Evidence map›Paper›PMID 25510853›Full record

ArticleBreast cancer research : BCR2014

The Angelina Jolie effect: how high celebrity profile can have a major impact on provision of cancer related services.

D Gareth Evans, Julian Barwell, Diana M Eccles, Amanda Collins, Louise Izatt, Chris Jacobs, Alan Donaldson, Angela F Brady, Andrew Cuthbert, Rachel Harrison and 6 more

Open access · goldAbstract read
In one paragraph

Article in Breast cancer research : BCR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 3 pooled it
32.0field-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

135 citing papers in PubMed, 3 syntheses or guidelines pooled it, 316 citations in OpenAlex.

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  5. Celebrity Opinion Influences Public Acceptance of Human Evolution.Evolutionary psychology : an international journal of evolutionary approaches to psychology and behavior
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75 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 10 institutions in 2 countries.

D Gareth Evans
Julian Barwell
Diana M Eccles
Amanda Collins
Louise Izatt
Chris Jacobs
Alan Donaldson
Angela F Brady
Andrew Cuthbert
Rachel Harrison
Sue Thomas
Anthony Howell
FH02 Study Group
RGC teams
Zosia Miedzybrodzka
Alex Murray
Guy's Hospital · GBUniversity of Aberdeen · GBUniversity of Nottingham · GBWessex Regional Genetics Laboratory · GBBirmingham Women's Hospital · GBCardiff University · GBSt Mary's Hospital · GBSt. Michael's Hospital · CAUniversity of Leicester · GBWythenshawe Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is frequent for news items to lead to a short lived temporary increase in interest in a particular health related service, however it is rare for this to have a long lasting effect. In 2013, in the UK in particular, there has been unprecedented publicity in hereditary breast cancer, with Angelina Jolie's decision to have genetic testing for the BRCA1 gene and subsequently undergo risk reducing mastectomy (RRM), and a pre-release of the NICE guidelines on familial breast cancer in January and their final release on 26th June. The release of NICE guidelines created a lot of publicity over the potential for use of chemoprevention using tamoxifen or raloxifene. However, the longest lasting news story was the release of details of film actress Angelina Jolie's genetic test and surgery.

methodsTo assess the potential effects of the 'Angelina Jolie' effect, referral data specific to breast cancer family history was obtained from around the UK for the years 2012 and 2013. A consortium of over 30 breast cancer family history clinics that have contributed to two research studies on early breast surveillance were asked to participate as well as 10 genetics centres. Monthly referrals to each service were collated and increases from 2012 to 2013 assessed.

resultsData from 12 family history clinics and 9 regional genetics services showed a rise in referrals from May 2013 onwards. Referrals were nearly 2.5 fold in June and July 2013 from 1,981 (2012) to 4,847 (2013) and remained at around two-fold to October 2013. Demand for BRCA1/2 testing almost doubled and there were also many more enquiries for risk reducing mastectomy. Internal review shows that there was no increase in inappropriate referrals.

conclusionsThe Angelina Jolie effect has been long lasting and global, and appears to have increased referrals to centres appropriately.

Indexed as

Breast NeoplasmsFamous PersonsFemaleGenes, BRCA1Genetic Predisposition to DiseaseHumansMastectomyReferral and ConsultationRisk Reduction BehaviorUnited Kingdom

Identifiers

PMID25510853
PMCPMC4303122
OpenAlexW2116443943

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.