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Genetic Testing for Breast and Ovarian Cancer Susceptibility: Evaluating Direct-to-Consumer MarketingAtlanta, Denver, Raleigh-Durham, and Seattle, 2003
JAMA. 2004;292:796-798.
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MMWR. 2004;53:603-606
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Breast and ovarian cancer are the second and fifth leading causes of cancer death, respectively, among women in the United States.1 One in eight women will have breast cancer during their lifetimes, and one in 70 will have ovarian cancer. Mutations in two genes, BRCA1 and BRCA2 (BRCA1/2), are associated with predisposition for inherited breast and ovarian cancer and are identified in 5%-10% of women with breast or ovarian cancer (BOC).2 Since 1996, genetic testing for these mutations has been available clinically3; however, population-based screening is not recommended because of the complexity of test interpretation and limited data on clinical validity and utility.1,4-6 Despite the test's limited applicability in the general population, the U.S. provider of clinical BRCA1/2 testing (Myriad Genetic Laboratories, Inc., Salt Lake City, Utah) conducted a pilot direct-to-consumer (DTC) marketing campaign in two cities (Atlanta, Georgia, and Denver, Colorado) during September . . . [Full Text of this Article]
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