Streamlining genetic testing for women with ovarian cancer in a Northern California health care system

Gynecol Oncol. 2020 Oct;159(1):221-228. doi: 10.1016/j.ygyno.2020.07.027. Epub 2020 Aug 7.

Abstract

Objective: Referral to Genetics for pre-testing counseling may be inefficient for women with ovarian cancer. This study assesses feasibility of gynecologic oncologists directly offering genetic testing.

Methods: A prospective pilot study was conducted at two gynecologic oncology hubs in an integrated healthcare system from May 1 to November 6, 2019. Gynecologic oncologists offered multigene panel testing to women with newly diagnosed ovarian cancer, followed by selective genetic counseling. Outcomes were compared between study participants and women from other hubs in the health system.

Results: Of ovarian cancer patients at study sites, 40 participated and all underwent genetic testing. Of 101 patients diagnosed at other sites, 85% were referred to genetics (p = .0061 compared to pilot participants) and 67% completed testing (p < .0001). The time from diagnosis to blood draw and notification of result was 18.5 and 34 days for the pilot group compared to 25.5 and 53 days at other sites. Panel testing detected 9 (22.5%) and 7 (10.3%, p = .08) pathogenic mutations in each group, respectively. Patients and providers were highly satisfied with the streamlined process.

Conclusion: Genetic testing performed at the gynecologic oncology point of care for patients with ovarian cancer is feasible, increases uptake of testing, and improves time to results.

Keywords: BRCA; Genetic testing; Ovarian cancer; Streamlining.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • California
  • Carcinoma, Ovarian Epithelial
  • Delivery of Health Care, Integrated / organization & administration*
  • Delivery of Health Care, Integrated / statistics & numerical data
  • Feasibility Studies
  • Female
  • Genetic Counseling / statistics & numerical data
  • Genetic Predisposition to Disease
  • Genetic Testing / methods*
  • Genetic Testing / statistics & numerical data
  • Gynecology / methods
  • Gynecology / organization & administration
  • Health Plan Implementation
  • Humans
  • Medical Oncology / methods
  • Medical Oncology / organization & administration
  • Middle Aged
  • Ovarian Neoplasms / diagnosis*
  • Ovarian Neoplasms / genetics
  • Patient Acceptance of Health Care / statistics & numerical data
  • Patient Satisfaction
  • Pilot Projects
  • Point-of-Care Testing / organization & administration*
  • Point-of-Care Testing / statistics & numerical data
  • Program Evaluation
  • Prospective Studies
  • Referral and Consultation / statistics & numerical data
  • Time Factors