Evidence map›Paper›PMID 27345073›Full record

ArticleBritish journal of nursing (Mark Allen Publishing)2016

The integration of BRCA testing into oncology clinics.

Natalie Percival, Angela George, Jennifer Gyertson, Monica Hamill, Andreia Fernandes, Emily Davies, Nazneen Rahman, Susana Banerjee

Abstract read
In one paragraph

Article in British journal of nursing (Mark Allen Publishing), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
3.5field-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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Hereditary genetic testing and mainstreaming: a guide for surgeons.Annals of the Royal College of Surgeons of England · 2024
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  10. Current and future genomic applications for surgeons.Annals of the Royal College of Surgeons of England · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. A Focused Clinical Review of Lynch Syndrome.Cancer management and research · 2023
    Review
  16. Article
  17. Timely Genetic Testing and Therapy Management in Patients With gJournal of the advanced practitioner in oncology · 2022
    Article
  18. Article
  19. Article
  20. 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 at 1 institution in 1 country.

Natalie PercivalAdvanced Nurse Practitioner, Gynaecology Unit, The Royal Marsden NHS Foundation Trust.
Angela GeorgeConsultant Oncogenetics, Gynaecology Unit, The Royal Marsden NHS Foundation Trust and Division of Genetics and Epidemiology, The Institute of Cancer Research, London.
Jennifer GyertsonResearch Nurse, Gynaecology Unit, The Royal Marsden NHS Foundation Trust.
Monica HamillResearch Nurse, Gynaecology Unit, The Royal Marsden NHS Foundation Trust.
Andreia FernandesClinical Nurse Specialist, Gynaecology Unit, The Royal Marsden NHS Foundation Trust.
Emily DaviesClinical Nurse Specialist, Gynaecology Unit, The Royal Marsden NHS Foundation Trust.
Nazneen RahmanProfessor of Genetics, The Royal Marsden NHS Foundation Trust and Division of Genetics and Epidemiology, The Institute of Cancer Research, London.
Susana BanerjeeConsultant Medical Oncologist, Gynaecology Unit, The Royal Marsden NHS Foundation Trust, The Institute of Cancer Research, London.
Royal Marsden NHS Foundation Trust · GB

Funding

Wellcome Trust 098518
6 · The paper itself

Abstract

purposeThe PARP inhibitor, Olaparib, is approved for women with BRCA-mutated ovarian cancer. Therefore there is an urgent need to test patients and obtain results in time to influence treatment. Models of BRCA testing, such as the mainstreaming oncogenetic pathway, involving oncology health professionals are being used. The authors report on the establishment of the extended role of the clinical nurse specialist in consenting women for BRCA testing in routine gynaecology-oncology clinics using the mainstreaming model.

methodsNurses undertook generic consent training and specific counselling training for BRCA testing in the form of a series of online videos, written materials and checklists before obtaining approval to consent patients for germline BRCA1 and BRCA2 mutations.

resultsBetween July 2013 and December 2015, 108 women with ovarian cancer were counselled and consented by nurses in the medical oncology clinics at a single centre (The Royal Marsden, UK). This represented 36% of all ovarian cancer patients offered BRCA testing in the oncology clinics at the centre. Feedback from patients and nurses was encouraging with no significant issues raised in the counselling and consenting process.

conclusionThe mainstreaming model allows for greater access to BRCA testing for ovarian cancer patients, many of whom may benefit from personalised therapy (PARP inhibitors). This is the first report of oncology nurses in the BRCA testing pathway. Specialist oncology nurses trained in BRCA testing have an important role within a multidisciplinary team counselling and consenting patients to undergo BRCA testing.

Indexed as

Genes, BRCA1Genes, BRCA2Cancer Care FacilitiesFemaleGenetic TestingHereditary Breast and Ovarian Cancer SyndromeHumansInformed ConsentMutationNurse CliniciansNurse's RoleOncology NursingOvarian NeoplasmsPatient SatisfactionPhthalazinesPiperazinesolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsBRCAClinical nurse specialistFamily historyGenetic testingOvarian cancer

Identifiers

PMID27345073
PMCPMC5993185
OpenAlexW2471243592

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.