This article was prepared by a group consisting of both United States Government employees and non-United States Government employees, and as such is subject to 117 U.S.C. Sec. 105.
US physicians' attitudes toward genetic testing for cancer susceptibility†
Article first published online: 9 JAN 2003
Published 2003 Wiley-Liss, Inc.
American Journal of Medical Genetics Part A
Volume 120A, Issue 1, pages 63–71, 1 July 2003
How to Cite
Freedman, A.N., Wideroff, L., Olson, L., Davis, W., Klabunde, C., Srinath, K.P., Reeve, B.B., Croyle, R.T. and Ballard-Barbash, R. (2003), US physicians' attitudes toward genetic testing for cancer susceptibility. Am. J. Med. Genet., 120A: 63–71. doi: 10.1002/ajmg.a.10192
- Issue published online: 29 MAY 2003
- Article first published online: 9 JAN 2003
- Manuscript Accepted: 1 NOV 2002
- Manuscript Received: 14 AUG 2002
- physician survey;
- genetic testing;
- physician attitudes;
- cancer susceptibility
Genetic testing for an inherited susceptibility to cancer is an emerging technology in medical practice. Little information is currently available about physicians' attitudes toward these tests. To assess US physicians' opinions on unresolved issues surrounding genetic testing, a 15-min survey was administered to a stratified random sample of 1,251 physicians from 8 specialties, selected from a file of all licensed physicians in the US (response rate = 71.0%). Dependent measures included physicians' attitudes toward genetic counseling and testing qualifications, availability of guidelines, patient confidentiality and insurance discrimination issues, and clinical utility of genetic tests. More than 89% of physicians reported a need for physician guidelines, 81% thought that patients with positive genetic test results are at risk for insurance discrimination, and more than 53% thought that it was difficult to ensure the confidentiality of test results. Almost 25% indicated that genetic tests for cancer susceptibility have too many inaccurate or ambiguous results; nearly 75% thought that clear guidelines are not available for managing patients with positive test results. Only 29% of physicians reported feeling qualified to provide genetic counseling to their patients. More than 84% of oncologists considered themselves qualified to recommend genetic testing to their patients compared with 40% of primary care physicians (PCPs), and 57% of tertiary care physicians (TCPs). US physicians expressed great uncertainty about issues surrounding genetic testing for cancer susceptibility. Results of this national survey underscore the need to provide physicians with clear guidelines on the use of genetic cancer susceptibility tests and effective medical training on their appropriate implementation. Published 2003 Wiley-Liss, Inc.