Genetic predisposition for certain forms of adult-onset cancer is inherited through germline pathogenic variants. Hereditary Breast and Ovarian Cancer (HBOC) and Lynch Syndrome (LS) are the most known syndromes today. Both syndromes predispose to a high probability of developing cancer at a young age, before screening recommendations apply. HBOC and LS account for up to 25% of common cancers, such as breast, colorectal, and prostate, and for numerous other less common but very lethal types of cancer, such as ovarian, pancreatic, endometrial, gastric, small bowel, urinary, and male breast cancer. In Switzerland, there are about 40,000 new cancer cases diagnosed every year, with breast, prostate, and colorectal cancer accounting for about half of them.
as of November 2023
Study centers
11
Data
- 713 people included
- 565 surveys completed
DKF support
Statistics, Regulatory Affairs, Data Management, Data Centre, Monitoring
The CASCADE cohort surveys individuals with pathogenic variants in genes associated with HBOC or LS and their biological relatives (first-, second-, and third-degree). Data are collected approximately every 24 months regarding cancer status and surveillance/screening practices, coordination of medical care and access to healthcare services, including cancer genetic services, psycho-oncology and psychosocial needs, comorbidities and quality of life.
The long term goals of the study are to help downstage cancer due to pathogenic variants, that is to identify as many carriers as possible while they are still unaffected by the disease, and to help provide optimal care, including cancer prevention measures, to individuals from these families. This will help reduce costs to the Swiss healthcare system and to Swiss society by reducing the number of young patients with cancer and years of lost productivity.