Guidelines on genetic evaluation and management of Lynch syndrome: a consensus statement by the US Multi-Society Task Force on colorectal cancer

The Multi-Society Task Force, in collaboration with invited experts, developed guidelines to assist health care providers with the appropriate provision of genetic testing and management of patients at risk for and affected with Lynch syndrome as follows: Figure 1 provides a colorectal cancer risk a...

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Vydáno v:Gastroenterology (New York, N.Y. 1943) Ročník 147; číslo 2; s. 502
Hlavní autoři: Giardiello, Francis M, Allen, John I, Axilbund, Jennifer E, Boland, C Richard, Burke, Carol A, Burt, Randall W, Church, James M, Dominitz, Jason A, Johnson, David A, Kaltenbach, Tonya, Levin, Theodore R, Lieberman, David A, Robertson, Douglas J, Syngal, Sapna, Rex, Douglas K
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.08.2014
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ISSN:1528-0012, 1528-0012
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Abstract The Multi-Society Task Force, in collaboration with invited experts, developed guidelines to assist health care providers with the appropriate provision of genetic testing and management of patients at risk for and affected with Lynch syndrome as follows: Figure 1 provides a colorectal cancer risk assessment tool to screen individuals in the office or endoscopy setting; Figure 2 illustrates a strategy for universal screening for Lynch syndrome by tumor testing of patients diagnosed with colorectal cancer; Figures 3-6 provide algorithms for genetic evaluation of affected and at-risk family members of pedigrees with Lynch syndrome; Table 10 provides guidelines for screening at-risk and affected persons with Lynch syndrome; and Table 12 lists the guidelines for the management of patients with Lynch syndrome. A detailed explanation of Lynch syndrome and the methodology utilized to derive these guidelines, as well as an explanation of, and supporting literature for, these guidelines are provided.
AbstractList The Multi-Society Task Force, in collaboration with invited experts, developed guidelines to assist health care providers with the appropriate provision of genetic testing and management of patients at risk for and affected with Lynch syndrome as follows: Figure 1 provides a colorectal cancer risk assessment tool to screen individuals in the office or endoscopy setting; Figure 2 illustrates a strategy for universal screening for Lynch syndrome by tumor testing of patients diagnosed with colorectal cancer; Figures 3-6 provide algorithms for genetic evaluation of affected and at-risk family members of pedigrees with Lynch syndrome; Table 10 provides guidelines for screening at-risk and affected persons with Lynch syndrome; and Table 12 lists the guidelines for the management of patients with Lynch syndrome. A detailed explanation of Lynch syndrome and the methodology utilized to derive these guidelines, as well as an explanation of, and supporting literature for, these guidelines are provided.
The Multi-Society Task Force, in collaboration with invited experts, developed guidelines to assist health care providers with the appropriate provision of genetic testing and management of patients at risk for and affected with Lynch syndrome as follows: Figure 1 provides a colorectal cancer risk assessment tool to screen individuals in the office or endoscopy setting; Figure 2 illustrates a strategy for universal screening for Lynch syndrome by tumor testing of patients diagnosed with colorectal cancer; Figures 3-6 provide algorithms for genetic evaluation of affected and at-risk family members of pedigrees with Lynch syndrome; Table 10 provides guidelines for screening at-risk and affected persons with Lynch syndrome; and Table 12 lists the guidelines for the management of patients with Lynch syndrome. A detailed explanation of Lynch syndrome and the methodology utilized to derive these guidelines, as well as an explanation of, and supporting literature for, these guidelines are provided.The Multi-Society Task Force, in collaboration with invited experts, developed guidelines to assist health care providers with the appropriate provision of genetic testing and management of patients at risk for and affected with Lynch syndrome as follows: Figure 1 provides a colorectal cancer risk assessment tool to screen individuals in the office or endoscopy setting; Figure 2 illustrates a strategy for universal screening for Lynch syndrome by tumor testing of patients diagnosed with colorectal cancer; Figures 3-6 provide algorithms for genetic evaluation of affected and at-risk family members of pedigrees with Lynch syndrome; Table 10 provides guidelines for screening at-risk and affected persons with Lynch syndrome; and Table 12 lists the guidelines for the management of patients with Lynch syndrome. A detailed explanation of Lynch syndrome and the methodology utilized to derive these guidelines, as well as an explanation of, and supporting literature for, these guidelines are provided.
