Differences in Willingness to Undergo <i>BRCA1/2</i> Testing and Risk Reducing Surgery among the General Public, Cancer Patients, and Healthcare Professionals: A Large Population-Based Survey

We aimed to understand the decision-making process related to the willingness to undergo <i>BRCA1/2</i> genetic testing, risk-reducing salpingo-oophorectomy (RRSO), or risk-reducing mastectomy (RRM) among the general public, cancer patients, and healthcare professionals in South Korea. I...

Full description

Bibliographic Details
Main Authors: Yoon Jung Chang, Seungyeon Cho, Jungnam Joo, Kum Hei Ryu, Sangwon Lee, Juhee Cho, Myong Cheol Lim, So-Youn Jung, Jai Hong Han, Eun Sook Lee, Sun-Young Kong
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/5/818
_version_ 1797498597979193344
author Yoon Jung Chang
Seungyeon Cho
Jungnam Joo
Kum Hei Ryu
Sangwon Lee
Juhee Cho
Myong Cheol Lim
So-Youn Jung
Jai Hong Han
Eun Sook Lee
Sun-Young Kong
author_facet Yoon Jung Chang
Seungyeon Cho
Jungnam Joo
Kum Hei Ryu
Sangwon Lee
Juhee Cho
Myong Cheol Lim
So-Youn Jung
Jai Hong Han
Eun Sook Lee
Sun-Young Kong
author_sort Yoon Jung Chang
collection DOAJ
description We aimed to understand the decision-making process related to the willingness to undergo <i>BRCA1/2</i> genetic testing, risk-reducing salpingo-oophorectomy (RRSO), or risk-reducing mastectomy (RRM) among the general public, cancer patients, and healthcare professionals in South Korea. In total, 3444 individuals (1496 from the general public, 1500 cancer patients, 108 clinicians, and 340 researchers) completed a survey addressing genetic testing and related risk management options in a hypothetical scenario. Differences in intent and associated factors for undergoing the above procedures or sharing test results were analyzed. Overall, 67% of participants were willing to undergo <i>BRCA1/2</i> testing, with proportions of the general public (58%), cancer patients (70%), clinicians (88%), and researchers (90%). The willingness to undergo RRSO was highest among clinicians (58%), followed by among patients (38%), the general public (33%), and researchers (32%) (<i>p</i> < 0.001). Gender, age, education level, and household income were associated with willingness to undergo genetic testing, RRM, and RRSO (<i>p</i> < 0.05). The intent for undergo genetic testing, RRM, and RRSO were affected by many factors. Finally, 69% of the general public intended to share information with family, while this percentage was 92%, 91%, and 94% for patients, clinicians, and researchers, respectively (<i>p</i> < 0.05). These results highlight the requirement for developing targeted educational materials and counseling strategies for facilitating informed decision making.
first_indexed 2024-03-10T03:35:37Z
format Article
id doaj.art-5517944eecfd4c55b180dbcc25f8c464
institution Directory Open Access Journal
issn 2075-4426
language English
last_indexed 2024-03-10T03:35:37Z
publishDate 2022-05-01
publisher MDPI AG
record_format Article
series Journal of Personalized Medicine
spelling doaj.art-5517944eecfd4c55b180dbcc25f8c4642023-11-23T11:45:17ZengMDPI AGJournal of Personalized Medicine2075-44262022-05-0112581810.3390/jpm12050818Differences in Willingness to Undergo <i>BRCA1/2</i> Testing and Risk Reducing Surgery among the General Public, Cancer Patients, and Healthcare Professionals: A Large Population-Based SurveyYoon Jung Chang0Seungyeon Cho1Jungnam Joo2Kum Hei Ryu3Sangwon Lee4Juhee Cho5Myong Cheol Lim6So-Youn Jung7Jai Hong Han8Eun Sook Lee9Sun-Young Kong10Division of Cancer Control & Policy, National Cancer Control Institute, National Cancer Center, Goyang 10408, KoreaDivision of Cancer Control & Policy, National Cancer Control Institute, National Cancer Center, Goyang 10408, KoreaOffice of Biostatistics Research, National Heart, Lung and Blood Institute, National Institutes of Health, Bethesda, MD 20852, USACenter for Cancer Prevention & Detection, National Cancer Center Hospital, Goyang 10408, KoreaCancer Data Center, National Cancer Control Institute, National Cancer Center, Goyang 10408, KoreaCenter for Clinical Epidemiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, KoreaDepartment of Cancer Control and Policy, National Cancer Center Graduate School of Cancer Science and Policy, Goyang 10408, KoreaCenter for Breast Cancer, National Cancer Center Hospital, Goyang 10408, KoreaCenter for Breast Cancer, National Cancer Center Hospital, Goyang 10408, KoreaImmuno-Oncology Branch, Division of Rare and Refractory Cancer, Research Institute, National Cancer Center, Goyang 10408, KoreaCancer Outcome & Quality