Evidence map›Paper›PMID 23512077›Full record

ArticleAnnals of surgical oncology2013

Inherited mutations in pheochromocytoma and paraganglioma: why all patients should be offered genetic testing.

Lauren Fishbein, Shana Merrill, Douglas L Fraker, Debbie L Cohen, Katherine L Nathanson

Open access · greenAbstract read
In one paragraph

Article in Annals of surgical oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 3 pooled it
13.4field-weighted citation impact, top 1% 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

116 citing papers in PubMed, 3 syntheses or guidelines pooled it, 230 citations in OpenAlex.

  1. Clinical characteristics and prognosis ofJournal of medical genetics · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. The utility of genetic testing for pheochromocytoma and paraganglioma.Proceedings (Baylor University. Medical Center) · 2026
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  10. Tumor risks and surveillance outcomes inEndocrine oncology (Bristol, England) · 2026
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56 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Lauren FishbeinDivision of Endocrinology, Diabetes, and Metabolism, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Shana Merrill
Douglas L Fraker
Debbie L Cohen
Katherine L Nathanson
University of Pennsylvania · US

Funding

Diabetes, Endocrine, and MetabolismT32DK007314 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI DORIS A STOFFERS, Patrick Seale · 1986 to 2026
$9.0M
NIDDK NIH HHS 2-T32-DK007314-31NIDDK NIH HHS T32 DK007314
6 · The paper itself

Abstract

backgroundPheochromocytomas (PCC) and paragangliomas (PGL) are neuroendocrine tumors that, although rare, are an important cause of secondary hypertension because of the high morbidity and mortality. PCC/PGL are still thought of as the "tumor of tens," with 10 % being hereditary; however, recent population based studies suggest that up to 32 % of patients have a germline mutation in one of the known common susceptibility genes (including NF1, VHL, RET, SDHB, SDHD, and SDHC). Despite this, most patients in the United States are not referred for clinical genetic testing by their physicians. We aimed to examine the mutation prevalence in a clinic-based population in the United States.

methodsWe performed a retrospective chart review of 139 consecutive patients with PCC/PGL from the medical genetics clinic at the hospital of the University of Pennsylvania from January 2004 through February 2012.

resultsWe found a 41 % overall mutation detection rate. Twenty-six percent of the cohort had a mutation in the SDHB or SDHD genes. Of patients with at least one PGL tumor outside the adrenal gland, 53 % had an identified mutation.

conclusionsForty-one percent of the cohort had a heritable mutation. The most commonly mutated gene was SDHB, which carries the highest risk of malignancy. These data, together with American Society of Clinical Oncology guidelines suggesting that genetic testing be performed if the risk of a hereditable mutation is at least 10 % or if it will affect medical management, strongly suggest that all patients with PCC/PGL should undergo clinical genetic testing.

Indexed as

Genetic TestingMutation RateAbdominal NeoplasmsAdolescentAdrenal Gland NeoplasmsAdultAgedChildFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedNeurofibromin 1Paraganglioma, Extra-AdrenalPelvic NeoplasmsNeurofibromin 1Proto-Oncogene Proteins c-retRET protein, humanSDHB protein, humanSDHD protein, humanSuccinate DehydrogenaseVHL protein, humanVon Hippel-Lindau Tumor Suppressor Protein

Identifiers

PMID23512077
PMCPMC4291281
OpenAlexW2094076580

What OpenQuestion holds

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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.