Evidence map›Paper›PMID 20980697›Full record

ArticleQualitative health research2011

Preserving the self: the process of decision making about hereditary breast cancer and ovarian cancer risk reduction.

A Fuchsia Howard, Lynda G Balneaves, Joan L Bottorff, Patricia Rodney

Abstract read
In one paragraph

Article in Qualitative health research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–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

27 citing papers in PubMed.

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  9. Approaches to decision-making among late-stage melanoma patients: a multifactorial investigation.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
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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

4 authors.

A Fuchsia HowardSchool of Population and Public Health, University of British Columbia, Vancouver, Canada. fuchsiahoward@mac.com
Lynda G Balneaves
Joan L Bottorff
Patricia Rodney

Funding

CIHR 80474-1
6 · The paper itself

Abstract

Women who carry BRCA1 or BRCA2 (BRCA1/2) gene mutations have up to an 88% lifetime risk of breast cancer and up to a 65% lifetime risk of ovarian cancer. Strategies to address these risks include cancer screening and risk-reducing surgery (i.e., mastectomy and salpingo-oophorectomy). We conducted a grounded theory study with 22 BRCA1/2 mutation-carrier women to understand how women make decisions about these risk-reducing strategies. Preserving the self was the overarching decision-making process evident in the participants' descriptions. This process was shaped by contextual conditions including the characteristics of health services, the nature of hereditary breast and ovarian cancer risk-reduction decisions, gendered roles, and the women's perceived proximity to cancer. The women engaged in five decision-making styles, and these were characterized by the use of specific decision-making approaches. These findings provide theoretical insights that could inform the provision of decisional support to BRCA1/2 carriers.

Indexed as

Decision MakingGenes, BRCA1Genes, BRCA2AdultAgedAged, 80 and overBreast NeoplasmsEarly Detection of CancerFemaleGenetic TestingHumansInterview, PsychologicalMastectomyMiddle AgedMutationNeoplastic Syndromes, Hereditary

Identifiers

PMID20980697
PMCPMC4880460

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.