目前，在获得基因检测方面存在种族差异。最近的发展有助于缩小可及性方面的差距。本研究的目的是确定遗传咨询出席率和完成基因检测方面的种族差异是否持续存在，如果存在，则确定导致这些资源利用不足的因素。 2017年至2019年期间进行了咨询。单变量和多变量 Logistic 回归评估了与遗传咨询就诊和基因检测相关的因素。共有 596 名患者被转诊接受遗传咨询：433 名（72.7%）白人；433 名（72.7%）白人；433 名白人（72.7%） 138 (23.2%) 黑色； 25 (4.2%) 为其他或未知。在多变量分析中，黑人患者、无乳腺癌家族史的患者和当前没有癌症诊断的患者（被归类为高风险）参加遗传学预约的可能性显着较低（分别为 p = 0.010、p = 0.007、p = 0.005） ）。年龄、保险类型、距机构的距离以及化疗的需要对咨询完成率没有显着影响。在完成遗传咨询的患者中，84.4% (n = 248) 进行了基因检测，17.7% (n = 44) 有致病性变异。对于参加咨询的患者，没有显着的因素可以预测接受基因检测。在这项研究中，种族和参加遗传咨询之间存在显着关联。经过咨询后，大多数患者继续接受基因检测，检测中的种族差异消失，强调了提供有关基因检测的重要性和目的的额外教育的价值。© 2024。作者。

Currently, racial disparities exist in access to genetic testing. Recent developments have helped narrow the gap in accessibility. The purpose of this study was to determine whether racial disparities in genetic consultation attendance and completion of genetic testing persist, and, if so, factors that contribute to under-utilization of these resources.A single-institution retrospective review of breast patients referred for genetic counseling between 2017 and 2019 was performed. Univariate and multivariate logistic regression evaluated factors associated with genetic counseling attendance and genetic testing.A total of 596 patients were referred for genetic counseling: 433 (72.7%) white; 138 (23.2%) black; and 25 (4.2%) other or unknown. In multivariate analysis, black patients, patients without breast cancer family history, and patients without a current cancer diagnosis, classified as high risk, were significantly less likely to attend their genetics appointment (p = 0.010, p = 0.007, p = 0.005, respectively). Age, insurance type, distance from facility, and need for chemotherapy did not significantly impact consult completion rate. Of the patients who completed a genetic consult, 84.4% (n = 248) had genetic testing and 17.7% (n = 44) had a pathogenic variant. For patients who attended counseling, there were no significant factors that were predictive with receipt of genetic testing.In this study, there was a significant association between race and attending genetic counseling. Once counseled, most patients went on to receive genetic testing, and racial disparities in testing disappeared, emphasizing the value of providing additional education about the importance and purpose of genetic testing.© 2024. The Author(s).