Journal of Genetic Counseling

, Volume 21, Issue 2, pp 151–161 | Cite as

Essential Elements of Genetic Cancer Risk Assessment, Counseling, and Testing: Updated Recommendations of the National Society of Genetic Counselors

  • Bronson D. Riley
  • Julie O. Culver
  • Cécile Skrzynia
  • Leigha A. Senter
  • June A. Peters
  • Josephine W. Costalas
  • Faith Callif-Daley
  • Sherry C. Grumet
  • Katherine S. Hunt
  • Rebecca S. Nagy
  • Wendy C. McKinnon
  • Nancie M. Petrucelli
  • Robin L. Bennett
  • Angela M. Trepanier
Professional Issues

Abstract

Updated from their original publication in 2004, these cancer genetic counseling recommendations describe the medical, psychosocial, and ethical ramifications of counseling at-risk individuals through genetic cancer risk assessment with or without genetic testing. They were developed by members of the Practice Issues Subcommittee of the National Society of Genetic Counselors Familial Cancer Risk Counseling Special Interest Group. The information contained in this document is derived from extensive review of the current literature on cancer genetic risk assessment and counseling as well as the personal expertise of genetic counselors specializing in cancer genetics. The recommendations are intended to provide information about the process of genetic counseling and risk assessment for hereditary cancer disorders rather than specific information about individual syndromes. Essential components include the intake, cancer risk assessment, genetic testing for an inherited cancer syndrome, informed consent, disclosure of genetic test results, and psychosocial assessment. These recommendations should not be construed as dictating an exclusive course of management, nor does use of such recommendations guarantee a particular outcome. These recommendations do not displace a health care provider’s professional judgment based on the clinical circumstances of a client.

Keywords

Cancer genetic counseling Risk assessment Genetic testing Family history Psychosocial assessment Hereditary cancer Informed consent 

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Copyright information

© National Society of Genetic Counselors, Inc. 2011

Authors and Affiliations

  • Bronson D. Riley
    • 1
  • Julie O. Culver
    • 2
  • Cécile Skrzynia
    • 3
    • 4
  • Leigha A. Senter
    • 5
  • June A. Peters
    • 6
  • Josephine W. Costalas
    • 7
  • Faith Callif-Daley
    • 8
  • Sherry C. Grumet
    • 9
  • Katherine S. Hunt
    • 10
  • Rebecca S. Nagy
    • 11
  • Wendy C. McKinnon
    • 12
  • Nancie M. Petrucelli
    • 13
  • Robin L. Bennett
    • 14
  • Angela M. Trepanier
    • 15
  1. 1.Southeast Nebraska Cancer CenterLincolnUSA
  2. 2.Division of Clinical Cancer GeneticsCity of HopeDuarteUSA
  3. 3.Department of MedicineUniversity of North Carolina at Chapel HillChapel HillUSA
  4. 4.Department of GeneticsUniversity of North Carolina at Chapel HillChapel HillUSA
  5. 5.Division of Human GeneticsOhio State UniversityColumbusUSA
  6. 6.Clinical Genetics Branch, Division of Cancer Epidemiology and GeneticsNational Cancer InstituteRockvilleUSA
  7. 7.St. Mary Regional Cancer CenterLanghorneUSA
  8. 8.Department of Medical GeneticsThe Children’s Medical Center of DaytonDaytonUSA
  9. 9.Leon Hess Cancer CenterMonmouth Medical CenterLong BranchUSA
  10. 10.Mayo College of MedicineScottsdaleUSA
  11. 11.Clinical Cancer Genetics Program, James Cancer Hospital and Solove Research InstituteOhio State UniversityColumbusUSA
  12. 12.Vermont Regional Genetics Center, Department of PediatricsFletcher Allen Health CareBurlingtonUSA
  13. 13.Karmanos Cancer InstituteDetroitUSA
  14. 14.Division of Medical GeneticsUniversity of Washington Medical CenterSeattleUSA
  15. 15.Center for Molecular Medicine and Genetics, School of MedicineWayne State UniversityDetroitUSA

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