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Cancer

The following resources are for health professionals to assist patients with a family history of cancer
EDUCATION FOR ONCOLOGISTS & OTHER HEALTH PROFESSIONALS

For Oncology Health Professionals, an online learning activity called the Mainstreaming Genetic Testing by Oncology Teams has been developed by the Australian Mainstreaming Working Party for the COSA Familial Cancer Group. Click here to view

PATIENT CONSENT

How is informed consent in genomics different?
Answer: There are wider implications beyond the health of the individual tested and the possibility of complex, uncertain or unexpected findings such as VUS and incidental findings.

CLICK HERE TO VIEW THE CONSENT RESOURCES (VIDEOS AND INFORMATION) FOR MEDICAL SPECIALISTS

These pages provide information and guidance on several of the challenging aspects of gaining informed consent in genomics. These include, setting realistic expectations, the implications for relatives, impact on life insurance, the possibility of identifying unexpected family relationships, and testing for relatives.

NSW Genetic Testing (& Genomic Testing) Consent Form

ORDERING GENETIC TESTING
REFERRING TO CANCER GENETICS SERVICES -
WHEN & HOW
WHEN TO REFER

General Practitioner Referral Guidelines -eviQ

For GPs, information about referral also exists on several NSW & ACT Health Pathways sites.  Click here for CIAP access to Heath Pathways. Search for the health pathway called Familial Cancer Syndromes

Making a Referral - Templates for Use

Referral Form - Source: NSW Agency for Clinical Innovation

Patient Family History Questionnaire for Genetics appointment - Source: NSW Agency for Clinical Innovation

The above template forms are from the NSW Agency for Clinical Innovation Toolkit for the Clinical Genomics Model of Care  

Instructions for use: The template forms are editable.  They can  therefore be adapted as per local service requirements (they are not published as state-wide forms). To add completed forms to the patient medical record, scan and upload to eMR (medical records department may not file a non-state wide form). 

eviQ- CANCER GENETICS GUIDELINES
CANCER GENETICS SERVICES DETAILS
UNDERSTANDING TEST RESULTS

There are several possible results from a Genetic/Genomic test:

Positive.  A genetic cause has been found

Uninformative result (also known as a negative result).  The cause of the health condition has not been found

Variant of uncertain significance (also known as a VUS).  The result was unclear and more testing may be helpful

Incidental finding.  A genetic change has been found but is not related to the reason for testing.

When a Genetic Cause Has Been Identified

This is when a germline pathogenic variant(s) has been identified in a gene known to be responsible for the cancers which have occurred in the patient and/or their family members. 

For Clinicians- Management guidelines (look up gene responsible). Expert guidelines from Cancer Institute NSW eviQ  (hyperlink to this URL: https://www.eviq.org.au/cancer-genetics/adult/risk-management)  

For Patients- Gene fact sheets (look up gene responsible). Expert information from Cancer Institute NSW eviQ.  (hyperlink to this URL: https://www.eviq.org.au/cancer-genetics/consumer-information)  

COMMON CANCERS FACT SHEETS
PATIENT BOOKLETS & PAMPHLETS

Information for Individuals & Families 

 

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Fact Sheets and Resources

Fact Sheets and Resources

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Genomic Testing

About Genomics

pregnancy

Pregnancy

Pregnancy

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Cancer

Cancer in the family

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Intellectual Disability

Intellectual Disability Genomic Testing