Approaches to Implementing Cascade Genetic Testing: Attention to Detail Matters By Kari L. Ring August 27, 2026 Jama Network Open Share Summary Takeaways Listen Insight Report Clinical Scorecard Quiz Poll Topic Commentary 1 Nearly 2 million individuals in the US face elevated lifetime risk of inherited genetic conditions, including HBOC and Lynch syndrome. 2 A multicenter investigation found that 12.5% of cancer patients harbored a germline pathogenic variant in moderate- or high-penetrance cancer genes. 3 Cascade genetic testing among at-risk relatives remains suboptimal, with low testing rates even in families with documented cancer history. 4 The IGNITE-TX study demonstrated feasibility in engaging a diverse patient population for cascade genetic testing using digital platforms. 5 Enrollment in the IGNITE-TX study included only 20% of eligible patients, highlighting challenges in reaching broader populations.