Author Church, James M
Burke, Carol A
Levin, Theodore R
Robertson, Douglas J
Johnson, David A
Syngal, Sapna
Giardiello, Francis M
Kaltenbach, Tonya
Lieberman, David A
Axilbund, Jennifer E
Dominitz, Jason A
Allen, John I
Burt, Randall W
Rex, Douglas K
Boland, C Richard
Author_xml – sequence: 1
  givenname: Francis M
  surname: Giardiello
  fullname: Giardiello, Francis M
  email: fgiardi@jhmi.edu
  organization: Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: fgiardi@jhmi.edu
– sequence: 2
  givenname: John I
  surname: Allen
  fullname: Allen, John I
  organization: Yale University School of Medicine, New Haven, Connecticut
– sequence: 3
  givenname: Jennifer E
  surname: Axilbund
  fullname: Axilbund, Jennifer E
  organization: Johns Hopkins University School of Medicine, Baltimore, Maryland
– sequence: 4
  givenname: C Richard
  surname: Boland
  fullname: Boland, C Richard
  organization: Baylor University Medical Center at Dallas, Texas
– sequence: 5
  givenname: Carol A
  surname: Burke
  fullname: Burke, Carol A
  organization: Cleveland Clinic, Cleveland, Ohio
– sequence: 6
  givenname: Randall W
  surname: Burt
  fullname: Burt, Randall W
  organization: University of Utah, Salt Lake City, Utah
– sequence: 7
  givenname: James M
  surname: Church
  fullname: Church, James M
  organization: Cleveland Clinic, Cleveland, Ohio
– sequence: 8
  givenname: Jason A
  surname: Dominitz
  fullname: Dominitz, Jason A
  organization: VA Puget Sound Health Care System, Seattle, Washington; University of Washington, Seattle, Washington
– sequence: 9
  givenname: David A
  surname: Johnson
  fullname: Johnson, David A
  organization: Eastern Virginia Medical School, Norfolk, Virginia
– sequence: 10
  givenname: Tonya
  surname: Kaltenbach
  fullname: Kaltenbach, Tonya
  organization: Stanford University, Palo Alto, California
– sequence: 11
  givenname: Theodore R
  surname: Levin
  fullname: Levin, Theodore R
  organization: Kaiser Permanente Medical Center, Walnut Creek, California
– sequence: 12
  givenname: David A
  surname: Lieberman
  fullname: Lieberman, David A
  organization: Oregon Health and Science University, Portland, Oregon
– sequence: 13
  givenname: Douglas J
  surname: Robertson
  fullname: Robertson, Douglas J
  organization: White River Junction VA Medical Center, White River Junction, Vermont; Geisel School of Medicine at Dartmouth, White River Junction, Vermont
– sequence: 14
  givenname: Sapna
  surname: Syngal
  fullname: Syngal, Sapna
  organization: Brigham and Women's Hospital, Boston, Massachusetts; Dana Farber Cancer Institute, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts
– sequence: 15
  givenname: Douglas K
  surname: Rex
  fullname: Rex, Douglas K
  organization: Indiana University School of Medicine, Indianapolis, Indiana
BackLink https://www.ncbi.nlm.nih.gov/pubmed/25043945$$D View this record in MEDLINE/PubMed
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Copyright Copyright © 2014 American Gastroenterological Association, American College of Gastroenterology, the American Society of Colon and Rectal Surgeons, and the American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
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Keywords Lynch Syndrome
Colorectal Cancer
Genetic Testing
Language English
License Copyright © 2014 American Gastroenterological Association, American College of Gastroenterology, the American Society of Colon and Rectal Surgeons, and the American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
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SubjectTerms Algorithms
Colorectal Neoplasms, Hereditary Nonpolyposis - diagnosis
Colorectal Neoplasms, Hereditary Nonpolyposis - genetics
Colorectal Neoplasms, Hereditary Nonpolyposis - therapy
Gastroenterology - standards
Genetic Predisposition to Disease
Genetic Testing - standards
Genetic Therapy - standards
Humans
Pedigree
Predictive Value of Tests
Prognosis
Risk Assessment
Risk Factors
Title Guidelines on genetic evaluation and management of Lynch syndrome: a consensus statement by the US Multi-Society Task Force on colorectal cancer
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