Evidence map›Paper›PMID 18816319›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2008

BRCA mutation-negative women from hereditary breast and ovarian cancer families: a qualitative study of the BRCA-negative experience.

Alexis D Bakos, Sadie P Hutson, Jennifer T Loud, June A Peters, Ruthann M Giusti, Mark H Greene

Open access · bronzeAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 11% of its field
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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Personal utility in genomic testing: a systematic literature review.European journal of human genetics : EJHG · 2017
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  10. Clinical follow-up and breast and ovarian cancer screening of true BRCA1/2 noncarriers: a qualitative investigation.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Alexis D BakosDepartment of Health and Human Services, National Institute of Nursing Research, NIH, Rockville, MD, USA.
Sadie P Hutson
Jennifer T Loud
June A Peters
Ruthann M Giusti
Mark H Greene
National Cancer Institute · USCenter for Biologics Evaluation and Research · USDivision of Cancer Epidemiology and GeneticsNational Institutes of Health · US

Funding

CASE-CONTROL STUDY OF BRAIN CANCER AND OCCUPATIONN01CP011019 · CP · ABT ASSOCIATES, INC. · PI STONER, DIANE · 1985 to 1986
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Intramural NIH HHS Z99 CA999999NCI NIH HHS N02-CP-11019-50NCI NIH HHS N02-CP-65504-50
6 · The paper itself

Abstract

backgroundWhen women from families with a known BRCA1 or BRCA2 mutation test negative for the family mutation, it is assumed that they will transition their personal cancer risk perception from high to average risk. However, there are scant data regarding the experience of mutation-negative women after genetic testing disclosure, particularly related to the shift of risk perception from assumed mutation-positive to actual mutation-negative. This study was designed to explore cancer risk perception and the experience of being a mutation-negative woman within a known BRCA1/2 mutation-positive family.

methodsWe employed a qualitative descriptive design and convened a sample of 13 women who contributed in-depth, semi-structured telephone interviews (audio-recorded and transcribed verbatim) and performed qualitative content analysis with NVivo 2.0 software.

resultsSix major content areas emerged from interview data: (i) rationale for initial involvement in the breast imaging study, (ii) rationale for continued participation, (iii) experience of living in a multiple-case family, (iv) risk perception: the personal meaning of mutation-negative status, (v) opinions regarding cancer aetiology and (vi) communication patterns between mutation-negative and mutation-positive family members.

conclusionsLiving in a hereditary breast and ovarian cancer family is a complex experience that affects cognitive, emotional and social functioning. Our findings indicate that mutation-negative women may have unmet psychosocial needs that must be addressed by health-care professionals, particularly in the primary-care setting following genetic disclosure of a potentially reassuring result regarding their lack of the very high cancer risks associated with BRCA1/2 mutations.

Indexed as

Family HealthGenetic TestingHealth Knowledge, Attitudes, PracticeRisk AssessmentAdultAffectAltruismBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsCognitionCommunicationDecision MakingFemaleGenetic CounselingGenetic Predisposition to DiseaseBRCA1 ProteinBRCA2 Protein

Identifiers

PMID18816319
PMCPMC2803025
OpenAlexW2041296479

What OpenQuestion holds

Textmetadata
LicenceTDM
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.