HCPLive Network

Lynch Syndrome Meets its Screening Match

Myriad Genetics, Inc. applauded results from a major health economics study in Cancer Prevention Research, which found that screening for inherited gene mutations in the genes that cause a major colorectal cancer syndrome called Lynch Syndrome, is both medically and cost effective.

The study showed that genetic screening for Lynch syndrome, which can be accomplished with Myriad's COLARIS test, is as cost-effective as other widely accepted cancer screening procedures in the general population such as colorectal cancer screening (colonoscopy), cervical cancer screening, and breast cancer screening (mammography).

Previous medical professional society guidelines for Lynch syndrome testing have focused primarily on testing patients after they have had cancer. The present study was designed to determine if it would be more medically and cost effective to identify patients carrying mutations before they have cancer.

"Genetic testing was always assumed to be cost effective for those at very high risk based on their family history, but this shows it would be cost effective in a wider population, similar to the cost effectiveness of mammography," said Stephen Gruber, MD, PhD, MPH, Director for Cancer Prevention and Control at the University of Michigan Comprehensive Cancer Center, and a lead researcher on the study.

Dr. Gruber and colleagues used a mathematical model to determine the medical and cost effectiveness of colorectal cancer genetic screening based on a simple family history. The study determined that the average cost effectiveness ratio, a measure of expenditure per life year gained by genetic testing, would be $26,000, significantly less expensive than the often-quoted benchmark of $50,000.

The study further suggested that risk-assessment should begin between the ages of 25 and 35, and that genetic testing would be appropriate for those individuals whose mutation risk is 5% or greater. The study estimated that approximately 1% of the US population over the age of 25, or 2.0 million Americans, would meet this criteria. 

AACR President-elect Judy Garber, MD, MPH, Director of the Center for Cancer Genetics and Prevention at the Dana-Farber Cancer Institute, hosted a conference call discussing the results of the study.

"This will affect a wide population by changing our thinking about risk for colon cancer," said Dr. Garber.  "It is a huge step forward in terms of bringing the benefits of cancer genetics to the broader population using tests that have, in the past, been considered too expensive."

Further Reading
Researchers have made several impressive advances in gastrointestinal medicine in recent years, including the use of fecal microbiota transplantation (FMT) to treat recurrent Clostridium difficile infection. Following the success of that approach, researchers have been evaluating FMT for the treatment of other conditions, with one team recently conducting the first randomized controlled trial of FMT to treat inflammatory bowel disease (IBD).
Inclusion of endogenous hormones in prediction models improves prediction of invasive breast cancer risk in postmenopausal women, according to a study published online Aug. 18 in the Journal of Clinical Oncology.
Reduced nicotine cigarettes are not associated with increased smoking intensity versus usual brand cigarettes, according to a study published online Aug. 22 in Cancer Epidemiology, Biomarkers & Prevention.
A noninvasive, abdominal acoustic monitoring device can distinguish postoperative ileus (POI) from patients and controls without POI, according to a proof-of-concept study published online Aug. 5 in the Journal of Gastrointestinal Surgery.
Sunscreen use has decreased among adolescents, and a considerable proportion use indoor tanning devices, according to research published online Aug. 21 in the US Centers for Disease Control and Prevention's Preventing Chronic Disease.
Documentation rules for annual wellness visits for Medicare differ from those for preventive visits, which are not covered by Medicare, according to an article published Aug. 5 in Medical Economics.
High-mitotic-rate primary cutaneous melanomas more often occur on the head and neck and in men, older patients, and those with a history of solar keratosis, according to a study published online Aug. 20 in JAMA Dermatology.
More Reading