How to Cite this Article: Eble TN, Nagamani SCS, Franco LM, Plon SE, Blazo M, Dhar SU. 2012. The practice of adult genetics: A 7-year experience from a single center. Am J Med Genet Part A 161A:89–93.
The practice of adult genetics: A 7-year experience from a single center†
Article first published online: 13 DEC 2012
Copyright © 2012 Wiley Periodicals, Inc.
American Journal of Medical Genetics Part A
Volume 161, Issue 1, pages 89–93, January 2013
How to Cite
Eble, T. N., Nagamani, S. C.S., Franco, L. M., Plon, S. E., Blazo, M. and Dhar, S. U. (2013), The practice of adult genetics: A 7-year experience from a single center. Am. J. Med. Genet., 161: 89–93. doi: 10.1002/ajmg.a.35684
- Issue published online: 22 DEC 2012
- Article first published online: 13 DEC 2012
- Manuscript Accepted: 24 AUG 2012
- Manuscript Received: 19 DEC 2011
- adult genetics;
- cancer genetics;
- county clinic;
- academic clinic;
- clinical genetics;
- transitional medicine
The purpose of our study is to familiarize the reader with genetic disorders commonly seen in adults and identify challenges and barriers that limit provision of services. We conducted a retrospective chart analysis of patients seen in the adult Genetics clinics from January 2004 to December 2010 in a metropolitan medical center consisting of an academic private clinic and a county hospital clinic. During the study period, a total of 1,552 patients (n = 1,108 private clinic patients; n = 444 county clinic patients) were evaluated and managed. Of these, 790 and 280 were new patient visits at the private clinic and county clinic, respectively. Approximately 35% (374/1,070) of new patients were seen for cancer-related indications, while neurological indications accounted for approximately 14% (153/1,070) in both clinics. Cardiology-related indications accounted for approximately 13% (145/1,070) of patients, followed closely by chromosomal and syndromic indications for which almost 9% (96/1,070) of new patients were seen. Approximately 8% (90/1,070) of new patients were seen for musculoskeletal indications. We saw increased clinic growth during the study period and found that the most common indications for referral are: (1) Personal/family history of cancer (2) neurological (3) cardiovascular (CV) (4) chromosomal/syndromic and (5) musculoskeletal. A number of challenges were identified, including coordination of services, feasibility of testing, and an overall higher complexity of care with increased clinic scheduling time requirements. Through this review, we demonstrate the demand for adult genetics services and propose some guidelines to address the challenges of management in the adult genetics patient population. © 2012 Wiley Periodicals, Inc.