PPM -Counseling for Inherited Cancer Risk-Checklist

Checklist

Pdf Summary

This checklist provides guidance for healthcare professionals when counseling patients about their inherited cancer risk. It highlights important information to document during patient visits, including:<br /><br />1. Patient's personal medical, surgical, and cancer history, as well as any exposures or risk factors linked to cancer, and previous cancer screening.<br />2. Comprehensive family pedigree, noting any limited family structure.<br />3. Prior genetic testing and pathology reports for both the patient and their family members.<br />4. Cancer screening history of family members.<br />5. Relevant physical exam findings.<br />6. Differential genetic diagnosis.<br />7. Cancer risk assessment.<br />8. Discussion of genetic testing if the patient meets hereditary cancer testing criteria, including an estimation of the yield/sensitivity of the testing.<br />9. If a gene panel is offered, discussing moderate-risk genes with limited data on cancer risk and unclear risk management guidelines.<br />10. Addressing the limitations of genetic testing in unaffected individuals without a known family mutation.<br />11. Reviewing management options based on potential test results: pathogenic/likely pathogenic, no mutation identified, or variant of uncertain significance.<br />12. Providing screening recommendations if the patient chooses not to undergo genetic testing.<br />13. Reviewing genetic privacy laws.<br />14. Documenting the patient's decision regarding genetic testing.<br />15. Detailing cancer screening, prevention, and/or treatment recommendations after genetic testing.<br />16. If genetic testing is negative or a variant of uncertain significance is found, recommending genetic evaluation of family members.<br />17. Discussing the follow-up plan for a variant of uncertain significance.<br />18. Recommending periodic follow-up with genetics.<br /><br />This checklist aims to ensure that all essential information is gathered and documented for effective counseling and management of individuals at risk for inherited cancer.

Keywords

counseling

inherited cancer risk

patient visits

genetic testing

cancer screening

family pedigree

risk assessment

management options

genetic privacy laws

follow-up plan