Improvement Branch, Research Institute, National Cancer Center, Goyang 10408, KoreaWe aimed to understand the decision-making process related to the willingness to undergo <i>BRCA1/2</i> genetic testing, risk-reducing salpingo-oophorectomy (RRSO), or risk-reducing mastectomy (RRM) among the general public, cancer patients, and healthcare professionals in South Korea. In total, 3444 individuals (1496 from the general public, 1500 cancer patients, 108 clinicians, and 340 researchers) completed a survey addressing genetic testing and related risk management options in a hypothetical scenario. Differences in intent and associated factors for undergoing the above procedures or sharing test results were analyzed. Overall, 67% of participants were willing to undergo <i>BRCA1/2</i> testing, with proportions of the general public (58%), cancer patients (70%), clinicians (88%), and researchers (90%). The willingness to undergo RRSO was highest among clinicians (58%), followed by among patients (38%), the general public (33%), and researchers (32%) (<i>p</i> < 0.001). Gender, age, education level, and household income were associated with willingness to undergo genetic testing, RRM, and RRSO (<i>p</i> < 0.05). The intent for undergo genetic testing, RRM, and RRSO were affected by many factors. Finally, 69% of the general public intended to share information with family, while this percentage was 92%, 91%, and 94% for patients, clinicians, and researchers, respectively (<i>p</i> < 0.05). These results highlight the requirement for developing targeted educational materials and counseling strategies for facilitating informed decision making.https://www.mdpi.com/2075-4426/12/5/818<i>BRCA1</i><i>BRCA2</i>genetic testinggenetic counselingprophylactic surgical proceduresalpingo-oophorectomy
spellingShingle Yoon Jung Chang
Seungyeon Cho
Jungnam Joo
Kum Hei Ryu
Sangwon Lee
Juhee Cho
Myong Cheol Lim
So-Youn Jung
Jai Hong Han
Eun Sook Lee
Sun-Young Kong
Differences in Willingness to Undergo <i>BRCA1/2</i> Testing and Risk Reducing Surgery among the General Public, Cancer Patients, and Healthcare Professionals: A Large Population-Based Survey
Journal of Personalized Medicine
<i>BRCA1</i>
<i>BRCA2</i>
genetic testing
genetic counseling
prophylactic surgical procedure
salpingo-oophorectomy
title Differences in Willingness to Undergo <i>BRCA1/2</i> Testing and Risk Reducing Surgery among the General Public, Cancer Patients, and Healthcare Professionals: A Large Population-Based Survey
title_full Differences in Willingness to Undergo <i>BRCA1/2</i> Testing and Risk Reducing Surgery among the General Public, Cancer Patients, and Healthcare Professionals: A Large Population-Based Survey
title_fullStr Differences in Willingness to Undergo <i>BRCA1/2</i> Testing and Risk Reducing Surgery among the General Public, Cancer Patients, and Healthcare Professionals: A Large Population-Based Survey
title_full_unstemmed Differences in Willingness to Undergo <i>BRCA1/2</i> Testing and Risk Reducing Surgery among the General Public, Cancer Patients, and Healthcare Professionals: A Large Population-Based Survey
title_short Differences in Willingness to Undergo <i>BRCA1/2</i> Testing and Risk Reducing Surgery among the General Public, Cancer Patients, and Healthcare Professionals: A Large Population-Based Survey
title_sort differences in willingness to undergo i brca1 2 i testing and risk reducing surgery among the general public cancer patients and healthcare professionals a large population based survey
topic <i>BRCA1</i>
<i>BRCA2</i>
genetic testing
genetic counseling
prophylactic surgical procedure
salpingo-oophorectomy
url https://www.mdpi.com/2075-4426/12/5/818
work_keys_str_mv AT yoonjungchang differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT seungyeoncho differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT jungnamjoo differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT kumheiryu differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT sangwonlee differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT juheecho differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT myongcheollim differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT soyounjung differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT jaihonghan differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT eunsooklee differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey
AT sunyoungkong differencesinwillingnesstoundergoibrca12itestingandriskreducingsurgeryamongthegeneralpubliccancerpatientsandhealthcareprofessionalsalargepopulationbasedsurvey