Disclosure and follow-up with patients after a screen-positive result can influence whether they participate in genetic counseling and germline testing.

Two centers, Ohio State University and Cleveland Clinic, have seen substantial increases in patient follow-through after changing their protocols. Keys to high patient follow-through include having a genetic counselor track and disclose positive results to patients, performing automatic reflex testing on a subset of screen-positive patients using BRAF or hypermethylation, and holding follow-up appointments to explain results and obtain informed consent for germline testing.

Learn more:

• Ohio State Experience
• Cleveland Clinic Experience

Frequently asked questions about challenges that arise