Evidence map›Paper›PMID 26068647›Full record

ReviewJournal of personalized medicine2015

Do Health Professionals Need Additional Competencies for Stratified Cancer Prevention Based on Genetic Risk Profiling?

Susmita Chowdhury, Lidewij Henneman, Tom Dent, Alison Hall, Alice Burton, Paul Pharoah, Nora Pashayan, Hilary Burton

Abstract readReview
In one paragraph

Review in Journal of personalized medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Multigene Panel Testing for Hereditary Cancer Risk.Journal of the advanced practitioner in oncology
    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

8 authors.

Susmita ChowdhuryPHG Foundation, 2 Worts Causeway, Cambridge CB1 8RN, UK. susmita.chowdhury@phgfoundation.org.
Lidewij HennemanDepartment of Clinical Genetics, Section Community Genetics, and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, PO Box 7057, 1007 MB, The Netherlands. L.Henneman@vumc.nl.
Tom DentPHG Foundation, 2 Worts Causeway, Cambridge CB1 8RN, UK. tom.dent@phgfoundation.org.
Alison HallPHG Foundation, 2 Worts Causeway, Cambridge CB1 8RN, UK. alison.hall@phgfoundation.org.
Alice BurtonUCL Division of Infection and Immunity, University College London, Cruciform Building, 90 Gower Street, London WC1E 6BT, UK. alice.burton.14@ucl.ac.uk.
Paul PharoahDepartments of Oncology and of Public Health and Primary Care, University of Cambridge, Cambridge CB1 8RN, UK. pp10001@medschl.cam.ac.uk.
Nora PashayanUCL Department of Applied Health Research, University College London, 1-19 Torrington Place, London WC1E 6BT, UK. n.pashayan@ucl.ac.uk.
Hilary BurtonPHG Foundation, 2 Worts Causeway, Cambridge CB1 8RN, UK. hilary.burton@phgfoundation.org.

Funding

Cancer Research UK 13065
6 · The paper itself

Abstract

There is growing evidence that inclusion of genetic information about known common susceptibility variants may enable population risk-stratification and personalized prevention for common diseases including cancer. This would require the inclusion of genetic testing as an integral part of individual risk assessment of an asymptomatic individual. Front line health professionals would be expected to interact with and assist asymptomatic individuals through the risk stratification process. In that case, additional knowledge and skills may be needed. Current guidelines and frameworks for genetic competencies of non-specialist health professionals place an emphasis on rare inherited genetic diseases. For common diseases, health professionals do use risk assessment tools but such tools currently do not assess genetic susceptibility of individuals. In this article, we compare the skills and knowledge needed by non-genetic health professionals, if risk-stratified prevention is implemented, with existing competence recommendations from the UK, USA and Europe, in order to assess the gaps in current competences. We found that health professionals would benefit from understanding the contribution of common genetic variations in disease risk, the rationale for a risk-stratified prevention pathway, and the implications of using genomic information in risk-assessment and risk management of asymptomatic individuals for common disease prevention.

Indexed as

common-disease preventioncompetencegenetic riskhealth professionalsknowledgerisk-assessmentrisk-stratified preventionrisk-stratified screeningrisk-toolsskills

Identifiers

PMID26068647
PMCPMC4493496

What OpenQuestion holds

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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.