Evidence map›Paper›PMID 26681312›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2016

Pathogenic and likely pathogenic variant prevalence among the first 10,000 patients referred for next-generation cancer panel testing.

Lisa R Susswein, Megan L Marshall, Rachel Nusbaum, Kristen J Vogel Postula, Scott M Weissman, Lauren Yackowski, Erica M Vaccari, Jeffrey Bissonnette, Jessica K Booker, M Laura Cremona and 10 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article 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. An erratum has been issued. Cited by 184 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
184citing papers in PubMed, 7 pooled it
18.5field-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

184 citing papers in PubMed, 7 syntheses or guidelines pooled it, 284 citations in OpenAlex.

  1. Guideline
  2. Genotype-phenotype correlations inOncology reviews · 2025
    Pooled it
  3. Pooled it
  4. A Systematic Literature Review of Whole Exome and Genome Sequencing Population Studies of Genetic Susceptibility to Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Pooled it
  5. Summary ofGenes · 2020
    Pooled it
  6. Guideline
  7. Pooled it
  8. Trial
  9. Article
  10. Special Issue "Molecular Research and Cellular Biology of Breast Cancer".International journal of molecular sciences · 2026
    Article
  11. Article
  12. Article
  13. Impact of germlineMolecular therapy. Oncology · 2026
    Article
  14. Article
  15. Article
  16. Implementation of the precision oncology program in catalonia's public health system: results, lessons learned, and future prospects.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  17. Article
  18. Article
  19. Review
  20. Review

124 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 1 institution in 1 country.

Lisa R SussweinGeneDx, Gaithersburg, Maryland, USA.ORCID 0000-0003-4222-5251
Megan L MarshallGeneDx, Gaithersburg, Maryland, USA.ORCID 0000-0002-4095-0858
Rachel NusbaumGeneDx, Gaithersburg, Maryland, USA.
Kristen J Vogel PostulaGeneDx, Gaithersburg, Maryland, USA.
Scott M WeissmanGeneDx, Gaithersburg, Maryland, USA.
Lauren YackowskiGeneDx, Gaithersburg, Maryland, USA.
Erica M VaccariGeneDx, Gaithersburg, Maryland, USA.
Jeffrey BissonnetteGeneDx, Gaithersburg, Maryland, USA.
Jessica K BookerGeneDx, Gaithersburg, Maryland, USA.
M Laura CremonaBioReference Laboratories, Elmwood Park, New Jersey, USA.
Federica GibelliniGeneDx, Gaithersburg, Maryland, USA.
Patricia D MurphyGeneDx, Gaithersburg, Maryland, USA.
Daniel E Pineda-AlvarezGeneDx, Gaithersburg, Maryland, USA.ORCID 0000-0002-0580-058X
Guido D PollevickBioReference Laboratories, Elmwood Park, New Jersey, USA.
Zhixiong XuGeneDx, Gaithersburg, Maryland, USA.
Gabi RichardGeneDx, Gaithersburg, Maryland, USA.
Sherri BaleGeneDx, Gaithersburg, Maryland, USA.
Rachel T KleinBioReference Laboratories, Elmwood Park, New Jersey, USA.
Kathleen S HruskaGeneDx, Gaithersburg, Maryland, USA.
Wendy K ChungDepartment of Pediatrics and Medicine, Columbia University Medical Center, New York, New York, USA.
Columbia University Irving Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGerm-line testing for panels of cancer genes using next-generation sequencing is becoming more common in clinical care. We report our experience as a clinical laboratory testing both well-established, high-risk cancer genes (e.g., BRCA1/2, MLH1, MSH2) as well as more recently identified cancer genes (e.g., PALB2, BRIP1), many of which have increased but less well-defined penetrance.

methodsClinical genetic testing was performed on over 10,000 consecutive cases referred for evaluation of germ-line cancer genes, and results were analyzed for frequency of pathogenic or likely pathogenic variants, and were stratified by testing panel, gene, and clinical history.

resultsOverall, a molecular diagnosis was made in 9.0% of patients tested, with the highest yield in the Lynch syndrome/colorectal cancer panel. In patients with breast, ovarian, or colon/stomach cancer, positive yields were 9.7, 13.4, and 14.8%, respectively. Approximately half of the pathogenic variants identified in patients with breast or ovarian cancer were in genes other than BRCA1/2.

conclusionThe high frequency of positive results in a wide range of cancer genes, including those of high penetrance and with clinical care guidelines, underscores both the genetic heterogeneity of hereditary cancer and the usefulness of multigene panels over genetic tests of one or two genes.Genet Med 18 8, 823-832.

Indexed as

Germ-Line MutationAdultAgedFemaleGenetic Predisposition to DiseaseGenetic TestingHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedNeoplasmsPrevalenceSequence Analysis, DNA

Identifiers

PMID26681312
PMCPMC4985612
OpenAlexW2256432617

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.