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A new twist on an old problem: primary care physicians and results from direct-to-consumer genetic testing

    Gillian Bartlett

    * Author for correspondence

    Department of Family Medicine, McGill University, 5858 Cote-des-Neiges, Suite 300, Montreal, Quebec, H3S 1Z1, Canada.

    ,
    Denise Avard

    Department of Human Genetics, McGill University, Centre of Genomics & Policy,740 Avenue Drive, Penfield, Suite 5200, Montreal, Quebec, H3A 0G1, Canada

    &
    Bartha Maria Knoppers

    Department of Human Genetics, McGill University, Centre of Genomics & Policy,740 Avenue Drive, Penfield, Suite 5200, Montreal, Quebec, H3A 0G1, Canada

    Published Online:https://doi.org/10.2217/pme.13.87

    With the costs of genomic and genetic testing rapidly decreasing, private companies have begun to offer consumers, including minors, the opportunity to receive a genetic analysis of their DNA. The availability of direct-to-consumer genetic testing (DTC-GT) will inevitably result in patients approaching their healthcare providers for interpretation of results, referrals for follow-up tests or provision of personalized medicine. As most healthcare systems require a referral for access to a specialist, the patients are likely to approach primary care providers. The issue of what the professional obligations are for the primary care physician in the case where they did not order the test is not new. The growing DTC-GT movement will add a ‘new twist to an old problem.‘ Best practice recommendations regarding the value of DTC-GT, as well as the identification of current ethical, legal and social implications are urgently needed.

    Papers of special note have been highlighted as: ▪ of interest ▪▪ of considerable interest

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