Abstract
In Hyogo Cancer Center, the genetic counseling clinic launched in 2013. We have developed questionnaire-based referral system to the genetic counseling clinic under the cooperation of Hereditary Cancer Committee since 2014. However, referrals of clients suspected with Lynch syndrome were fewer than expected. Then we attempted reevaluation of questionnaires in the gastrointestinal surgery ward to assess patient risk by the genetic counseling clinic staffs.
We collected 215 questionnaires from August 1, 2016 to June 30, 2017. Among them, 82 from colorectal cancer patients were evaluated by a certified genetic counselor using the criteria of revised Bethesda Guideline. 18 fulfilled the criteria, 13 had a personal interview with a certified genetic counselor and 2 proceeded to have a consultation in the genetic counseling office. We could detect and meet some latent patients’ needs for cancer genetic information through the attempt. Reasons why not proceed to have a genetic counseling after the personal interview with a certified genetic counselor included patients’ preference to concentrate the current therapy. Timing of the interview and continuous follow up are subjects to be considered for effective approach to latent needs for genetic counseling.
