{"id":2232,"date":"2026-09-23T14:15:50","date_gmt":"2026-09-23T14:15:50","guid":{"rendered":"https:\/\/blogs.bmj.com\/jmg\/?p=2232"},"modified":"2026-09-23T14:15:50","modified_gmt":"2026-09-23T14:15:50","slug":"evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/","title":{"rendered":"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian)"},"content":{"rendered":"<p>Mainstreaming\u2014shifting genetic testing outside clinical genetics\u2014can improve access, but requires evaluation to ensure consistent, high-quality care. This study assessed real-world implementation of mainstream cancer genetic testing across multiple centres and cancer types, incorporating both clinical and laboratory genetics perspectives. Practice was broadly aligned for common indications, including breast, ovarian, and prostate cancer. However, variability remained in areas with implications for resource use and care quality, including routine result turnaround time, negative-result management, and the extent of genetics-service involvement. These findings highlight opportunities to optimize mainstreaming and support more consistent, equitable cancer genetics care. (<a href=\"https:\/\/jmg.bmj.com\/content\/early\/2026\/09\/21\/jmg-2026-111749\">https:\/\/jmg.bmj.com\/content\/early\/2026\/09\/21\/jmg-2026-111749<\/a>)<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mainstreaming\u2014shifting genetic testing outside clinical genetics\u2014can improve access, but requires evaluation to ensure consistent, high-quality care. This study assessed real-world implementation of mainstream cancer genetic testing across multiple centres and cancer types, incorporating both clinical and laboratory genetics perspectives. Practice was broadly aligned for common indications, including breast, ovarian, and prostate cancer. However, variability remained [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":123,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2232","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian) - JMG Contact blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian) - JMG Contact blog\" \/>\n<meta property=\"og:description\" content=\"Mainstreaming\u2014shifting genetic testing outside clinical genetics\u2014can improve access, but requires evaluation to ensure consistent, high-quality care. This study assessed real-world implementation of mainstream cancer genetic testing across multiple centres and cancer types, incorporating both clinical and laboratory genetics perspectives. Practice was broadly aligned for common indications, including breast, ovarian, and prostate cancer. However, variability remained [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/\" \/>\n<meta property=\"og:site_name\" content=\"JMG Contact blog\" \/>\n<meta property=\"article:published_time\" content=\"2026-09-23T14:15:50+00:00\" \/>\n<meta name=\"author\" content=\"hqqu\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@HuiQiQu\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"hqqu\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/\"},\"author\":{\"name\":\"hqqu\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#\\\/schema\\\/person\\\/be0250f8d5b52412c3e7c222dabd591b\"},\"headline\":\"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian)\",\"datePublished\":\"2026-09-23T14:15:50+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/\"},\"wordCount\":120,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#organization\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/\",\"name\":\"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian) - JMG Contact blog\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#website\"},\"datePublished\":\"2026-09-23T14:15:50+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/2026\\\/09\\\/23\\\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/\",\"name\":\"JMG Contact blog\",\"description\":\"JMG Contact blog\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#organization\",\"name\":\"JMG Contact blog\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/files\\\/2017\\\/10\\\/blog-logo-jmg.png\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/files\\\/2017\\\/10\\\/blog-logo-jmg.png\",\"width\":300,\"height\":34,\"caption\":\"JMG Contact blog\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#\\\/schema\\\/logo\\\/image\\\/\"}},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/#\\\/schema\\\/person\\\/be0250f8d5b52412c3e7c222dabd591b\",\"name\":\"hqqu\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/920bc4e81500cde88def4bfd7775029cb154e422c5460b9cf80d5c47137d6f35?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/920bc4e81500cde88def4bfd7775029cb154e422c5460b9cf80d5c47137d6f35?