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Table 2 Common elements of clinical guidelines and position statements

From: Health care providers and direct-to-consumer access and advertising of genetic testing in the United States

Guideline   Recommend involvement of HCP Informed consent Provide or refer to HCP for pre- and/or post-test counseling Communicate results in clear and/or culturally appropriate manner Provide or require clinical evidence for recommended intervention Provide user-friendly materials for DTC services Address or disclose privacy and data storage policies Disclose or require scientific evidence on which test is based (covering analytical and clinical validity, clinical utility) Establish or require laboratory quality standards Disclose laboratory accreditation Increase regulation of DTC testing Unbiased advertising and claims Public and/or provider education
North America American College of Medical Genetics (ACMG) [140] 2008 X X X X    X X   X    
  American College of Obstetricians and Gynecologists (ACOG) [141] 2008 X X X     X       
  American Medical Association (AMA) [138] 2008 X X X           
  American College of Clinical Pharmacology (ACCP) [136] 2009 X1   X      X      
  American Society of Clinical Oncology (ASCO) [137] 2010 X X X     X X    X   X
  American Society of Human Genetics (ASHG) [134] 2007   X    X   X X   X X   X
  National Society of Genetic Counselors (NSGC) [135] 2007 X X   X   X X    X    
  Canadian College of Medical Geneticists (CCMG) [143] 2011 X X      X X   X   X  
Europe European Society of Human Genetics (ESHG) [133] 2010 X1 X X   X   X X X   X X X
  Human Genetics Commission [139] 2010 X2 X   X X X X X X   X X  
Asia Human Genetics Society of Australasia (HGSA) [142] 2007        X     X   X
  1. 1Should also seek guidance from a genetics professional. 2For test interpretation.