Evidence map›Paper›PMID 24784156›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2014

Direct-to-patient disclosure of results of mismatch repair screening for Lynch syndrome via electronic personal health record: a feasibility study.

Michael J Hall, Meagan M Herda, Elizabeth A Handorf, Christina C Rybak, Cindy A Keleher, Mark Siemon, Mary B Daly

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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, 1 synthesis or guideline pooled it, 15 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

7 authors at 1 institution in 1 country.

Michael J HallFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Meagan M HerdaFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Elizabeth A HandorfFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Christina C RybakFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Cindy A KeleherFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Mark SiemonFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Mary B DalyFox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Fox Chase Cancer Center · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
NCI NIH HHS P30 CA006927PHS HHS P30 006927-45
6 · The paper itself

Abstract

purposeThe adoption of universal mismatch repair screening of colorectal and endometrial cancers has the potential to improve detection of Lynch syndrome, as well as to improve health outcomes among cancer patients and their family members. Electronic patient health records represent an innovative, resource-efficient route of delivering results directly to patients that could be enhanced by multimedia interventions to improve critical downstream outcomes. The current study examines the feasibility and acceptability of this approach.

methodsPatients hospitalized for resection of colorectal or endometrial cancer were recruited to receive their mismatch repair result via institutional electronic patient health record. Baseline and follow-up assessments were conducted.

resultsIn all, 74% (49/66) of eligible patients consented, and 81% (29/36) of participants who had a result posted to their electronic patient health record completed follow-up, surpassing feasibility thresholds, with 14% (5/36) receiving an abnormal result. Ratings of the study approach surpassed the acceptability threshold--97% had a mean score of ≥ 4 on a 7-point scale--and were high, regardless of whether the results were normal or abnormal. Ineligibility was more common among non-white patients (P = 0.009) and patients ≥ 65 of age (P = 0.035) due to either low Internet use or access to the Internet.

conclusionElectronic patient health record-based result disclosure for mismatch repair screening is feasible to study and is acceptable to patients, but minority and elderly patients may experience greater barriers to participation.Genet Med 16 11, 854-861.

Indexed as

Electronic Health RecordsColorectal Neoplasms, Hereditary NonpolyposisDNA Mismatch RepairEndometrial NeoplasmsFeasibility StudiesFemaleGenetic TestingHealth Records, PersonalHumansMaleMiddle AgedPatient Access to Records

Identifiers

PMID24784156
PMCPMC4216634
OpenAlexW2073941175

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Registered trials

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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.