Referral patterns for genetic counseling and completion of germline testing in patients younger than 50 years with endometrial cancer

The authors aimed to characterize referral patterns and identify factors influencing genetic evaluation in patients under 50 years old diagnosed with endometrial cancer. They found that only 60% of eligible patients were referred for genetic counseling, with geographic location affecting referral likelihood, while advanced disease stages decreased referral chances. The study highlights a significant gap in guideline-concordant care and underscores the need for systemic improvements to enhance access to genetic services, given the 12.5% mutation detection rate among those tested.