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11-05-2024 | Pancreatic Cancer | Review

Expanding access to genetic testing for pancreatic cancer

Authors: Nicolette Juliana Rodriguez, Sapna Syngal

Published in: Familial Cancer

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Abstract

Among individuals with pancreatic ductal adenocarcinoma (PDAC) 5–10% have a pathogenic germline variant (PGV) in a PDAC susceptibility gene. Guidelines recommend genetic testing among all individuals with PDAC. Additionally, at-risk relatives of PDAC patients benefit from their own genetic education, risk assessment, and testing. Multigene panel testing (MGPT) can identify individuals with inherited cancer risk who can benefit from early cancer surveillance and risk reduction strategies. This manuscript discusses various healthcare delivery models for MGPT including traditional in-person genetic counseling, novel integrated in-person infrastructures, telemedicine genetics care via telephone- or video-visits and direct-to-consumer testing. Barriers and facilitators to care on the individual, provider, and system level are also outlined including specific considerations for historically marginalized communities.
Literature
2.
go back to reference American Cancer Society. Cancer Facts & Fig. (2024) Atlanta: American Cancer Society; 2024 American Cancer Society. Cancer Facts & Fig. (2024) Atlanta: American Cancer Society; 2024
9.
go back to reference National Comprehensive Cancer Network (NCCN) (2023) Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic Version 3.2023 National Comprehensive Cancer Network (NCCN) (2023) Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic Version 3.2023
16.
22.
go back to reference Rodriguez NJ, Coffin TB, Ward AJ et al (2023) The Racial/ethnic equity in GENetic Education, Risk Assessment, and TEsting (REGENERATE) among black and Latino/a/x communities At-risk for pancreatic Cancer - Preliminary findings from Online Focus Groups. Gastroenterol - DDW 2023 Abstracts 164(6):S–733. https://doi.org/10.1016/S0016-5085(23)02702-6CrossRef Rodriguez NJ, Coffin TB, Ward AJ et al (2023) The Racial/ethnic equity in GENetic Education, Risk Assessment, and TEsting (REGENERATE) among black and Latino/a/x communities At-risk for pancreatic Cancer - Preliminary findings from Online Focus Groups. Gastroenterol - DDW 2023 Abstracts 164(6):S–733. https://​doi.​org/​10.​1016/​S0016-5085(23)02702-6CrossRef
28.
go back to reference Halder R, Veeravelli S, Cheng C, Estrada-Mendizabal RJ, Recio-Boiles A (2023) Health disparities in Presentation, Treatment, genomic testing, and outcomes of pancreatic Cancer in hispanic and non-hispanic patients. J Racial Ethn Health Disparities Apr 18. https://doi.org/10.1007/s40615-022-01486-1 Halder R, Veeravelli S, Cheng C, Estrada-Mendizabal RJ, Recio-Boiles A (2023) Health disparities in Presentation, Treatment, genomic testing, and outcomes of pancreatic Cancer in hispanic and non-hispanic patients. J Racial Ethn Health Disparities Apr 18. https://​doi.​org/​10.​1007/​s40615-022-01486-1
33.
go back to reference Rodriguez NJ, Furniss CS, Yurgelun MB et al (2024) A Randomized Trial of two Remote Healthcare Delivery models on the uptake of genetic testing and impact on patient-reported psychological outcomes in families with pancreatic Cancer: the Genetic Education, Risk Assessment, and testing (GENERATE) study. Gastroenterol Feb 04. https://doi.org/10.1053/j.gastro.2024.01.042 Rodriguez NJ, Furniss CS, Yurgelun MB et al (2024) A Randomized Trial of two Remote Healthcare Delivery models on the uptake of genetic testing and impact on patient-reported psychological outcomes in families with pancreatic Cancer: the Genetic Education, Risk Assessment, and testing (GENERATE) study. Gastroenterol Feb 04. https://​doi.​org/​10.​1053/​j.​gastro.​2024.​01.​042
49.
go back to reference National Academies of Sciences, Engineering, and Medicine; Policy and Global Affairs; Committee on Women in Science, Engineering, and Medicine; Committee on Improving the Representation of Women and Underrepresented Minorities in Clinical Trials and Research. Improving representation in clinical trials and research: building research equity for women and underrepresented groups. Bibbins-Domingo K, Helman A, editors. Washington (DC): National Academies Press (US); 2022 May 17. PMID: 36137057 National Academies of Sciences, Engineering, and Medicine; Policy and Global Affairs; Committee on Women in Science, Engineering, and Medicine; Committee on Improving the Representation of Women and Underrepresented Minorities in Clinical Trials and Research. Improving representation in clinical trials and research: building research equity for women and underrepresented groups. Bibbins-Domingo K, Helman A, editors. Washington (DC): National Academies Press (US); 2022 May 17. PMID: 36137057
55.
go back to reference Gerido LH, Griggs JJ, Resnicow K et al (2023) The Michigan Genetic Hereditary Testing (MiGHT) study’s innovative approaches to promote uptake of clinical genetic testing among cancer patients: a study protocol for a 3-arm randomized controlled trial. Trials Feb 10(1):105. https://doi.org/10.1186/s13063-023-07125-2CrossRef Gerido LH, Griggs JJ, Resnicow K et al (2023) The Michigan Genetic Hereditary Testing (MiGHT) study’s innovative approaches to promote uptake of clinical genetic testing among cancer patients: a study protocol for a 3-arm randomized controlled trial. Trials Feb 10(1):105. https://​doi.​org/​10.​1186/​s13063-023-07125-2CrossRef
Metadata
Title
Expanding access to genetic testing for pancreatic cancer
Authors
Nicolette Juliana Rodriguez
Sapna Syngal
Publication date
11-05-2024
Publisher
Springer Netherlands
Published in
Familial Cancer
Print ISSN: 1389-9600
Electronic ISSN: 1573-7292
DOI
https://doi.org/10.1007/s10689-024-00389-w
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