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
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Hughes KS, Beitsch P, Chen S. Guidelines Do Not Proscribe Surgeons Performing Genetic Testing. JAMA Surg. 2019;154(3):269. doi:10.1001/jamasurg.2018.4882
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: