Article Text
Abstract
Introduction Despite the proven advantages, genetic assessment for all women with Epithelial Ovarian Cancer remains underutilized in India. Approximately 17% patients will be missed if only family history-based evaluation is done. There is a shortage of trained genetic counsellors.
Methods The main objective of study was to compare acceptance for undergoing genetic testing in women with EOC, undergoing tele-genetics versus in-person genetic counselling by clinical team and to compare the satisfaction. For each such patient a detailed history including pedigree chart was recorded. Following which patient were randomized using computer generated tables 1 into two groups: in-person genetic counselling and telephonic genetic counselling. After randomization, participants were scheduled for their genetic counselling session. Patients in both the groups were assessed for their willingness to undergo genetic testing and satisfaction.
Results All the in-person patients attended counselling on the appointed date. Among online patients, 9 patients (18%) did not attend counselling on the appointed date. Compliance in online counselling is less when compared to in-person counselling
Mean GCSS score is 28.1 which is a high score with a total score of 30. Patients are highly satisfied about the genetic counselling. When GCSS score compared between two groups, it is 26.7 in in-person group and 28.7 in the teleconsultation group. Uptake of genetic testing was more in the in-person group.
Conclusion/Implications This study provides valuable insights into the dynamic interplay between teleconsultation and in-person genetic counselling.