By Institute of Medicine, National Cancer Policy Forum
These lawsuits 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 participants Betty Ferrell and Patricia Ganz, famous that genetic checking out and counseling have gotten extra advanced and critical 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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Extra resources for Cancer-Related Genetic Testing and Counseling
Javitt: That’s right. If you say no to everything except Ashkenazi Jewish ancestry they still recommend testing. You receive a personalized report. The company states that it has board-certified genetic counselors on staff and provides posttest consultation as part of the service. If you fill out the online questionnaire answering no to every question except that you were diagnosed with breast cancer after age 50—for example, no to any family history and things like that—the site recommends full gene sequencing because you are the first person in the family to be tested, and you don’t have Ashkenazi Jewish ancestry.
There have been some studies about what impact that had. The CDC did a phone survey that showed increased awareness in the cities where the advertising campaign was piloted but not necessarily more interest in getting tested (Genetic testing, 2004). , 2005). But other than that example, the trend in DTC has been both advertising and sale of tests. There are many examples not related to health care that I am not going to focus on: ancestry and paternity testing, for example. There are also tests that are health related and health profiling—for diseaserelated genes, predictive genes, profiling, pharmacogenetic tests, tests for your heart health, your bone health, and even tests for athletic performance that help determine which sport is right for you.
DNA Direct happens to be offering three out of these four examples (although the tests themselves are performed for DNA Direct by Laboratory Corporation of America), so I will be spending a little time discussing their website so you can get a sense of what claims are being made. This company offers testing for the BRCA mutations. The site offers a choice of full sequencing, multisite testing, and single-site testing. It says that full sequencing is appropriate when you are the first person in your family to test and you are not Ashkenazi Jewish.