Nearly one-fourth of patients with early-onset CRC don't get referrals for genetic counseling or testing. ACG2022
don't get referrals for genetic counseling or testing, and although acceptance of genetic counseling has improved over the last 10 years, there is still a notable gap between referrals and uptake, investigators have found.
The incidence of CRC diagnosed in persons younger than 50 years is increasing and has been projected to double by 2030, Syed noted. They reviewed records on all patients younger than 50 years seen at the Cleveland Clinic for CRC from 2010 through 2019, excluding those with appendiceal cancers, a family history of a hereditary cancer syndrome, orThe information they extracted from electronic medical records included patient age, sex, family history of CRC, income, tumor stage, and the location and time period of CRC diagnosis.
The mean patient age at diagnosis was 44 years, with 57.3% of patients male, and 42.7% female. The large majority of patients were White. In all, 40.2% of patients had a family history of CRC. In multivariate analysis, factors significantly associated with referral were age at diagnosis , family history of CRC , and year of diagnosis .