Standardization of Lynch Syndrome Screening: A Quality Improvement Project in a Private Community Gastroenterology Clinic

Abstract Lynch syndrome (LS) is a hereditary cancer syndrome caused by germline mutations and increases the risk for cancer development. Early identification of individuals at risk for LS is a critical step that precedes genetic counseling/testing. The aim of this quality improvement (QI) project was to determine if the implementation of a standardized screening process for LS affected the number of patients referred for genetic counseling/testing. Standardizing the screening process for LS by implementing a computation prediction model, PREMM5, established an avenue for early recognition of individuals at risk for LS. The standardized process created an opportunity to discuss the importance of LS screening with patients and provide them the option to arrange a genetic counseling/testing appointment which ultimately resulted in increased referrals for genetic testing by 250% from 2018 to 2019. Highlights • Lynch Syndrome is an autosomal dominant hereditary cancer syndrome • Lack of established guidelines makes screening for Lynch syndrome complex • Patient administered computation prediction models identify patients at risk • A standardized process increases referral for genetic testing

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Work Title Standardization of Lynch Syndrome Screening: A Quality Improvement Project in a Private Community Gastroenterology Clinic
Subtitle Lynch Syndrome Screening
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Open Access
Creators
  1. Aimee Cherie Gish
Keyword
  1. gastroenterology, lynch syndrome, PREMM5, preventative cancer care
License All rights reserved
Work Type Dissertation
Deposited April 10, 2020

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