Comment on “Can Breast Surgeons Provide Breast Cancer Genetic Testing? An American Society of Breast Surgeons Survey”

Excerpt

Findings in the article by Beitsch and Whitworth1 draw further attention to ongoing debate about the delivery of genetic services. The results of a brief survey completed by breast surgeons suggest overall support to deliver cancer genetic services; however, we contend the data do not support the authors’ conclusion that “most breast surgeons already perform the key elements considered necessary for appropriate genetic testing—obtaining a 3-generation pedigree, providing separate counseling events before and after genetic testing, with interpretation of results—and that many already do so routinely.” Although 63% of respondents reported routinely obtaining a 3-generation pedigree, the survey did not address whether they discuss the following from the American Society of Breast Cancer Surgeons Consensus Statement: (1) risks associated with BRCA mutations; (2) positive, negative, or inconclusive results; and (3) medical and ethical implications of testing or sharing information with family members.2 Thus, additional evidence is needed before concluding that breast surgeons cover standard counseling elements. …