To the Editor The article by Katz and colleagues1 recently published in an issue of JAMA Surgery contains factual errors that are concerning. We would agree that rates of genetic testing are suboptimal, with many patients who should have genetic testing not receiving it, and we also agree that surgeon skill, attitude, and practice factor significantly into this variability. But the problem of suboptimal rates of genetic testing is being exacerbated by examples like Katz and colleagues1 who misinterpret the guidelines as indicating that only genetic counselors can initiate genetic testing. There are far too few genetic counselors to handle the necessary testing, which serves as a major barrier to appropriate testing, as shown by Whitworth et al.2
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Hughes KS, Beitsch P, Chen S. Guidelines Do Not Proscribe Surgeons Performing Genetic Testing. JAMA Surg. Published online December 12, 2018. doi:10.1001/jamasurg.2018.4882
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