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/920bc4e81500cde88def4bfd7775029cb154e422c5460b9cf80d5c47137d6f35?s=96&d=mm&r=g\",\"caption\":\"hqqu\"},\"description\":\"Huiqi Qu has a background as a physician trained in internal medicine and a PhD in Experimental Medicine (Endocrinology). His research applies human genetics and multi-omics to complex and pediatric diseases, including GWAS, polygenic risk scores (PRS), single-cell transcriptomics, and integrative genomics to support precision medicine and clinical translation.\",\"sameAs\":[\"https:\\\/\\\/x.com\\\/HuiQiQu\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/jmg\\\/author\\\/hqiqu\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian) - JMG Contact blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/","og_locale":"en_US","og_type":"article","og_title":"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian) - JMG Contact blog","og_description":"Mainstreaming\u2014shifting genetic testing outside clinical genetics\u2014can improve access, but requires evaluation to ensure consistent, high-quality care. This study assessed real-world implementation of mainstream cancer genetic testing across multiple centres and cancer types, incorporating both clinical and laboratory genetics perspectives. Practice was broadly aligned for common indications, including breast, ovarian, and prostate cancer. However, variability remained [...]Read More...","og_url":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/","og_site_name":"JMG Contact blog","article_published_time":"2026-09-23T14:15:50+00:00","author":"hqqu","twitter_card":"summary_large_image","twitter_creator":"@HuiQiQu","twitter_misc":{"Written by":"hqqu","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/"},"author":{"name":"hqqu","@id":"https:\/\/blogs.bmj.com\/jmg\/#\/schema\/person\/be0250f8d5b52412c3e7c222dabd591b"},"headline":"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian)","datePublished":"2026-09-23T14:15:50+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/"},"wordCount":120,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/jmg\/#organization"},"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/","url":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/","name":"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian) - JMG Contact blog","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/jmg\/#website"},"datePublished":"2026-09-23T14:15:50+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/jmg\/2026\/09\/23\/evaluating-consistency-and-variation-in-mainstream-germline-cancer-genetic-and-genomic-testing-contributed-by-dr-agnes-sebastian\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/jmg\/"},{"@type":"ListItem","position":2,"name":"Evaluating consistency and variation in mainstream germline cancer genetic and genomic testing (Contributed by Dr Agnes Sebastian)"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/jmg\/#website","url":"https:\/\/blogs.bmj.com\/jmg\/","name":"JMG Contact blog","description":"JMG Contact blog","publisher":{"@id":"https:\/\/blogs.bmj.com\/jmg\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/jmg\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/jmg\/#organization","name":"JMG Contact blog","url":"https:\/\/blogs.bmj.com\/jmg\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/jmg\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/jmg\/files\/2017\/10\/blog-logo-jmg.png","contentUrl":"https:\/\/blogs.bmj.com\/jmg\/files\/2017\/10\/blog-logo-jmg.png","width":300,"height":34,"caption":"JMG Contact blog"},"image":{"@id":"https:\/\/blogs.bmj.com\/jmg\/#\/schema\/logo\/image\/"}},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/jmg\/#\/schema\/person\/be0250f8d5b52412c3e7c222dabd591b","name":"hqqu","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/920bc4e81500cde88def4bfd7775029cb154e422c5460b9cf80d5c47137d6f35?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/920bc4e81500cde88def4bfd7775029cb154e422c5460b9cf80d5c47137d6f35?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/920bc4e81500cde88def4bfd7775029cb154e422c5460b9cf80d5c47137d6f35?s=96&d=mm&r=g","caption":"hqqu"},"description":"Huiqi Qu has a background as a physician trained in internal medicine and a PhD in Experimental Medicine (Endocrinology). His research applies human genetics and multi-omics to complex and pediatric diseases, including GWAS, polygenic risk scores (PRS), single-cell transcriptomics, and integrative genomics to support precision medicine and clinical translation.","sameAs":["https:\/\/x.com\/HuiQiQu"],"url":"https:\/\/blogs.bmj.com\/jmg\/author\/hqiqu\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/posts\/2232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/users\/123"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/comments?post=2232"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/posts\/2232\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/media?parent=2232"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/categories?post=2232"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/jmg\/wp-json\/wp\/v2\/tags?post=2232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}