Table 2.
Physician referral to genetic counseling | Women with known genetic assessment outcome | Included womena | Median (days) | IQR (days) | 90th Percentile (days) | p‐Value |
---|---|---|---|---|---|---|
Program year | ||||||
2011–2012 (reference) | 1,854 | 1,022 | 57 | 14–119 | 191 | — |
2012–2013 | 2,162 | 1,409 | 48 | 3–110 | 194 | .002 |
2013–2014 | 2,187 | 1,496 | 44 | 6–107 | 168 | .0009 |
2014–2015 | 2,241 | 1,540 | 53 | 10–117 | 202 | .49 |
Age groupb | ||||||
30–49 years (reference) | 3,781 | 2,506 | 48 | 8–109 | 184 | — |
50–69 years | 4,663 | 2,961 | 54 | 8–113 | 190 | .29 |
Prior breast cancer | ||||||
No (reference) | 6,854 | 4,588 | 49 | 7–107 | 183 | — |
Yes | 1,590 | 879 | 62 | 12–135 | 208 | <.0001 |
Risk criteriac | ||||||
Gene mutation carrier (reference) | 1,278 | 764 | 39 | 4–100 | 185 | — |
Family history and ≥25% riskd | 535 | 349 | 78 | 22–147 | 227 | <.0001 |
1st degree relative of a mutation carrier, declined genetic testing | 27 | 22 | 20 | 0–70 | 92 | .11 |
Ineligible for high risk screening | 6,604 | 4,332 | 51 | 8–111 | 183 | .002 |
Excludes women who had genetic counseling prior to their physician visit date (n = 2,781) or women who had >365 days between physician visit and genetic counseling dates (n = 196).
At time of High Risk OBSP referral.
If a woman met more than one risk criterion after genetic assessment, the following hierarchy was selected: carrier of a deleterious gene mutation, family history and ≥25% lifetime risk, first‐degree relative of a mutation carrier (but declined genetic testing).
Based on International Breast Cancer Intervention Study (IBIS) and/or Breast and Ovarian Analysis of Disease Incidence of Carrier Estimation Algorithm (BOADICEA).