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Genetics-related service and information needs of childhood cancer survivors and parents: a mixed-methods study.


ABSTRACT: Genetics in paediatric oncology is becoming increasingly important in diagnostics, treatment and follow-up care. Genetic testing may offer a possibility to stratify survivors follow-up care. However, survivors' and parents' preferences and needs for genetics-related services are largely unknown. This mixed-methods study assessed genetics-related information and service needs of survivors and parents. Six hundred and twenty-two participants (404 survivors: mean age: 26.27 years; 218 parents of survivors: mean age of child: 13.05 years) completed questionnaires. Eighty-seven participants (52 survivors; 35 parents) also completed in-depth telephone interviews. We analysed data using multivariable logistic regression and qualitative thematic analyses. Thirty-six of 50 families who were offered cancer-related genetic testing chose to undergo testing. Of those not offered testing, 11% of survivors and 7.6% of parents indicated that they believed it was 'likely/very likely' that the survivor had inherited a gene fault. Twenty-nine percent of survivors and 36% of parents endorsed access to a genetics specialist as important in their care. Survivors (40.9%) and parents (43.7%) indicated an unmet need for information about genetics and childhood cancer. Parents indicated a higher unmet need for information related to the survivors' future offspring than survivors (p?

SUBMITTER: Vetsch J 

PROVIDER: S-EPMC6906423 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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Genetics-related service and information needs of childhood cancer survivors and parents: a mixed-methods study.

Vetsch Janine J   Wakefield Claire E CE   Tucker Katherine M KM   McCarthy Maria M   Signorelli Christina C   Walwyn Thomas T   Alvaro Frank F   Cohn Richard J RJ  

European journal of human genetics : EJHG 20190730 1


Genetics in paediatric oncology is becoming increasingly important in diagnostics, treatment and follow-up care. Genetic testing may offer a possibility to stratify survivors follow-up care. However, survivors' and parents' preferences and needs for genetics-related services are largely unknown. This mixed-methods study assessed genetics-related information and service needs of survivors and parents. Six hundred and twenty-two participants (404 survivors: mean age: 26.27 years; 218 parents of su  ...[more]

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