Evidence map›Paper›PMID 25905441›Full record

Trial reportGenetics in medicine : official journal of the American College of Medical Genetics2016

Does rapid genetic counseling and testing in newly diagnosed breast cancer patients cause additional psychosocial distress? results from a randomized clinical trial.

Marijke R Wevers, Margreet G E M Ausems, Senno Verhoef, Eveline M A Bleiker, Daniela E E Hahn, Titia Brouwer, Frans B L Hogervorst, Rob B van der Luijt, Thijs van Dalen, Evert B Theunissen and 13 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Genetics in medicine : official journal of the American College of Medical Genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Quality of life, anxiety and cancer worry following hereditary cancer testing: a 6-month Swedish follow-up study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  3. Review
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  12. Gaps in Receipt of Clinically Indicated Genetic Counseling After Diagnosis of Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2018
    Article
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  18. Review
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

23 authors at 13 institutions in 2 countries.

Marijke R WeversDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Margreet G E M AusemsDivision of Biomedical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Senno VerhoefFamily Cancer Clinic, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Eveline M A BleikerDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Daniela E E HahnDepartment of Psychosocial Counseling, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Titia BrouwerDivision of Biomedical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Frans B L HogervorstFamily Cancer Clinic, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Rob B van der LuijtDivision of Biomedical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-0018-1089
Thijs van DalenDivision of Surgery, Diakonessen Hospital, Utrecht, The Netherlands.
Evert B TheunissenDivision of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
Bart van OoijenDivision of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
Marnix A de RoosDivision of Surgery, Rivierenland Hospital, Tiel, The Netherlands.
Paul J BorgsteinDivision of Surgery, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands.
Bart C VrouenraetsDivision of Surgery, St. Lucas Andreas Hospital, Amsterdam, The Netherlands.
Eline VriensDivision of Surgery, Tergooi Hospitals, Blaricum, The Netherlands.
Wim H BoumaDivision of Surgery, Gelre Hospitals, Apeldoorn, The Netherlands.
Herman RijnaDivision of Surgery, Kennemer Gasthuis, Haarlem, The Netherlands.
Johannes P VenteDivision of Surgery, Zuwe Hofpoort Hospital, Woerden, The Netherlands.
Jacobien M KiefferDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-2042-9245
Heiddis B ValdimarsdottirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland.
Emiel J Th RutgersDivision of Surgery, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Arjen J WitkampDivision of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Neil K AaronsonDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
The Netherlands Cancer Institute · NLUtrecht University · NLDiakonessenhuis hospital · NLGelre Hospitals · NLMeander Medisch Centrum · NLOLVG · NLReykjavík University · ISSint Lucas Andreas Hospital · NLSpaarne Gasthuis · NLSt. Antonius Ziekenhuis · NLTergooi · NLUniversity Medical Center Utrecht · NLZiekenhuis Rivierenland · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFemale breast cancer patients carrying a BRCA1/2 mutation have an increased risk of second primary breast cancer. Rapid genetic counseling and testing (RGCT) before surgery may influence choice of primary surgical treatment. In this article, we report on the psychosocial impact of RGCT.

methodsNewly diagnosed breast cancer patients at risk for carrying a BRCA1/2 mutation were randomized to an intervention group (offer of RGCT) or a usual care control group (ratio 2:1). Psychosocial impact and quality of life were assessed with the Impact of Events Scale, Hospital Anxiety and Depression Scale, Cancer Worry Scale, and the EORTC QLQ-C30 and QLQ-BR23. Assessments took place at study entry and at 6- and 12-month follow-up visits.

resultsBetween 2008 and 2010, 265 patients were recruited into the study. Completeness of follow-up data was more than 90%. Of the 178 women in the intervention group, 177 had genetic counseling, of whom 71 (40%) had rapid DNA testing and 59 (33%) received test results before surgery. Intention-to-treat and per-protocol analyses showed no statistically significant differences between groups over time in any of the psychosocial outcomes.

conclusionsIn this study, RGCT in newly diagnosed breast cancer patients did not have any measurable adverse psychosocial effects.

Indexed as

Genetic TestingAdultAgedBreast NeoplasmsFemaleGenes, BRCA1Genes, BRCA2Genetic CounselingHumansMiddle AgedTime FactorsYoung Adult

Identifiers

PMID25905441
OpenAlexW2071872276

What OpenQuestion holds

Textmetadata
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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.