Role of the general practitioner in the care of BRCA1 and BRCA2 mutation carriers: General practitioner and patient perspectives

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Vande Perre, Pierre | Tolédano, Daniel | Corsini, Carole | Escriba, Elsa | Laporte, Marine | Bertet, Héléna | Yauy, Kevin | Toledano, Alain | Galibert, Virginie | Baudry, Karen | Clotet, Lucie | Million, Elodie | Picot, Marie-Christine | Geneviève, David | Pujol, Pascal

Edité par CCSD ; Wiley Periodicals, Inc. -

International audience. BACKGROUND: General practitioners (GPs) have an increasing role in referring patients with putative mutation in BRCA1/2 genes for genetics consultation and for long-term follow-up of mutation carriers.METHODS: We compared the expectations of the GPs' role according to BRCA1/2 mutation carriers and to GPs themselves.RESULTS: Overall, 38% (58/152) of eligible GPs and 70% (176/252) of eligible patients were surveyed. Although 81% of GPs collected the family history, only 24% considered that they know criteria indicating genetics consultation and 39% sufficient knowledge of BRCA1/2 guidelines to answer patients' questions. Twelve% of GPs were aware of the French national guidelines. Among unsatisfied patients, 40% felt that their GP was able to answer (moderately, sufficiently, or completely) specific questions about BRCA1/2 care as compared with 81% in satisfied patients. Only 33% of GPs reported being informed directly by the geneticist about the patients' results. GPs' main expectations for their role in BRCA1/2 carrier care were psychological support and informing relatives about screening (72% and 71%, respectively), which contrasts with the perceptions of patients, who mainly requested medical advice for BRCA1/2-related care (51%).CONCLUSION: There is an important need for GP training and enhancing interactions between GPs and geneticists to improve the GP's role in BRCA1/2 screening and management.

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