Differential Receipt of Genetic Services Among Patients With Gynecologic Cancer and Their Relatives: A Review of Challenges to Health Equity.

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Clinical obstetrics and gynecology Pub Date : 2024-12-01 Epub Date: 2024-09-27 DOI:10.1097/GRF.0000000000000893

Alexa Kanbergs, J Alejandro Rauh-Hain, Roni N Wilke

引用次数: 0

Abstract

Up to 14% of endometrial cancers and 23% of epithelial ovarian cancers are associated with genetic predispositions. Referral for genetic testing and counseling can significantly impact a patient's oncologic outcomes. However, significant disparities in genetic referral and testing exist within medically underserved and minority populations in the United States. These disparities in care and access to care are multifactorial, often involving patient-level, health care-level, and system-level factors. In this review, we focus on disparities in genetic testing among patients with ovarian and uterine cancer, and the missed opportunities for primary cancer prevention among their relatives.

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妇科癌症患者及其亲属接受遗传服务的差异：健康公平挑战综述》。

多达 14% 的子宫内膜癌和 23% 的上皮性卵巢癌与遗传倾向有关。转诊接受基因检测和咨询可对患者的肿瘤治疗效果产生重大影响。然而，在美国，医疗服务不足人群和少数民族人群在遗传转诊和检测方面存在巨大差异。这些医疗和就医方面的差异是多因素造成的，通常涉及患者层面、医疗层面和系统层面的因素。在本综述中，我们将重点关注卵巢癌和子宫癌患者在基因检测方面的差异，以及他们的亲属在癌症一级预防方面错失的机会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical obstetrics and gynecology 医学-妇产科学

CiteScore

2.70

自引率

0.00%

发文量

186

审稿时长

3 months

期刊介绍： Each issue of Clinical Obstetrics and Gynecology is a complete symposium on one or two timely topics of interest in obstetrics and gynecology. For each quarterly issue, two prominent guest editors solicit contributions on key clinical topics of interest to practicing physicians. Procedures, current clinical problems, medical and surgical treatments, and effective diagnostic aids are all carefully reviewed in original articles. The result is an instructive resource that dispenses trustworthy clinical guidance that enhances your understanding of key areas of your practice.