title: If we build it ... will they come?--establishing a cancer genetics services clinic for an underserved predominantly Latina cohort.
abstract: BACKGROUND
  Cancer genetic counseling and testing is a standard of care option for appropriate families and can identify individuals at increased risk prior to diagnosis, when prevention or detection strategies are most effective. Despite documented efficacy of cancer risk reduction in high-risk individuals, underserved and minority individuals have a disproportionate cancer burden and limited access to genetic counseling.
  
  
  METHODS
  A needs assessment survey documented gaps in knowledge and interest in prevention. Satellite clinics were established at two indigent healthcare systems. Cancer genetics CME lectures were conducted and referral guidelines disseminated to clinicians who referred patients for counseling.
  
  
  RESULTS
  An increase in clinician knowledge was demonstrated post-CME and reflected by quality referrals. Eighty-eight percent of patients kept their appointments. In the predominantly Latina(6) (n=77) clinic population, 71.4% were affected with cancer, and 17 mutation positive families were identified. Preliminary data shows a positive impact on patients' motivation and behavior. The majority has expressed satisfaction and reduction in anxiety.
  
  
  CONCLUSIONS
  This study demonstrates feasibility and acceptability of cancer genetics services in this population, suggesting the potential to reduce cancer morbidity in underserved, high-risk families.
authors.affiliation: City of Hope Comprehensive Cancer Center, Clinical Cancer Genetics, Duarte, CA, USA.
authors.forename: Charité
authors.initials: C
authors.lastname: Ricker
authors.forename: Veronica
authors.initials: V
authors.lastname: Lagos
authors.forename: Nancy
authors.initials: N
authors.lastname: Feldman
authors.forename: Susan
authors.initials: S
authors.lastname: Hiyama
authors.forename: Sue
authors.initials: S
authors.lastname: Fuentes
authors.forename: Visanth
authors.initials: V
authors.lastname: Kumar
authors.forename: Kelly
authors.initials: K
authors.lastname: Gonzalez
authors.forename: Melanie
authors.initials: M
authors.lastname: Palomares
authors.forename: Kathleen
authors.initials: K
authors.lastname: Blazer
authors.forename: Katrina
authors.initials: K
authors.lastname: Lowstuter
authors.forename: Deborah
authors.initials: D
authors.lastname: MacDonald
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Weitzel
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003159:Community-Institutional Relations; D003710:Demography; D005260:Female; D005817:Genetic Counseling / Q000379:methods; D020022:Genetic Predisposition to Disease; D006301:Health Services Needs and Demand; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D009369:Neoplasms / Q000453:epidemiology / Q000235:genetics* / Q000517:prevention & control*; D010353:Patient Education as Topic; D011314:Preventive Health Services / Q000458:organization & administration*; D018570:Risk Assessment; D011795:Surveys and Questionnaires