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    'Angelina Jolie Effect' On Cancer Gene Testing

    Women at greatest risk were the ones who sought genetic counseling, researcher said

    WebMD News from HealthDay

    By Kathleen Doheny

    HealthDay Reporter

    WEDNESDAY, Sept. 3, 2014 (HealthDay News) -- In the months after actress and activist Angelina Jolie revealed last year that she had undergone a preventive double mastectomy because of an increased risk for breast cancer, the number of women referred for genetic counseling went up dramatically, a new Canadian study shows.

    "When we compared six months before the [Jolie] story to six months after, we found the number of referrals doubled," said study author Dr. Jacques Raphael, a medical oncology fellow at Sunnybrook Odette Cancer Centre in Toronto. He is scheduled to present his findings Friday at the American Society of Clinical Oncology's Breast Cancer Symposium in San Francisco.

    Raphael and his colleagues evaluated the number of genetic counseling referrals at their center six months before and six months after Jolie made the announcement in May 2013. Jolie had tested positive for the BRCA1 mutation, which greatly increases the risk of breast cancer. She also had a family history of breast and ovarian cancer.

    While 487 women were referred for testing in the six months before the Jolie announcement, 916 were referred in the six months after it, the investigators found.

    Even more important, Raphael said, was that the quality of referrals remained high -- that is, the women who had reason to be tested were the ones seeking it and being referred. The increase was not just due to women concerned about the risk without a family history or other risk factors.

    "This is an example of a positive celebrity effect," he said.

    The Canadian finding echoes those of studies done at other centers, both in the United States and in the United Kingdom, Raphael said.

    Of the 916 referred after the Jolie news, 437 qualified for genetic testing. That was roughly the same ratio as before, with 213 of the 487 referred qualifying before the news broke.

    Raphael can't say if the effect will be long lasting. He is continuing to evaluate the referrals.

    The findings make sense, said Dr. Leonard Lichtenfeld, deputy chief medical officer for the American Cancer Society.

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