Evidence map›Paper›PMID 21822773›Full record

ArticleJournal of genetic counseling2011

Providers' perceptions and practices regarding BRCA1/2 genetic counseling and testing in African American women.

Kristi D Graves, Juleen Christopher, Toni Michelle Harrison, Beth N Peshkin, Claudine Isaacs, Vanessa B Sheppard

Registry-linked trialAbstract read
In one paragraph

Article in Journal of genetic counseling, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03511690 (Testing an Intelligent Tutoring System Intervention to Enhance Genetic Risk Assessment in Underserved Blacks and Latinas at Risk of Hereditary Breast Cancer), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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.

NCT03511690 nacompletednot on this mapstarted 2017, after this paper: background citation

Testing an Intelligent Tutoring System Intervention to Enhance Genetic Risk Assessment in Underserved Blacks and Latinas at Risk of Hereditary Breast Cancer

TypeinterventionalSponsorGeorgetown UniversityRan2017 to 2022Enrolled95ConditionsHereditary Breast and Ovarian CancerArmsBRCA-Gist
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Disparities in genetic services utilization in a random sample of young breast cancer survivors.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Trial
  3. Disparities in uptake of BRCA1/2 genetic testing in a randomized trial of telephone counseling.Genetics in medicine : official journal of the American College of Medical Genetics · 2015
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Health Care Segregation, Physician Recommendation, and Racial Disparities in BRCA1/2 Testing Among Women With Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Article
  11. What Black Women Know and Want to Know About Counseling and Testing for BRCA1/2.Journal of cancer education : the official journal of the American Association for Cancer Education · 2015
    Article
  12. Observational
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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

6 authors.

Kristi D GravesLombardi Comprehensive Cancer Center, Cancer Control Program, Fisher Center for Familial Cancer Research, Georgetown University, Washington, DC 20007, USA.
Juleen Christopher
Toni Michelle Harrison
Beth N Peshkin
Claudine Isaacs
Vanessa B Sheppard

Funding

The Role of Behavioral Science in Personalized Genetic MedicineK07CA131172 · NCI · GEORGETOWN UNIVERSITY · PI GRAVES, KRISTI D. · 2008 to 2012
$785k
NCI NIH HHS K07 CA131172
6 · The paper itself

Abstract

We examined healthcare providers' perceptions of genetic counseling and testing in African American women at moderate to high-risk of carrying a BRCA1/2 mutation. We conducted 20 in-depth interviews with genetic counselors (n = 5), medical oncologists (n = 8), obstetrician/gynecologists (n = 2) and surgeons (n = 5). Interviews were audiotaped, transcribed and independently coded by two individuals using a content analysis approach. Seven themes emerged relevant to providers' perceptions of African American women's use of BRCA1/2 genetic services: access factors, cultural beliefs and preferences, effects of testing, patient motivators for genetic counseling and testing, patient-provider communication, reasons for provider referral, and reasons for patient refusal. Providers identified individual- and system-level barriers to African American women's use of genetic services, including lack of follow-up after referrals to genetic specialists and challenges to obtaining financial coverage for under- and uninsured high-risk women. Results have implications for physician and patient education regarding appropriate referrals to and uptake of genetic services in at-risk African American women.

Indexed as

Attitude of Health PersonnelBlack PeopleGenes, BRCA1Genes, BRCA2Genetic CounselingBlack or African AmericanFemaleHumansMutation

Identifiers

PMID21822773
PMCPMC3286616

What OpenQuestion holds

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Registered trials

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.