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"Studies have shown that a significant number of eligible breast cancer patients are not offered genetic testing or referral to genetic counseling  To increase access to genetic testing in South Eastern Norway  testing has since 2014 been offered directly to breast cancer patients by surgeons and oncologists  This practice is termed    mainstreamed genetic testing     The aim of this study was to investigate to what extent patients in South Eastern Norway are offered testing  Three hundred and sixty one patients diagnosed in 2016 and 2017 at one regional and one university hospital in South Eastern Norway were included  Data on whether the patients fulfilled the criteria  whether they had been offered testing and if they were tested were collected  In total  26 6   96 361  fulfilled the criteria for testing  Seventy five percent  69 92  of these were offered testing  and 71 7   66 92  were tested  At the university hospital  90 2   37 41  of eligible patients were offered testing  and at the regional hospital 62 7   32 51   Fifty two percent  12 23  of eligible patient not offered testing were younger than 50  years at time of diagnosis  As many as 95 4   125 131  of all patients who were offered testing  wanted to be tested  The majority of patients who fulfilled the criteria were offered testing  supporting the practice of mainstreamed genetic testing  There were nevertheless differences in rates of testing between the hospitals that affected all groups of patients  indicating that genetic testing may not be equally accessible to all patients  We suggest that efforts should be made to increase awareness and improve routines for genetic testing of breast cancer patients in Norway "
<https://www.mysciencework.com/publication/facets/journal/Familial%2520Cancer>