Evidence map›Paper›PMID 21567236›Full record

ArticleFamilial cancer2011

Attitudes toward childbearing and prenatal testing in individuals undergoing genetic testing for Lynch syndrome.

Akriti Dewanwala, Anu Chittenden, Margery Rosenblatt, Rowena Mercado, Judy E Garber, Sapna Syngal, Elena M Stoffel

Open access · greenAbstract read
In one paragraph

Article in Familial cancer, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
1.4field-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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Article
  4. Review
  5. Article
  6. Article
  7. Genetic Counseling and Surveillance Focused on Lynch Syndrome.Journal of the anus, rectum and colon · 2019
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. 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

7 authors at 2 institutions in 1 country.

Akriti DewanwalaDivision of Population Sciences, Dana-Farber Cancer Institute, Boston, MA, USA.
Anu Chittenden
Margery Rosenblatt
Rowena Mercado
Judy E Garber
Sapna Syngal
Elena M Stoffel
Dana-Farber Cancer Institute · USHarvard University · US

Funding

The Genetics and Prevention of Gastrointestinal CancersK24CA113433 · NCI · DANA-FARBER CANCER INSTITUTE · PI SYNGAL, SAPNA · 2005 to 2014
$1.7M
Genetic Testing and Cancer Screening in Hereditary Cancer SyndromesK07CA120448 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STOFFEL, ELENA MARTINEZ · 2007 to 2011
$753k
NCI NIH HHS 3K07CA120448-03S1NCI NIH HHS K07 CA120448NCI NIH HHS K07 CA 120448-04NCI NIH HHS K24 CA 113433NCI NIH HHS K24 CA113433
6 · The paper itself

Abstract

To examine attitudes toward childbearing and prenatal genetic testing among individuals at risk for Lynch syndrome (LS), the most common type of hereditary colorectal cancer. Individuals undergoing clinical genetic testing for mismatch repair (MMR) gene mutations completed written questionnaires before and after testing. 161 of 192 (84%) eligible individuals participated in the study. Mean age was 46 years (range 20-75), 71% were female, 53% had a personal diagnosis of cancer, and 68% had children. Eighty percent worried about their children's risk for developing cancer; however only 9% reported their decision to have children was affected by their family history of cancer. When asked whether providing prenatal testing to carriers of MMR gene mutations was ethical, 66% (86/130) of respondents agreed/strongly agreed, 25% (32) were neutral and 9% (12) disagreed/strongly disagreed. Of 48 individuals planning to have children in the future, 57% (27) intended to have children regardless of their genetic test result. If found to carry a MMR gene mutation that confirmed LS, 42% (20) would consider prenatal testing for a future pregnancy and 20% (7/35) of women would consider having children earlier in order to have prophylactic surgery to reduce their risk for gynecologic cancers. Individuals undergoing genetic testing for LS may utilize test results to make reproductive decisions. Clinicians should be prepared to discuss options of reproductive genetic technologies during counseling of LS patients of childbearing age.

Indexed as

AttitudeGenetic TestingPrenatal DiagnosisAdultAgedColorectal Neoplasms, Hereditary NonpolyposisDecision MakingDNA Mismatch RepairFemaleFollow-Up StudiesGenetic MarkersHumansMaleMiddle AgedMutationParentsGenetic Markers

Identifiers

PMID21567236
PMCPMC3233843
OpenAlexW1974055189

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.