{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T03:20:58Z","timestamp":1761621658370,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,4,11]],"date-time":"2023-04-11T00:00:00Z","timestamp":1681171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This retrospective cohort study assessed the accessibility of a genetic counselor on uptake of preimplantation genetic testing for aneuploidy (PGT\u2010A) and carrier screening in a single academic Reproductive Endocrinology and Infertility (REI) clinic. A total of 420 patients were evaluated with 219 patients counseled by a REI physician only and 201 patients after the addition of a genetic counselor (GC) to the REI clinic team. Cycles initiated before hiring of a GC (pre\u2010GC) were assessed from June 2018 to December 2018 and after integration of a GC (post\u2010GC) from March 2019 to August 2019. Additionally, information regarding carrier screening was collected if available in the medical record. Results showed more patients utilized PGT\u2010A post\u2010GC (9.5% vs. 5.5%), although the difference between groups did not reach statistical significance (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.12). Individuals who were screened post\u2010GC or who started screening pre\u2010GC and continued screening post\u2010GC were screened for a larger number of conditions than if they were only screened pre\u2010GC (median pre\u2010GC\u00a0=\u00a03, post\u2010GC\u00a0=\u00a027, pre\u2010 and post\u2010GC\u00a0=\u00a0274; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). The change in practice from using physician\u2010only counseling to counseling with accessibility to a GC did not change the utilization of PGT\u2010A in a single clinic.<\/jats:p>","DOI":"10.1002\/jgc4.1701","type":"journal-article","created":{"date-parts":[[2023,4,12]],"date-time":"2023-04-12T06:02:59Z","timestamp":1681279379000},"page":"906-915","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effect of accessibility of a genetic counselor on uptake of preimplantation genetic testing for aneuploidy (<scp>PGT\u2010A<\/scp>) and carrier screening for patients undergoing in vitro fertilization"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4022-6747","authenticated-orcid":false,"given":"Prapti","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Genetics and Genomic Medicine Washington University School of Medicine  St. Louis Missouri 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USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Riley","sequence":"additional","affiliation":[{"name":"Division of Reproductive Endocrinology and Infertility Feinberg School of Medicine  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6835-2139","authenticated-orcid":false,"given":"Patricia T.","family":"Jimenez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Fertility and Reproductive Medicine Center  St. Louis Missouri 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