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Peer-Reviewed Publication
J Obstet Gynaecol2026;46(1):2665633.December 1, 2026Journal Article

Results of breast cancer risk assessment and hereditary cancer genetic testing in community obstetrics and gynaecology practice following a prospective quality Improvement initiative.

Richard Waldman1, Mark DeFrancesco2, John Feltz3, Daniel Welling4, Wade Neiman5, Edith Smith6, Logan Schneider6, Lauren Lenz6, Katherine Johansen Taber6, Royce Adkins6
1Associates for Women's Medicine, North Syracuse, NY, USA.
2Women's Health Connecticut, Waterbury, CT, USA.
3Lifeline Medical Associates, The Women's Care Source, Morristown, NJ, USA.
4Women's Health Connecticut, Manchester, CT, USA.
5Associates for Women's Health Services of Central VA, Inc, Lynchburg, VA, USA.
6Myriad Genetics Inc, Salt Lake City, UT, USA.

Abstract

BACKGROUND: Clinical guidelines recommend hereditary cancer risk assessment (HCRA) to identify candidates for genetic counselling and testing based on personal and family history. Incorporating genetic testing into HCRA improves risk stratification and management. We previously showed that process improvements increase genetic testing completion rates. This study describes outcomes of routine gene…

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