Implementing genetic risk assessment in a community free clinic.

Abstract

1585Background: Assessment of hereditary cancer risk plays an integral role in reproductive healthcare. ACOG and NCCN recommend that OB/GYNs assess hereditary cancer risk annually. The Saban Community Clinic is a Resident-run clinic in Los Angeles, California, serving a predominantly non-white, uninsured patient population of low socioeconomic status (SES) with no access to genetic counseling. Prior to this study, no formal cancer family history was elicited. Methods: We adapted a bilingual screening tool developed at the UCSF Cancer Risk Program that is compliant with NCCN and ACOG guidelines. It relies on fact recall that patients can complete independently assuming low health literacy. Clinic providers were briefed on the project and distribution commenced in April of 2017. The questionnaires were scored and entered into a secured database. Results: Between April 2017-January 2018, a total of 98 questionnaires were collected. Ages ranged from 19-67. Thirty-two percent (32%) of the patients identified a...