Evidence map›Paper›PMID 21811309›Full record

ArticleEuropean journal of human genetics : EJHG2012

Attitudes to reproductive genetic testing in women who had a positive BRCA test before having children: a qualitative analysis.

Elizabeth Ormondroyd, Louise Donnelly, Clare Moynihan, Cornelie Savona, Elizabeth Bancroft, D Gareth Evans, Rosalind Eeles, Stuart Lavery, Maggie Watson

Open access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

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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

9 authors at 7 institutions in 1 country.

Elizabeth OrmondroydDepartment of Cardiovascular Medicine, John Radcliffe Hospital, Oxford, UK. liz.ormondroyd@cardiov.ox.ac.uk
Louise Donnelly
Clare Moynihan
Cornelie Savona
Elizabeth Bancroft
D Gareth Evans
Rosalind Eeles
Stuart Lavery
Maggie Watson
Institute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBBethlem Royal Hospital · GBHammersmith Hospital · GBJohn Radcliffe Hospital · GBSt Mary's Hospital · GBWythenshawe Hospital · GB

Funding

Cancer Research UK 15007Cancer Research UK C1226 A7920
6 · The paper itself

Abstract

The scope of conditions for which preimplantation genetic diagnosis (PGD) is licensed has recently been expanded in the United Kingdom to include genetic predisposition to adult-onset cancer. This qualitative interview study explores reproductive decision making, knowledge of and attitudes to reproductive genetic testing (prenatal diagnosis and PGD) with 25 women aged 18-45 years who received a positive BRCA test in the United Kingdom before having children. In this cohort of younger women, BRCA testing was motivated by risk management decisions; for some, BRCA status has affected their later decisions about having children. The perceived severity of hereditary breast/ovarian cancer (HBOC) influences thoughts about passing on the mutation to children and willingness to consider reproductive genetic testing, but most participants do not believe HBOC is a condition for which pregnancy termination is justified. PGD is considered more acceptable and advantageous because it would prevent transmission to future generations, but women have concerns about selecting embryos and the fact that they and affected family members would not have been selected. Women would also be deterred by the need to undergo in vitro fertilisation (IVF) and ovarian stimulation for PGD. Awareness of reproductive testing options was very variable among the cohort. The findings highlight the complexities of reproductive decision making for young women who knowingly carry a BRCA mutation, and the dilemmas inherent to reproductive genetic testing when the condition being tested for also affects a prospective parent. Counselling and psychological support for BRCA-positive women and couples concerning reproductive options are strongly indicated.

Indexed as

Genes, BRCA1Health Knowledge, Attitudes, PracticeAdolescentAdultBreast NeoplasmsDecision MakingFemaleGenes, BRCA2Genetic CounselingGenetic TestingHumansInterviews as TopicMiddle AgedMutationPrenatal DiagnosisRisk Management

Identifiers

PMID21811309
PMCPMC3234514
OpenAlexW2141429353

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.