Evidence map›Paper›PMID 25192939›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2014

Population-based screening for breast and ovarian cancer risk due to BRCA1 and BRCA2.

Efrat Gabai-Kapara, Amnon Lahad, Bella Kaufman, Eitan Friedman, Shlomo Segev, Paul Renbaum, Rachel Beeri, Moran Gal, Julia Grinshpun-Cohen, Karen Djemal and 6 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 168 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
168citing papers in PubMed, 3 pooled it
23.1field-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.

NCT06914726 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Randomized Trial to Improve Care of Patients With Hereditary Cancer Syndromes

TypeinterventionalSponsorHealthPartners InstituteRan2025 to 2029Enrolled2,488ConditionsHereditary Breast/Ovarian Cancer (brca1, brca2), Lynch Syndrome, Genetic Variation, HBOC SyndromeArmsPatient Centered Clinical Decision Support (PC-CDS)
NCT07052266 narecruitingnot on this mapstarted 2025, after this paper: background citation

Feasibility of Obstetric and Cancer Universal Screening

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2025 to 2028Enrolled550ConditionsHereditary Cancer SyndromesArmsMyRisk Hereditary Cancer Test
3 · Its place in the literature

Who cites it

168 citing papers in PubMed, 3 syntheses or guidelines pooled it, 340 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Randomized Noninferiority Trial of Telephone Delivery of BRCA1/2 Genetic Counseling Compared With In-Person Counseling: 1-Year Follow-Up.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Trial
  6. Article
  7. Comparative Analysis ofJCO precision oncology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Trends in the Utilization ofCurrent oncology (Toronto, Ont.) · 2025
    Article
  12. Cancers · 2025
    Article
  13. Article
  14. Large-Scale Population Screening forBreast care (Basel, Switzerland) · 2025
    Article
  15. Article
  16. Article
  17. Breast cancer risk associated withCancer pathogenesis and therapy · 2025
    Article
  18. Article
  19. Article
  20. Article

108 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

16 authors at 6 institutions in 2 countries.

Efrat Gabai-KaparaMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem 91031, Israel; Faculty of Medicine, Hebrew University Medical School, Jerusalem 91120, Israel;
Amnon LahadFaculty of Medicine, Hebrew University Medical School, Jerusalem 91120, Israel; Department of Family Medicine, Clalit Health Services, Jerusalem 91120, Israel;
Bella KaufmanInstitute of Oncology, Sheba Medical Center, Tel Hashomer 52621, Israel;
Eitan FriedmanSusanne Levy Gertner Oncogenetics Unit, Sheba Medical Center, Tel Hashomer 52621, Israel; Sackler School of Medicine, Tel Aviv University, Tel-Aviv 69978, Israel;
Shlomo SegevInstitute of Medical Screening, Sheba Medical Center, Tel Hashomer 52621, Israel;
Paul RenbaumMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem 91031, Israel;
Rachel BeeriMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem 91031, Israel;
Moran GalMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem 91031, Israel;
Julia Grinshpun-CohenMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem 91031, Israel;
Karen DjemalTerem Family Medical Center, Jerusalem 92345, Israel;
Jessica B MandellDepartments of Medicine and Genome Sciences, University of Washington, Seattle, WA 98195; and.
Ming K LeeDepartments of Medicine and Genome Sciences, University of Washington, Seattle, WA 98195; and.
Uziel BellerDepartment of Obstetrics and Gynecology, Shaare Zedek Medical Center, Jerusalem 91031, Israel.
Raphael CataneInstitute of Oncology, Sheba Medical Center, Tel Hashomer 52621, Israel;
Mary-Claire KingDepartments of Medicine and Genome Sciences, University of Washington, Seattle, WA 98195; and mcking@u.washington.edu lahad@szmc.org.il.
Ephrat Levy-LahadMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem 91031, Israel; Faculty of Medicine, Hebrew University Medical School, Jerusalem 91120, Israel; mcking@u.washington.edu lahad@szmc.org.il.
Shaare Zedek Medical Center · ILSheba Medical Center · ILUniversity of Washington · USClalit Health Services · ILHebrew University of Jerusalem · ILTel Aviv University · IL

Funding

GENOMIC ANALYSIS OF INHERITED BREAST AND OVARIAN CANCERR35CA197458 · NCI · UNIVERSITY OF WASHINGTON · PI KING, MARY-CLAIRE · 2015 to 2021
$6.4M
COMPLETE VARIANT PROFILING OF ALL KNOWN BREAST CANCER GENESR01CA175716 · NCI · UNIVERSITY OF WASHINGTON · PI KING, MARY-CLAIRE, WALSH, TOMAS D · 2013 to 2017
$3.1M
Discovery of New Genes for Inherited Predisposition to Breast Cancer by Exome SeqR01CA157744 · NCI · UNIVERSITY OF WASHINGTON · PI KING, MARY-CLAIRE, WALSH, TOMAS D · 2011 to 2015
$2.7M
NCI NIH HHS R01 CA157744NCI NIH HHS R01CA157744NCI NIH HHS R01 CA175716NCI NIH HHS R35 CA197458
6 · The paper itself

Abstract

In the Ashkenazi Jewish (AJ) population of Israel, 11% of breast cancer and 40% of ovarian cancer are due to three inherited founder mutations in the cancer predisposition genes BRCA1 and BRCA2. For carriers of these mutations, risk-reducing salpingo-oophorectomy significantly reduces morbidity and mortality. Population screening for these mutations among AJ women may be justifiable if accurate estimates of cancer risk for mutation carriers can be obtained. We therefore undertook to determine risks of breast and ovarian cancer for BRCA1 and BRCA2 mutation carriers ascertained irrespective of personal or family history of cancer. Families harboring mutations in BRCA1 or BRCA2 were ascertained by identifying mutation carriers among healthy AJ males recruited from health screening centers and outpatient clinics. Female relatives of the carriers were then enrolled and genotyped. Among the female relatives with BRCA1 or BRCA2 mutations, cumulative risk of developing either breast or ovarian cancer by age 60 and 80, respectively, were 0.60 (± 0.07) and 0.83 (± 0.07) for BRCA1 carriers and 0.33 (± 0.09) and 0.76 (± 0.13) for BRCA2 carriers. Risks were higher in recent vs. earlier birth cohorts (P = 0.006). High cancer risks in BRCA1 or BRCA2 mutation carriers identified through healthy males provide an evidence base for initiating a general screening program in the AJ population. General screening would identify many carriers who are not evaluated by genetic testing based on family history criteria. Such a program could serve as a model to investigate implementation and outcomes of population screening for genetic predisposition to cancer in other populations.

Indexed as

Genes, BRCA1Genes, BRCA2AdultAgedAged, 80 and overBreast NeoplasmsFemaleGenetic Carrier ScreeningGenetic Predisposition to DiseaseGenetics, PopulationGenetic TestingHumansIsraelJewsMaleMiddle Agedgenomics

Identifiers

PMID25192939
PMCPMC4191771
OpenAlexW2080103464

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.