Evidence map›Paper›PMID 27117159›Full record

ArticleBreast cancer research and treatment2016

An international survey of surveillance schemes for unaffected BRCA1 and BRCA2 mutation carriers.

Dana Madorsky-Feldman, Miri Sklair-Levy, Tamar Perri, Yael Laitman, Shani Paluch-Shimon, Rita Schmutzler, Kerstin Rhiem, Jenny Lester, Beth Y Karlan, Christian F Singer and 28 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Breast cancer research and treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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  12. Radiologic screening and surveillance in hereditary cancers.European journal of radiology open · 2022
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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

38 authors at 20 institutions in 16 countries.

Dana Madorsky-FeldmanThe High Risk Clinic, Meirav Center, Sheba Medical Center, Tel Hashomer, Israel.
Miri Sklair-LevyThe High Risk Clinic, Meirav Center, Sheba Medical Center, Tel Hashomer, Israel.
Tamar PerriThe High Risk Clinic, Meirav Center, Sheba Medical Center, Tel Hashomer, Israel.
Yael LaitmanThe High Risk Clinic, Meirav Center, Sheba Medical Center, Tel Hashomer, Israel.
Shani Paluch-ShimonThe Oncology Institute, Sheba Medical Center, Tel Hashomer, Israel.
Rita SchmutzlerCenter for Hereditary Breast and Ovarian Cancer, Center for Integrated Oncology (CIO), University Hospital Cologne, Cologne, Germany.
Kerstin RhiemCenter for Hereditary Breast and Ovarian Cancer, Center for Integrated Oncology (CIO), University Hospital Cologne, Cologne, Germany.
Jenny LesterWomen's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Beth Y KarlanWomen's Cancer Program at the Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Christian F SingerDepartment of Obstetrics and Gynecology, Medical University of Vienna, General Hospital, Vienna, Austria.
Tom Van MaerkenCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Kathleen ClaesCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Joan BrunetHereditary Cancer Program, Catalan Institute of Oncology Cancer Network, Barcelona, Spain.
Angel IzquierdoHereditary Cancer Program, Catalan Institute of Oncology Cancer Network, Barcelona, Spain.
Alex TeuléHereditary Cancer Program, Catalan Institute of Oncology Cancer Network, Barcelona, Spain.
Jong Won LeeAsan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Sung-Won KimDepartment of Surgery, Daerim Saint Mary's Hospital, Seoul, South Korea.
Banu ArunBreast Medical Oncology and Clinical Cancer Genetics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Anna JakubowskaDepartment of Genetics and Pathology, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Jan LubinskiDepartment of Genetics and Pathology, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Katherine TuckerHereditary Cancer Service Prince of Wales Hospital, Sydney, Australia.
Nicola K PoplawskiAdult Genetics Unit, South Australian Clinical Genetics Service SA Pathology at the Women's and Children's Hospital Site, North Adelaide, Australia.
Liliana VarescoUOS Centro Tumori Ereditari IRCCS San Martino, Genoa, Italy.
Luigina Ada BonelliUOC Epidemiologia Clinica IRCCS San Martino, Genoa, Italy.
Saundra S BuysDepartment of Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Gillian MitchellHereditary Cancer Program at the BC Cancer Agency, Vancouver, BC, Canada.
Marc TischkowitzDepartment of Medical Genetics, University of Cambridge Addenbrooke's Hospital, Cambridge, UK.
Anne-Marie GerdesClinical Genetics, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Caroline SeynaeveErasmus MC Cancer Institute, Rotterdam, The Netherlands.
Mark RobsonMemorial Sloan Kettering Cancer Center (MSKCC), New York, NY, USA.
Ava KwongHong Kong Hereditary Breast Cancer Family Registry, and Department of Breast Surgery, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Nadine TungBIDMC- Hematology Oncology, Boston, MA, USA.
Nalven TessaBIDMC- Hematology Oncology, Boston, MA, USA.
Susan M DomchekBasser Center for BRCA, University of Pennsylvania, Philadelphia, PA, USA.
Andrew K GodwinUniversity of Kansas Medical Center, Kansas City, KS, USA.
Johanna RantalaDepartment of Clinical Genetics, Karolinska University Hospital, Stockholm, Sweden.
Brita ArverDepartment of Oncology, Karolinska University Hospital, Stockholm, Sweden.
Eitan FriedmanThe High Risk Clinic, Meirav Center, Sheba Medical Center, Tel Hashomer, Israel. feitan@post.tau.ac.il.
Sheba Medical Center · ILInstitut Català d'Oncologia · ESBeth Israel Deaconess Hospital · USCedars-Sinai Medical Center · USGhent University Hospital · BEKarolinska University Hospital · SEOspedale Policlinico San Martino · ITPomeranian Medical University · PLUniversity Hospital Cologne · DEAddenbrooke's Hospital · GBBC Cancer Agency · CACopenhagen University Hospital · DKErasmus MC Cancer Institute · NLMedical University of Vienna · ATMemorial Sloan Kettering Cancer Center · USPrince of Wales Hospital · AUSeoul St. Mary's Hospital · KRThe University of Texas MD Anderson Cancer Center · USUniversity of Hong Kong · HKUniversity of Kansas Medical Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Female BRCA1/BRCA2 mutation carriers are at substantially increased risk for developing breast and/or ovarian cancer, and are offered enhanced surveillance including screening from a young age and risk-reducing surgery (RRS)-mastectomy (RRM) and/or salpingo-oophorectomy (RRSO). While there are established guidelines for early detection of breast cancer in high-risk women who have not undergone RRM, there are less developed guidelines after RRM. We evaluated the schemes offered before and after RRS in internationally diverse high-risk clinics. An e-mailed survey was distributed to high-risk clinics affiliated with CIMBA. Overall, 22 centers from 16 countries responded. Pre RRS surveillance schemes overwhelmingly included breast imaging (primarily MRI) from 18 to 30 years and clinical breast exam (CBE) at 6-12 month intervals. For ovarian cancer, all but 6 centers offered semiannual/annual gynecological exam, transvaginal ultrasound, and CA 125 measurements. Post RRM, most centers offered only annual CBE while 4 centers offered annual MRI, primarily for substantial residual breast tissue. After RRSO only 4 centers offered specific gynecological surveillance. Existing guidelines for breast/ovarian cancer detection in BRCA carriers are being applied pre RRS but are not globally harmonized, and most centers offer no specific surveillance post RRS. From this comprehensive multinational study it is clear that evidence-based, long-term prospective data on the most effective scheme for BRCA carriers post RRS is needed.

Indexed as

MutationAdultBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsEvidence-Based MedicineFemaleHumansMagnetic Resonance ImagingOvarian NeoplasmsPractice Guidelines as TopicProphylactic MastectomyProphylactic Surgical ProceduresProspective StudiesSurveys and QuestionnairesYoung AdultBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanBRCA1/BRCA2 mutation carriersEarly detectionHigh-risk womenRisk-reducing surgerySurveillance schemes

Identifiers

PMID27117159
PMCPMC5508745
OpenAlexW2344554404

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.