Thousands more family members may be affected
These risks were reported to patients through the MyCode Genomic Screening and Counseling Program. This screening allows the provision of clinically actionable results and genomic counseling to enrolled patients and their physicians and care teams. Results include risks for diseases ranging from cancers to heart disease, all of which can be treated, managed and in some cases, prevented.
Perhaps most strikingly, MyCode results are demonstrating a prevalence of BRCA mutations in the population, double the results found in published literature. Most risks were previously unknown to patients.
“This is what we call ‘anticipatory medicine’,” said Geisinger President and Chief Executive Officer David T. Feinberg, M.D. “It means we’re anticipating the medical needs of our patients. We’re finding medically actionable conditions and giving that information back to our patients.”
In several cases documented to date, MyCode results led to the detection of early-stage cancers that were not picked up by normal standards of care. In at least one of those cases, the MyCode result likely saved the patient’s life. *
If each of those 500-plus Geisinger patients informed just one at-risk relative who shares the risk for the same genetic condition, then at least 1,000 people would have benefited from MyCode. These numbers will continue to grow into the many thousands as the program continues.
“Most of these people would never have learned of their genetic risk and what they could do about it, except through MyCode, Geisinger’s unique genomics/precision health program,” said David H. Ledbetter, Ph.D., Geisinger executive vice president and chief scientific officer.
“We are years ahead of any other health care system in implementing genomic screening and we are already establishing some clinical utility,” Dr. Ledbetter said. “Population screening programs, such as MyCode, are identifying a much greater prevalence of almost any Mendelian (inherited) disease than was thought before.”
“Geisinger, more than anywhere else, is helping to move genomic screening into mainstream clinical care,” said Huntington F. Willard, Ph.D., director of the newly launched Geisinger National Precision Health Initiative. “As we take the MyCode genetics model to a national audience, we will build on the foundations laid by Geisinger.”
*These cases are documented in a paper published in Genetics in Medicine and available at this link: https://www.nature.com/articles/gim2017145
One of the nation’s most innovative health services organizations, Geisinger serves more than 1.5 million patients in Pennsylvania and New Jersey. The system includes 13 hospital campuses, a nearly 600,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. Geisinger is known for its focus on caring and innovative programs including the ProvenCare® best-practice approach to maximize quality, safety and value; ProvenHealth Navigator® advanced medical home; Springboard Health® population health program to improve the health of an entire community; ProvenExperience™ to provide refunds to patients unhappy with their care experience; and Geisinger’s MyCode® Community Health Initiative, the largest healthcare system-based precision health project in the world. With more than 215,000 volunteer participants enrolled, MyCode is conducting extensive research and returning medically actionable results to participants. A physician-led organization, with approximately 32,000 employees and more than 1,800 employed physicians, Geisinger leverages an estimated $12.7 billion positive annual impact on the Pennsylvania and New Jersey economies. Repeatedly recognized nationally for integration, quality and service, Geisinger has a long-standing commitment to patient care, medical education, research and community service. For more information, visit www.geisinger.org, or connect with us on Facebook, Instagram, LinkedIn and Twitter.