Evidence map›Paper›PMID 27265406›Full record

ArticleJournal of genetic counseling2017

Adherence to Recommended Risk Management among Unaffected Women with a BRCA Mutation.

Adam H Buchanan, Corrine I Voils, Joellen M Schildkraut, Catherine Fine, Nora K Horick, P Kelly Marcom, Kristi Wiggins, Celette Sugg Skinner

Registry-linked trialAbstract read
In one paragraph

Article in Journal of genetic counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03832985 (Reporting Adult-Onset Genomic Results to Pediatric Biobank Participants and Parents), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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.

NCT03832985 early_phase1completednot on this mapstarted 2020, after this paper: background citation

Reporting Adult-Onset Genomic Results to Pediatric Biobank Participants and Parents

TypeinterventionalSponsorGeisinger ClinicRan2020 to 2024Enrolled162ConditionsHereditary Breast and Ovarian Cancer Syndrome, Lynch Syndrome, Familial HypercholesterolemiaArmsChild(ren) receive an adult-onset result, Child(ren) received a pediatric-onset result, Control - Negative Result, Adolescents who received adult-onset result, Adolescents who received a pediatric-onset result
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Assessing Psychological Morbidity in Cancer-UnaffectedCurrent oncology (Toronto, Ont.) · 2023
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
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  16. Review
  17. Article
  18. Cost-effectiveness of long-term clinical management of BRCA pathogenic variant carriers.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  19. Management of ovarian cancer risk in women withCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019
    Review
  20. 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

8 authors.

Adam H BuchananGeisinger Health System, Genomic Medicine Institute, M.C. 26-20, 100 N. Academy Ave, Danville, PA, 17822, USA. ahbuchanan@geisinger.edu.
Corrine I VoilsCenter for Health Services Research in Primary Care, Durham VA Medical Center, Durham, NC, USA.
Joellen M SchildkrautDuke Cancer Institute, Duke University Medical Center, Durham, NC, USA.
Catherine FineDepartment of Genetics, UNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA.
Nora K HorickMassachusetts General Hospital Biostatistics Center, Boston, MA, USA.
P Kelly MarcomDepartment of Medicine, Duke University Medical Center, Durham, NC, USA.
Kristi WigginsDivision of Cellular Therapy, Duke University Medical Center, Durham, NC, USA.
Celette Sugg SkinnerDepartment of Clinical Sciences and Harold C Simmons Cancer Center, University of Texas - Southwestern, Dallas, TX, USA.

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
Adherence to Cancer Risk Management Among Unaffected BRCA1/2Mutation CarriersR03CA157212 · NCI · DUKE UNIVERSITY · PI BUCHANAN, ADAM H · 2011 to 2012
$170k
NCI NIH HHS R03 CA157212NCRR NIH HHS UL1 RR024128
6 · The paper itself

Abstract

Identifying unaffected women with a BRCA mutation can have a significant individual and population health impact on morbidity and mortality if these women adhere to guidelines for managing cancer risk. But, little is known about whether such women are adherent to current guidelines. We conducted telephone surveys of 97 unaffected BRCA mutation carriers who had genetic counseling at least one year prior to the survey to assess adherence to current guidelines, factors associated with adherence, and common reasons for performing and not performing recommended risk management. More than half of participants reported being adherent with current risk management recommendations for breast cancer (69 %, n = 67), ovarian cancer (82 %, n = 74) and both cancers (66 %, n = 64). Older age (OR = 10.53, p = 0.001), white race (OR = 8.93, p = 0.019), higher breast cancer genetics knowledge (OR = 1.67, p = 0.030), higher cancer-specific distress (OR = 1.07, p = 0.002) and higher physical functioning (OR = 1.09, p = 0.009) were significantly associated with adherence to recommended risk management for both cancers. Responses to open-ended questions about reasons for performing and not performing risk management behaviors indicated that participants recognized the clinical utility of these behaviors. Younger individuals and those with lower physical functioning may require targeted interventions to improve adherence, perhaps in the setting of long-term follow-up at a multi-disciplinary hereditary cancer clinic.

Indexed as

Genetic CounselingGenetic Predisposition to DiseaseRisk Reduction BehaviorAdultBreast NeoplasmsFemaleGenes, BRCA1Genes, BRCA2Genetic TestingHumansMutationOvarian NeoplasmsBRCA1 geneBRCA2 geneBreast cancerGenetic counselingOvarian cancer

Identifiers

PMID27265406
PMCPMC5140768

What OpenQuestion holds

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Registered trials

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.