Table 2.

Current state of referrals for GC and GT in clinical practice and influence of advertisements from GT companies

		Statistically significant differences between clinical practice groups^a

	Participant responses, N (%)	Ob/Gyn vs. Gen Med and NPs	Gen Med vs. Ob/Gyn and NPs	NPs vs. Ob/Gyn and Gen Med
Do you currently order genetic tests directly for your patients for cancer risk?
Yes	23 (16.7)	6.0 (1.9–19.1); P = 0.003	NS	NS
No	115 (83.1)
Do you directly receive advertisements from genetic testing companies about their products available for cancer risk mutations?
Yes	33 (23.6)	7.9 (2.7–22.6); P = 0.0001	0.2 (0.07–0.9); P = 0.03	0.2 (0.04–0.8); P = 0.02
No	107 (76.4)
If “yes,” how much do these advertisements influence your decision to order genetic tests for your patients?
1 = not at all	24 (66.7)	NS	NS	NS
2 = somewhat	12 (33.3)
3 = a lot	0 (0)
Do you currently refer your patients to genetic counseling for cancer risk?
Yes	60 (44.1)	8.1 (3.5–18.9); P < 0.0001	0.4 (0.2–0.9); P = 0.05	0.1 (0.03–0.4); P = 0.0005
No	76 (55.9)
If “yes,” how confident do you feel about your ability to make appropriate referrals for genetic counseling for cancer risk?
1 = not at all confident	7 (11.1)	1.1 (SE = 0.2); P < 0.0001	NS	−1.5 (SE = 0.4); P = 0.0002
2 = somewhat confident	26 (41.3)
3 = confident	21 (33.3)
4 = very confident	7 (11.1)
5 = extremely	2 (3.2)
Do you currently do your own genetic counseling for cancer risk?
Yes	30 (21.6)	2.7 (1.1–6.9); P = 0.04	NS	NS
No	109 (78.4)
If “yes” how would you rate your level of skill related to genetic counseling for cancer risk (1 = novice, 5 = expert)?
1 = novice	8 (26.7)	NS	NS	NS
2	9 (30.0)
3	8 (26.7)
4	5 (16.6)
5 = expert	0 (0)

Reporting odds ratios (95% confidence intervals) and P values for dichotomous variables. Reporting beta coefficient (standard error) and P values for continuous variables.

NS, not significant; Gen Med, general medicine; NP, nurse practitioner.