1. Germline BRCA Mutation Rates in Latina Women Presenting for Gynecologic Oncology Care.
- Author
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Hong L, Gonzalez R, Unternaehrer J, and Ioffe Y
- Subjects
- Adult, Black or African American genetics, Asian People genetics, Breast Neoplasms diagnosis, Breast Neoplasms genetics, California epidemiology, Ethnicity genetics, Female, Genetic Testing statistics & numerical data, Germ-Line Mutation, Humans, Middle Aged, Ovarian Neoplasms diagnosis, Ovarian Neoplasms genetics, Referral and Consultation statistics & numerical data, White People genetics, BRCA1 Protein analysis, BRCA2 Protein analysis, Breast Neoplasms ethnology, Early Detection of Cancer statistics & numerical data, Hispanic or Latino genetics, Ovarian Neoplasms ethnology
- Abstract
Objective: Germline BRCA mutation rates in the Latina population are yet to be well described. We aimed to quantitate the rates of referral for genetic testing in qualifying women and testing completion rates in a population of women presenting for gynecologic oncology care. Results were then stratified by ethnic/racial background., Methods: Charts of new patients evaluated at a comprehensive cancer center in Southern California were reviewed. Patients qualifying for genetic testing in accordance with NCCN Guidelines version 1.2017 for breast and/or ovarian cancer genetic assessment were identified. The actual rates of prescriptions for genetic testing placed, testing completion rates, test results, as well as patients' family history were abstracted. Data were analyzed with chi-square tests., Results: Five hundred and seventy-two of 2,053 patients met testing criteria, and 256/572 (45%) were prescribed testing in accordance with the guidelines. By ethnicity, testing was prescribed in 44% of Non-Hispanic White (NHW), 44% of Latina, 46% of African-American, and 60% of Asian (p = 0.6) patients. Testing was completed in 65% of NHW, 66% of Latina, 65% of African-American, and 67% of Asian patients (p = 0.97). Completion rates were low overall: 28% of those who met testing criteria were tested (p = 0.85). Pathogenic BRCA mutations were found in 29% of NHW and 21% of Latina, 45% of African-American, and 20% of Asian patients (p = 0.4)., Conclusions: There was no difference by ethnicity in rates of testing prescription, completion, or presence of BRCA mutations. Overall, testing rates were suboptimal. BRCA mutations were found in large percentage of Latinas (21%). Further studies are underway to identify barriers to testing prescriptions and completion for Latina women., (© 2020 S. Karger AG, Basel.)
- Published
- 2020
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