Download Cancer-Related Genetic Testing and Counseling by Institute of Medicine, National Cancer Policy Forum PDF
By Institute of Medicine, National Cancer Policy Forum
These court cases of a workshop provided to the Institute of Medicine's (IOM) nationwide melanoma coverage discussion board on March 30, 2007, are the results of discussion board discussions approximately genetic trying out and counseling at its conferences on June sixteen and October 30, 2006. these discussions, led by way of discussion board individuals Betty Ferrell and Patricia Ganz, famous that genetic trying out and counseling have gotten extra complicated and significant for informing sufferers and households of dangers and merits of definite classes of motion, and but equipped specialist courses are briefly supply.
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Additional info for Cancer-Related Genetic Testing and Counseling
We might start with sequencing and then do the rearrangement test or start with the Ashkenazi multisite screening panel, then gene sequencing, then the rearrangement test. In colon cancer testing, we might start with tumor tissue, then move to targeted testing, then a rearrangement test, and then we do MYH testing or something else. So, it is quite complicated. Also, we start with an affected family member first, if we can. For example, if a woman comes in and says, “I am worried because my father has had colon cancer,” then we want to see the father if he is available and get the testing done on him, or the aunt or uncle.
I think we don’t know what impact DTC is going to have; that is absolutely right. The CDC is trying to get some data on who is using it and what kind of effect it has. It may wind up being small. But we have looked at it as a real tool for looking nationally at the flaws in genetic testing oversight more broadly, flaws which I think are affecting the public health and need to be fixed. So it is serving that role, in addition to just being an interesting phenomenon. Dr. Ferrell, Research Scientist, City of Hope National Medical Center: Just like Dr.
A variety of concerns have been raised about it, but there are very few limits on its practice. It is also a good lens for looking at the state of oversight of genetic testing more generally and the gaps that exist. I think we can all agree that we would like accurate information to diagnose, treat, and prevent disease; that laboratories should be qualified; that providers Copyright © National Academy of Sciences. All rights reserved. html PREPARED PRESENTATIONS AND DISCUSSION 41 and patients ought to have adequate information about genetic tests; and that we need a regulatory system that encourages doing a good job, rather than the current one, where the incentive is to do less and not to go through the FDA.