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Clinical and Counseling Experiences of Early Adopters of Whole Exome Sequencing.

Publication ,  Journal Article
Arora, S; Haverfield, E; Richard, G; Haga, SB; Mills, R
Published in: J Genet Couns
April 2016

Currently, there are limited data regarding the practice of genetic counseling for whole exome sequencing (WES). Improved understanding of how genetic counselors and other providers are educating, counseling, and communicating results may identify practice trends, and patient or provider needs. Between April 2013 and December 2014, we surveyed providers who ordered WES testing from GeneDx, a CLIA-certified laboratory. Forty-nine respondents completed the survey; 41 % of participants reported board certification in genetic counseling. Pre-test and post-test counseling was completed in all but one case each. Pre-test counseling lasted less than 1 h for 53 % of cases and 1 to 2 h for 43 %. Topics discussed with all patients included consent for testing, and incidental findings; other topics were variable. In contrast to pre-test counseling, 59 % reported post-test counseling lasting 1 to 2 h and 33 % less than an hour; post-testing counseling was significantly longer in cases with a definitive diagnosis than those without (p = 0.0129). The survey findings indicate some variability regarding the amount of time spent on counseling and the topics discussed during pre-test counseling. Additional exploration, patient and provider educational resources, and potentially more specific guidelines regarding counseling for WES may be warranted.

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Published In

J Genet Couns

DOI

EISSN

1573-3599

Publication Date

April 2016

Volume

25

Issue

2

Start / End Page

337 / 343

Location

United States

Related Subject Headings

  • Specialty Boards
  • Patient Education as Topic
  • Middle Aged
  • Medicine
  • Male
  • Humans
  • Health Surveys
  • Genome-Wide Association Study
  • Genetics & Heredity
  • Genetic Counseling
 

Citation

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Arora, S., Haverfield, E., Richard, G., Haga, S. B., & Mills, R. (2016). Clinical and Counseling Experiences of Early Adopters of Whole Exome Sequencing. J Genet Couns, 25(2), 337–343. https://doi.org/10.1007/s10897-015-9876-y
Arora, Shubhangi, Eden Haverfield, Gabriele Richard, Susanne B. Haga, and Rachel Mills. “Clinical and Counseling Experiences of Early Adopters of Whole Exome Sequencing.J Genet Couns 25, no. 2 (April 2016): 337–43. https://doi.org/10.1007/s10897-015-9876-y.
Arora S, Haverfield E, Richard G, Haga SB, Mills R. Clinical and Counseling Experiences of Early Adopters of Whole Exome Sequencing. J Genet Couns. 2016 Apr;25(2):337–43.
Arora, Shubhangi, et al. “Clinical and Counseling Experiences of Early Adopters of Whole Exome Sequencing.J Genet Couns, vol. 25, no. 2, Apr. 2016, pp. 337–43. Pubmed, doi:10.1007/s10897-015-9876-y.
Arora S, Haverfield E, Richard G, Haga SB, Mills R. Clinical and Counseling Experiences of Early Adopters of Whole Exome Sequencing. J Genet Couns. 2016 Apr;25(2):337–343.
Journal cover image

Published In

J Genet Couns

DOI

EISSN

1573-3599

Publication Date

April 2016

Volume

25

Issue

2

Start / End Page

337 / 343

Location

United States

Related Subject Headings

  • Specialty Boards
  • Patient Education as Topic
  • Middle Aged
  • Medicine
  • Male
  • Humans
  • Health Surveys
  • Genome-Wide Association Study
  • Genetics & Heredity
  • Genetic Counseling