Evidence map›Paper›PMID 23257159›Full record

ArticleJournal of the National Cancer Institute2013

Long-term ovarian cancer survival associated with mutation in BRCA1 or BRCA2.

John R McLaughlin, Barry Rosen, Joel Moody, Tuya Pal, Isabel Fan, Patricia A Shaw, Harvey A Risch, Thomas A Sellers, Ping Sun, Steven A Narod

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 5 pooled it
11.0field-weighted citation impact, top 2% 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

82 citing papers in PubMed, 5 syntheses or guidelines pooled it, 162 citations in OpenAlex.

  1. Pooled it
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  4. Effects of BRCA1- and BRCA2-related mutations on ovarian and breast cancer survival: a meta-analysis.Clinical cancer research : an official journal of the American Association for Cancer Research · 2015
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22 more citing papers are in PubMed but not listed here.

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.

John R McLaughlinSamuel Lunenfeld Research Institute, Mount Sinai Hospital, Toronto, Canada.
Barry Rosen
Joel Moody
Tuya Pal
Isabel Fan
Patricia A Shaw
Harvey A Risch
Thomas A Sellers
Ping Sun
Steven A Narod
Women's College Hospital · CAMoffitt Cancer Center · USUniversity of Toronto · CAMount Sinai Hospital · CAUniversity Health Network · CA

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Ovarian Cancer and Mismatch Repair DeficiencyR01CA111914 · NCI · H. LEE MOFFITT CANCER CTR &RES INST · PI PAL, TUYA · 2005 to 2009
$2.2M
Clinical Relevance of Mismatch Repair in Ovarian CancerK07CA108987 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI PAL, TUYA · 2006 to 2010
$664k
RISK FACTOR ANALYSIS OF BRCA1 AND BRCA2 CARRIERSR01CA063678 · NCI · UNIVERSITY OF TORONTO · PI NAROD, STEVEN A · 1994 to 1999
–
GENETIC/EPIDEMIOLOGY STUDY OF EPITHELIAL OVARIAN TUMORSR01CA063682 · NCI · YALE UNIVERSITY · PI RISCH, HARVEY A · 1994 to 1998
–
NCI NIH HHS K07 CA108987NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA111914NCI NIH HHS R01CA111914NCI NIH HHS R01 CA 63678NCI NIH HHS R01 CA 63682
6 · The paper itself

Abstract

backgroundStudies have suggested that the 5-year survival of women with ovarian cancer and a BRCA1 or BRCA2 mutation is better than expected. We sought to evaluate the impact of carrying a BRCA1 or BRCA2 mutation on long-term survival of women after a diagnosis of invasive ovarian cancer.

methodsOne thousand six hundred twenty-six unselected women diagnosed with invasive ovarian cancer in Ontario, Canada, or in Tampa, Florida, between 1995 and 2004 were followed for a mean of 6.9 years (range = 0.3 to 15.7 years). Mutation screening for BRCA1 and BRCA2 revealed mutations in 218 women (13.4%). Left-truncated survival analysis was conducted to estimate ovarian cancer-specific survival at various time points after diagnosis for women with and without mutations.

resultsIn the 3-year period after diagnosis, the presence of a BRCA1 or BRCA2 mutation was associated with a better prognosis (adjusted hazard ratio = 0.68, 95% confidence interval [CI] = 0.48 to 0.98; P = .03), but at 10 years after diagnosis, the hazard ratio was 1.00 (95% CI = 0.83 to 1.22; P = .90). Among women with serous ovarian cancers, 27.4% of women who were BRCA1 mutation carriers, 27.7% of women who were BRCA2 carriers, and 27.1% of women who were noncarriers were alive at 12 years past diagnosis.

conclusionFor women with invasive ovarian cancer, the short-term survival advantage of carrying a BRCA1 or BRCA2 mutation does not lead to a long-term survival benefit.

Indexed as

Genes, BRCA1Genes, BRCA2MutationAdultAgedAged, 80 and overCarcinomaFemaleFloridaHumansKaplan-Meier EstimateMiddle AgedNeoplasm GradingNeoplasm InvasivenessNeoplasm StagingOdds Ratio

Identifiers

PMID23257159
PMCPMC3611851
OpenAlexW2116234966

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.