Evidence map›Paper›PMID 26969308›Full record

Trial reportFamilial cancer2016

Patient and genetic counselor perceptions of in-person versus telephone genetic counseling for hereditary breast/ovarian cancer.

Aryana S Jacobs, Marc D Schwartz, Heiddis Valdimarsdottir, Rachel H Nusbaum, Gillian W Hooker, Tiffani A DeMarco, Jessica E Heinzmann, Wendy McKinnon, Shelley R McCormick, Claire Davis and 8 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Familial cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.7field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Virtual Care in Patients with Cancer: A Systematic Review.Current oncology (Toronto, Ont.) · 2021
    Pooled it
  2. Trial
  3. Article
  4. Transforming patient-centered cancer care using telehealth: the MATCHES Center.Journal of the National Cancer Institute. Monographs · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Prospective Feasibility Trial of a Novel Strategy of Facilitated Cascade Genetic Testing Using Telephone Counseling.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Article
  12. Article
  13. Article
  14. Racial/Ethnic Disparities in BRCA Counseling and Testing: a Narrative Review.Journal of racial and ethnic health disparities · 2019
    Review
  15. Article
  16. Article
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

18 authors at 14 institutions in 2 countries.

Aryana S JacobsDepartment of Oncology, Lombardi Comprehensive Cancer Center, Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, Georgetown University Medical Center, 3300 Whitehaven Street, NW, Suite 4100, Washington, DC, 20007, USA.
Marc D SchwartzDepartment of Oncology, Lombardi Comprehensive Cancer Center, Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, Georgetown University Medical Center, 3300 Whitehaven Street, NW, Suite 4100, Washington, DC, 20007, USA.
Heiddis ValdimarsdottirDepartment of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Rachel H NusbaumGeneDx, Gaithersburg, MD, USA.
Gillian W HookerNextGxDx, Inc., Franklin, TN, USA.
Tiffani A DeMarcoCancer Genetic Counseling Program, Inova Translational Medicine Institute, Inova Health System, Falls Church, VA, USA.
Jessica E HeinzmannCarol G. Simon Cancer Center, Atlantic Health Systems, Summit, NJ, USA.
Wendy McKinnonFamilial Cancer Program, University of Vermont Cancer Center, Burlington, VT, USA.
Shelley R McCormickCenter for Cancer Risk Assessment, Massachusetts General Hospital, Boston, MA, USA.
Claire DavisJoan H. Marks Graduate Program in Human Genetics, Sarah Lawrence College, Yonkers, NY, USA.
Andrea D FormanDepartment of Clinical Genetics, Risk Assessment Program, Fox Chase Cancer Center, Philadelphia, PA, USA.
Alexandra Perez LebensohnStanford Healthcare, Stanford Women's Cancer Center, Stanford, CA, USA.
Emily DaltonAmbry Genetics, Aliso Viejo, CA, USA.
Diana Moglia TullyGeneDx, Gaithersburg, MD, USA.
Kristi D GravesDepartment of Oncology, Lombardi Comprehensive Cancer Center, Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, Georgetown University Medical Center, 3300 Whitehaven Street, NW, Suite 4100, Washington, DC, 20007, USA.
Morgan SimilukNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Scott KellyDepartment of Epidemiology and Biostatistics, George Washington University, Washington, DC, USA.
Beth N PeshkinDepartment of Oncology, Lombardi Comprehensive Cancer Center, Jess and Mildred Fisher Center for Hereditary Cancer and Clinical Genomics Research, Georgetown University Medical Center, 3300 Whitehaven Street, NW, Suite 4100, Washington, DC, 20007, USA. peshkinb@georgetown.edu.
Georgetown University · USGeorgetown University Medical Center · USAmbry Genetics (United States) · USAtlantic Health System · USFox Chase Cancer Center · USGeorge Washington University · USGTx (United States) · USIcahn School of Medicine at Mount Sinai · USInova Health System · USMassachusetts General Hospital · USNational Institutes of Health · USSarah Lawrence College · USStanford Health Care · USUniversity of Vermont · US

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
Telephone-Based Genetic Counseling: An Equivalence TrialR01CA108933 · NCI · GEORGETOWN UNIVERSITY · PI SCHWARTZ, MARC D · 2004 to 2008
$2.3M
NCI NIH HHS P30 CA051008NCI NIH HHS R01 CA108933
6 · The paper itself

Abstract

Telephone genetic counseling (TC) for high-risk women interested in BRCA1/2 testing has been shown to yield positive outcomes comparable to usual care (UC; in-person) genetic counseling. However, little is known about how genetic counselors perceive the delivery of these alternate forms of genetic counseling. As part of a randomized trial of TC versus UC, genetic counselors completed a 5-item genetic counselor process questionnaire (GCQ) assessing key elements of pre-test sessions (information delivery, emotional support, addressing questions and concerns, tailoring of session, and facilitation of decision-making) with the 479 female participants (TC, N = 236; UC, N = 243). The GCQ scores did not differ for TC vs. UC sessions (t (477) = 0.11, p = 0.910). However, multivariate analysis showed that participant race/ethnicity significantly predicted genetic counselor perceptions (β = 0.172, p < 0.001) in that the GCQ scores were lower for minorities in TC and UC. Exploratory analyses suggested that GCQ scores may be associated with patient preference for UC versus TC (t (79) = 2.21, p = 0.030). Additionally, we found that genetic counselor ratings of session effectiveness were generally concordant with patient perceptions of the session. These data indicate that genetic counselors perceive that key components of TC can be delivered as effectively as UC, and that these elements may contribute to specific aspects of patient satisfaction. However, undefined process differences may be present which account for lower counselor perceptions about the effectiveness of their sessions with minority women (i.e., those other than non-Hispanic Whites). We discuss other potential clinical and research implications of our findings.

Indexed as

Breast NeoplasmsCounselorsFemaleGenes, BRCA1Genes, BRCA2Genetic CounselingHealth Knowledge, Attitudes, PracticeHumansMiddle AgedOvarian NeoplasmsPatient SatisfactionSocioeconomic FactorsTelephoneBRCA1/BRCA2Genetic counselingPatient satisfactionTelephone counseling

Identifiers

PMID26969308
PMCPMC5011450
OpenAlexW2295265451

What OpenQuestion holds

Textmetadata
LicenceTDM
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.