Table 3 Frequency of Risk Management Recommendations

Monogenic Hereditary Related Recommendations

597 (31.6%)

 Genetic counseling for hereditary cardiac syndromes

107 (5.7%)

 Genetic counseling for hereditary cancer syndromes [26,27,28,29]

395 (20.1%)

 Genetic counseling for hereditary thrombophilia [30]

165 (8.7%

 Familial hypercholesterolemia testing [31]

66 (3.4%)

 Hemochromatosis iron studies and genetic testing [32]

3 (0.2%)

 Wilson’s disease genetic testing [33]

11 (0.6%)

 Alpha 1 anti-trypsinase deficiency genetic testing [34]

11 (0.6%)

Familial Cancer Related Recommendations

508 (26.9%)

 Ovarian cancer screening discussion [35]

32 (1.7%)

 Breast MRI screening [5]

58 (3.2%)

 Breast cancer chemoprevention [36]

109 (6%)

 Colonoscopy screening starting age < 50 and/or more frequently [37, 38]

241 (13.1%)

Common Chronic Disease Related Recommendations

1059 (56.1%)

 Aspirin for stroke prevention [39]

67 (3.6%)

 Diabetes screening

858 (45.4%)

 Abdominal Aortic Aneurysm screening [40, 41]

389 (20.6%)

 Calcium scoring CT for further cardiovascular risk stratification [4]

11 (0.6%)

 Lung cancer screening [42]

45 (2.4%)