., Cappelli, M., et al. (2010). The primary care physician role in cancer genetics; a qualitative study of patient experience. Family Practice, 27, 563–569.PubMedCrossRef
go back to reference Morren, M., Rijken, M., Baanders, A. N., & Bensing, J. (2007). Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease. Patient Education and Counseling, 65(2), 197–204.PubMedCrossRef Morren, M., Rijken, M., Baanders, A. N., & Bensing, J. (2007). Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease. Patient Education and Counseling, 65(2), 197–204.PubMedCrossRef
go back to reference Offit, K. (2008). Genomic profiles for disease risk: predictive or premature? Journal of the American Medical Association, 299(11), 1353–1355.PubMedCrossRef Offit, K. (2008). Genomic profiles for disease risk: predictive or premature? Journal of the American Medical Association, 299(11), 1353–1355.PubMedCrossRef
go back to reference Suther, S., & Goodson, P. (2003). Barriers to the provision of genetic services by primary care physicians: a systematic review of the literature. Genetics in Medicine, 5(2), 70–76.PubMedCrossRef Suther, S., & Goodson, P. (2003). Barriers to the provision of genetic services by primary care physicians: a systematic review of the literature. Genetics in Medicine, 5(2), 70–76.PubMedCrossRef
go back to reference Swan, M. (2010). Multigenic condition risk assessment in direct-to-consumer genomic services. Genetics in Medicine, 12(5), 279–288.PubMedCrossRef Swan, M. (2010). Multigenic condition risk assessment in direct-to-consumer genomic services. Genetics in Medicine, 12(5), 279–288.PubMedCrossRef
go back to reference Williams-Jones, B. (2003). Where there’s a web, there’s a way: commercial genetic testing and the Internet. Community Genetics, 6(1), 46–57.PubMedCrossRef Williams-Jones, B. (2003). Where there’s a web, there’s a way: commercial genetic testing and the Internet. Community Genetics, 6(1), 46–57.PubMedCrossRef
Metadata
Title
Primary Care Physicians’ Awareness, Experience and Opinions of Direct-to-Consumer Genetic Testing
Authors
Karen P. Powell
Whitney A. Cogswell
Carol A. Christianson
Gaurav Dave
Amit Verma
Sonja Eubanks
Vincent C. Henrich
Publication date
01-02-2012
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 1/2012
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-011-9390-9

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