Achieving universal genetic assessment for women with ovarian cancer: Are we there yet? A systematic review and meta-analysis

•Reported rates of genetic testing for people with ovarian cancer remain well below the goal of universal testing.•Race and insurance status influence utilization of genetic services by women with ovarian cancer.•Promising interventions include mainstreaming genetic care, telemedicine, and embedding genetic counselors in the clinic.•The increased demand for testing coupled with the decreased supply of genetic counselors calls for novel approaches.