Table 4.
Genetic Counseling
| GC Requirement Policy | BRCA1/2 Testing | ||||||
|---|---|---|---|---|---|---|---|
| Total N (%) |
Before N (%) |
After N (%) |
P-value | Tested N (%) |
Not Tested N (%) |
P-value | |
| Received Genetic Counseling | |||||||
| Total | n = 1247 | n = 297 | n = 940 | n = 966 | n = 271 | ||
| Yes | 802 (64.3%) | 86 (28.9%) | 716 (75.5%) | < 0.0001 | 689 (71.3%) | 107 (39.5%) | < 0.0001 |
| No | 389 (31.2%) | 193 (64.8%) | 196 (20.7%) | 243 (25.2%) | 144 (53.1%) | ||
| Unknown | 40 (3.2%) | 12 (4.0%) | 28 (3.0%) | 27 (2.8%) | 12 (4.4%) | ||
| Most Commonly Reported Reasons for Receiving Genetic Counselinga | |||||||
| Total | n = 802 | n = 86 | n = 716 | n = 689 | n = 107 | ||
| Insurance Requirement | 592 (73.8%) | 14 (16.3%) | 578 (80.7%) | < 0.0001 | 504 (73.1%) | 85 (79.4%) | 0.16 |
| Chance to better Understand the Test Results | 246 (30.7%) | 41 (47.7%) | 205 (28.6%) | 0.0003 | 224 (32.5%) | 21 (19.6%) | 0.0054 |
| Recommended by Doctor | 217 (27.1%) | 55 (64.0%) | 162 (22.6%) | < 0.0001 | 196 (28.4%) | 21 (19.6%) | 0.049 |
| Most Commonly Reported Reasons for Not Receiving Genetic Counselinga | |||||||
| Total | n = 389 | n = 193 | n = 196 | n = 243 | n = 144 | ||
| Was not Aware GC was Available | 175 (45.1%) | 122 (63.2%) | 53 (27.2%) | < 0.0001 | 145 (59.9%) | 28 (19.4%) | < 0.0001 |
| Insurance Issues/Requirements | 88 (22.6%) | 22 (11.4%) | 66 (33.7%) | < 0.0001 | 17 (7%) | 70 (48.6%) | < 0.0001 |
| Inconvenience of Additional Step | 30 (7.7%) | 10 (5.2%) | 20 (10.3%) | 0.06 | 12 (5%) | 18 (12.5%) | 0.0087 |
| Time Restraints | 29 (7.5%) | 5 (2.3%) | 24 (12.3%) | 0.0003 | 12 (5%) | 17 (11.8%) | 0.016 |
| Not Interested in Pursuing | 24 (6.2%) | 14 (7.3%) | 10 (5.1%) | 0.38 | 16 (6.6%) | 8 (5.6%) | 0.68 |
| Cost of Appointment | 23 (5.9%) | 7 (3.6%) | 16 (8.2%) | 0.06 | 4 (1.7%) | 19 (13.2%) | < 0.0001 |
| Did you receive a benefit from genetic counseling? | |||||||
| Total | n = 632 | n = 103 | n = 529 | n = 521 | n = 110 | ||
| Yes | 503 (79.6%) | 80 (77.7%) | 423 (80.0%) | 0.60 | 438 (84.1%) | 64 (58.2%) | < 0.0001 |
| No | 129 (20.4%) | 23 (22.3%) | 106 (20.0%) | 83 (15.9%) | 46 (41.8%) | ||
| Would you recommend genetic counseling to family or friends? | |||||||
| Total | n = 633 | n = 102 | n = 531 | n = 524 | n = 109 | ||
| Yes | 574 (90.7%) | 99 (97.6%) | 475 (89.5%) | 0.014 | 479 (91.4%) | 95 (87.2%) | 0.18 |
| No | 59 (9.3%) | 3 (2.9%) | 56 (10.6%) | 45 (8.6%) | 14 (12.8%) | ||
| Would you utilize genetic counseling in the future? | |||||||
| Total | n = 626 | n = 103 | n = 523 | n = 518 | n = 108 | ||
| Yes | 548 (87.5%) | 95 (92.2%) | 453 (86.6%) | 0.10 | 454 (87.6%) | 94 (87.0%) | 0.86 |
| No | 78 (12.5%) | 8 (7.8%) | 70 (13.4%) | 64 (12.4%) | 14 (13%) | ||
Categories are non-exclusive