Oncology teams order germline tests; tele-genetic counsellors handle the results
There are too few genetic counsellors to see every patient who should have an inherited-risk test. Let the cancer team order the test with a short consent script, and use video counsellors for those with results that matter.
Mainstreaming, in which oncologists and nurses consent and order germline testing with genetic counselling reserved for positive or complex results, has been shown in ovarian and breast cancer to increase testing rates and shorten time to result without harm. Combined with a pooled tele-genetics service, it would let genetic counsellors cover a much larger population. The proposal is to make this the default pathway with a national tele-genetics roster.
- Not enough oncologists, nurses, pathologists, physicists · The number of people with cancer is rising faster than the workforce trained to treat them.
- Inherited risk is mostly unidentified · Most people who carry a high-risk cancer gene do not know it until they or a relative gets cancer.
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not linked directly; found by shared links- IdeaA chatbot for pre-test genetic counselling so counsellors see only who needs them
Shares Inherited risk is mostly unidentified, Not enough oncologists, nurses, pathologists, physicists, Germline (hereditary) testing.
- IdeaGo back to families of women who died of ovarian cancer and offer BRCA testing
Shares Inherited risk is mostly unidentified, Germline (hereditary) testing, Ovarian cancer.
- IdeaUse a polygenic risk score to set when screening starts
Shares Inherited risk is mostly unidentified, Germline (hereditary) testing, HR-positive / HER2-negative breast cancer, Colorectal cancer.
- IdeaAutomatic germline testing for every cancer type where it changes care
Shares Inherited risk is mostly unidentified, Germline (hereditary) testing, Ovarian cancer, Colorectal cancer.
- IdeaPopulation germline screening for hereditary cancer genes with cascade testing
Shares Inherited risk is mostly unidentified, Germline (hereditary) testing, Ovarian cancer, HR-positive / HER2-negative breast cancer.
- IdeaFamily history collected by app and matched to testing criteria automatically
Shares Inherited risk is mostly unidentified, Germline (hereditary) testing.
- IdeaBan life and disability insurers from using genetic results
Shares Inherited risk is mostly unidentified, Germline (hereditary) testing.
- IdeaBuild polygenic scores that work in every ancestry before deploying any
Shares Inherited risk is mostly unidentified, Germline (hereditary) testing.