WTF? Bad idea. It strikes me as @ASBrS overreaching. I mean seriously: Are we going to offer an 85 year old woman with a well-differentiated hormone receptor(+) cancer and no family history genetic testing? Why? It makes no sense. What will it accomplish for the patient?https://twitter.com/ESchattner/status/1096400867358593025 …
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I'm seriously tempted to write a typically "insolent" blog post for
@ScienceBasedMed on this topic, but I fear that it could get me in trouble professionally.Thanks. Twitter will use this to make your timeline better. UndoUndo
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Sure, this example is extreme. However current status is the rules for who gets tested is complicated and changes every year. As a public health measure, testing all BrCa would identify families with major cancer risk, save lives.
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No, you ASSUME that testing all families would save lives. As we've found from so many other studies is screening, realizing decreases in mortality from such measures is by no means a given. There's no evidence.
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Right now many are missed and the cost in time of surgeons headspace for complicated changing algorithms plus gathering 2nd and 3rd degree relatives history is greater than the cost of the test.
Thanks. Twitter will use this to make your timeline better. UndoUndo
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