Evidence map›Paper›PMID 26036338›Full record

ArticleCancer2015

Universal tumor screening for Lynch syndrome: Assessment of the perspectives of patients with colorectal cancer regarding benefits and barriers.

Jessica Ezzell Hunter, Jamilyn M Zepp, Mari J Gilmore, James V Davis, Elizabeth J Esterberg, Kristin R Muessig, Susan K Peterson, Sapna Syngal, Louise S Acheson, Georgia L Wiesner and 2 more

Open access · greenAbstract read
In one paragraph

Article in Cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 37 citations in OpenAlex.

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  18. Community Practice Implementation of a Self-administered Version of PREMMClinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2018
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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

12 authors at 5 institutions in 1 country.

Jessica Ezzell HunterCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Jamilyn M ZeppCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Mari J GilmoreCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
James V DavisCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Elizabeth J EsterbergCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Kristin R MuessigCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Susan K PetersonDepartment of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Sapna SyngalDivision of Medical Oncology, Department of Medicine, Dana-Farber Cancer Institute, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Louise S AchesonDepartment of Family Medicine and Community Health, Department of Reproductive Biology, Case Western Reserve University and University Hospitals Case Medical Center, Cleveland, Ohio.
Georgia L WiesnerVanderbilt Hereditary Cancer Program, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University, Nashville, Tennessee.
Jacob A ReissCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Katrina A B GoddardCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Kaiser Permanente Center for Health Research · USCase Western Reserve University · USHarvard University · USThe University of Texas MD Anderson Cancer Center · USVanderbilt University · US

Funding

Integrating Genetic Testing for Lynch Syndrome in a Managed Care SettingR01CA140377 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GODDARD, KATRINA A. · 2011 to 2015
$2.8M
NCI NIH HHS 5R01CA140377NCI NIH HHS R01 CA140377
6 · The paper itself

Abstract

backgroundUniversal tumor screening for Lynch syndrome, the most common form of hereditary colorectal cancer (CRC), has been recommended among all patients newly diagnosed with CRC. However, there is limited literature regarding patient perspectives of tumor screening for Lynch syndrome among patients with CRC who are not selected for screening based on family history criteria.

methodsA total of 145 patients aged 39 to 87 years were administered surveys assessing perceived risk, patient perspectives, and potential benefits of and barriers to tumor screening for Lynch syndrome. Associations between patient-specific and cancer-specific factors and survey responses were analyzed.

resultsThe majority of participants perceived their risk of developing Lynch syndrome as being low, with 9 participants (6.2%) anticipating an abnormal screening result. However, most participants endorsed the potential benefits of screening for themselves and their families, with 84.8% endorsing ≥6 benefits and 50.3% endorsing all 8 benefits. Participants also endorsed few potential barriers to screening, with 89.4% endorsing ≤4 of 9 potential barriers. A common barrier was worry about the cost of additional testing and surveillance, which was endorsed by 54.5% of participants. The level of distress associated with tumor screening for Lynch syndrome, which was very low, was not associated with age or CRC stage.

conclusionsThe results of the current study indicate that patients with CRC overall have a positive attitude toward tumor screening for Lynch syndrome, endorse the benefits of screening, and experience low levels of distress. These findings provide insight into patient attitudes toward tumor screening for Lynch syndrome among unselected patients with CRC to inform educational approaches that assist in patient decision-making and guide the successful implementation of screening programs.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedAged, 80 and overColorectal Neoplasms, Hereditary NonpolyposisEarly Detection of CancerFemaleHumansMaleMass ScreeningMiddle AgedSurveys and Questionnairescolorectal neoplasmsgenetic counselinggenetic screeninghereditary nonpolyposis colorectal cancer (HNPCC)Lynch syndrome

Identifiers

PMID26036338
PMCPMC4560979
OpenAlexW1847485297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.