Genetic counselling, risk assessment, surveillance, psychological support, risk-reducing surgery and cascade testing all need to sit within a pathway that allows our community to move from knowing about their risk to doing something about it.
These pathways cannot exist solely within individual hospital specialties. They need to connect hospitals, community and primary care services, with clear responsibility for what happens next.
We need to think less about solely how many people we test and more about how many people identified at increased risk actually reach an appropriate preventive intervention, and how we can match each person with the best individual strategy for them.
https://www.sciencedirect.com/science/article/abs/pii/S1048891X26004299
This narrative review synthesises gene-specific counselling, tumour-germline interpretation, and implementation strategies into a clinically oriented pathway from diagnosis to prevention for patients and relatives.
Lynch Syndrome Ireland 