Evidence map›Paper›PMID 10662810›Full record

ArticleJournal of medical genetics2000

Evaluation of a counselling protocol for predictive genetic testing for hereditary non-polyposis colorectal cancer.

K Aktan-Collan, J P Mecklin, A de la Chapelle, P Peltomäki, A Uutela, H Kääriäinen

Abstract read
In one paragraph

Article in Journal of medical genetics, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021
    Pooled it
  2. Incorporating ethnicity into genetic risk assessment for Alzheimer disease: the REVEAL study experience.Genetics in medicine : official journal of the American College of Medical Genetics · 2008
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A Counselling Model for BRCA1/2 Genetic Susceptibility Testing.Hereditary cancer in clinical practice · 2004
    Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

K Aktan-CollanDepartment of Medical Genetics, Haartman Institute, University of Helsinki, Helsinki, Finland.
J P Mecklin
A de la Chapelle
P Peltomäki
A Uutela
H Kääriäinen

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
INCIDENCE AND MOLECULAR SCREENING FOR HEREDITARY CANCERR01CA067941 · NCI · OHIO STATE UNIVERSITY · PI DE LA CHAPELLE, ALBERT · 2000 to 2004
$2.9M
NATURAL HISTORY AND INCIDENCE OF HEREDITARY COLON CANCERU01CA067941 · NCI · UNIVERSITY OF HELSINKI · PI DE LA CHAPELLE, ALBERT · 1996 to 1999
–
NCI NIH HHS CA 16058NCI NIH HHS CA 67941
6 · The paper itself

Abstract

objectivesTo evaluate the feasibility of a reduced counselling programme for predictive genetic testing for hereditary non-polyposis colorectal cancer (HNPCC) in terms of counsellees' opinions on the extent and significance of genetic counselling and need for psychological support at different phases of the testing procedure.

designProspective follow up study with pre-test questionnaire assessment of background sociodemographic variables. The protocol comprised a pre-test counselling session, a period for reflection, and a test disclosure session. The outcome variables were studied by post-test questionnaires at one month and one year follow up. SUBJECTS: Two hundred and seventy one high risk members of 36 families with HNPCC who attended both counselling sessions and completed the questionnaires.

resultsThe pre-test counselling was considered fairly or very useful by 89% of respondents and one post-test session was considered sufficient by over 80% of respondents at follow up. Fifty three percent would have used extra psychological support had it been offered with the counselling. On enquiry one year after receiving the test result, only 2% stated that the need for support was at its greatest at that time, while the majority (46%) reported that the need for support had been greatest at the moment of test disclosure.

conclusionsA protocol that includes one comprehensive pre-test counselling session and a test disclosure session, supplemented with the option of professional psychological support, seems to be sufficient for both the educational and supportive needs of counsellees. Only a minority expressed a need for post-test follow up sessions, which suggests that, in this disorder, resources can be directed to the beneficial surveillance programmes rather than to extensive psychological support.

Indexed as

AdultAgedColorectal NeoplasmsColorectal Neoplasms, Hereditary NonpolyposisFemaleFollow-Up StudiesGenetic CounselingGenetic TestingHumansMaleMiddle AgedMutationProspective StudiesRisk Factors

Identifiers

PMID10662810
PMCPMC1734517

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.