Evidence map›Paper›PMID 19019415›Full record

ArticleGynecologic oncology2009

Uptake of clinical genetic testing for ovarian cancer in Ontario: a population-based study.

Kelly A Metcalfe, Isabel Fan, John McLaughlin, Harvey A Risch, Barry Rosen, Joan Murphy, Linda Bradley, Susan Armel, Ping Sun, Steven A Narod

Abstract read
In one paragraph

Article in Gynecologic oncology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 20% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Trends in the Utilization ofCurrent oncology (Toronto, Ont.) · 2025
    Article
  6. Epithelial Ovarian Cancer: Providing Evidence of Predisposition Genes.International journal of environmental research and public health · 2022
    Review
  7. How can Australia integrate routine genetic sequencing in oncology: a qualitative study through an implementation science lens.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Traceback: A Proposed Framework to Increase Identification and Genetic Counseling of BRCA1 and BRCA2 Mutation Carriers Through Family-Based Outreach.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2017
    Article
  14. Review
  15. Genetics Consultation Rates Following a Diagnosis of High-Grade Serous Ovarian Carcinoma in the Canadian Province of Ontario.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2017
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Improving referral for genetic risk assessment in ovarian cancer using an electronic medical record system.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2014
    Article
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

10 authors at 5 institutions in 2 countries.

Kelly A MetcalfeLawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada. Kelly.metcalfe@utoronto.ca
Isabel Fan
John McLaughlin
Harvey A Risch
Barry Rosen
Joan Murphy
Linda Bradley
Susan Armel
Ping Sun
Steven A Narod
Mount Sinai Hospital · CAUniversity Health Network · CAWomen's College Hospital · CAUniversity of Toronto · CAYale University · US

Funding

RISK FACTOR ANALYSIS OF BRCA1 AND BRCA2 CARRIERSR01CA063678 · NCI · UNIVERSITY OF TORONTO · PI NAROD, STEVEN A · 1994 to 1999
–
NCI NIH HHS R01 CA063678
6 · The paper itself

Abstract

backgroundApproximately 13% of ovarian cancers in Canada are attributable to a mutation in BRCA1 or BRCA2. In 2001, genetic testing for BRCA1 and BRCA2 became freely available to all women in Ontario with a diagnosis of invasive ovarian cancer. It is unknown what proportion of women with ovarian cancer receive genetic testing as a result of this recommendation.

methodsPatients in Ontario who had been diagnosed with epithelial ovarian cancer from 2002 to 2004 were identified using the Ontario Cancer Registry. Information was collected on demographic and risk factors, including information on previous testing for BRCA1 and BRCA2. Women were asked to provide a blood sample for genetic testing or to provide a genetic test result if clinical testing had been done. Genetic testing for BRCA1 and BRCA2 mutations was conducted on all blood samples.

resultsOf the 416 women, 80 women (19%) had undergone previous clinical genetic testing for BRCA1 and BRCA2. Of these 80 women, 30% had a positive genetic test result, compared to 5% of 336 women who had not had clinical genetic testing (p<0.0001). Sixty percent of all mutations were identified within this group of 80 women.

conclusionsGenetic testing is available in Ontario to all women with invasive ovarian cancer. However, only a small proportion of women are being referred for testing. This study suggests that increased public awareness directed at physicians and at women with cancer may expand the use of genetic testing.

Indexed as

Genes, BRCA1Genes, BRCA2Germ-Line MutationAdultAgedDNA, NeoplasmFemaleGenetic Predisposition to DiseaseGenetic TestingHumansMiddle AgedOntarioOvarian NeoplasmsYoung AdultDNA, Neoplasm

Identifiers

PMID19019415
PMCPMC3074978
OpenAlexW2025402387

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.