Evidence map›Paper›PMID 27779110›Full record

ArticleOncotarget2017

The transfer of multigene panel testing for hereditary breast and ovarian cancer to healthcare: What are the implications for the management of patients and families?

Marie Eliade, Jeremy Skrzypski, Amandine Baurand, Caroline Jacquot, Geoffrey Bertolone, Catherine Loustalot, Charles Coutant, France Guy, Pierre Fumoleau, Yannis Duffourd and 17 more

Abstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 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.

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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Summary ofGenes · 2020
    Pooled it
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  7. Advances in laboratory medicine · 2023
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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

27 authors.

Marie EliadeCentre of Genetic, Children Hospital, CHU, Dijon, France.
Jeremy SkrzypskiOncogenetic Unit, Centre Georges-François Leclerc Centre, Dijon, France.
Amandine BaurandCentre of Genetic, Children Hospital, CHU, Dijon, France.
Caroline JacquotCentre of Genetic, Children Hospital, CHU, Dijon, France.
Geoffrey BertoloneCentre of Genetic, Children Hospital, CHU, Dijon, France.
Catherine LoustalotGynecological Surgery, Georges-François Leclerc Centre, Dijon, France.
Charles CoutantGynecological Surgery, Georges-François Leclerc Centre, Dijon, France.
France GuyRadiology Unit, Georges-François Leclerc Centre, Dijon, France.
Pierre FumoleauMedical Oncology, Georges-François Leclerc Centre, Dijon, France.
Yannis DuffourdOrphanomix, Dijon, France.
Laurent ArnouldBiology and Tumor Pathology Department, Georges-François Leclerc Centre, Dijon, France.
Alexandra DelignetteElithis Tower, Radiology, Dijon, France.
Marie-Martine PadéanoGynecological Surgery, Georges-François Leclerc Centre, Dijon, France.
Côme LepageHepato-Gastroenterology and Digestive Oncology, François Mitterand Hospital, CHU, Dijon, France.
Géraldine Raichon-PatruOncology, Les Chanaux Hospital, Macon, France.
Axelle BoudrantOncology, William Morey Hospital, Chalon-sur-Saône, France.
Marie-Christine Bône-LépinoyOncology, Drevon Clinic, Dijon, France.
Anne-Laure VillingOncology, Hospital, Auxerre, France.
Aurélie CharpinCentre of Genetic, Children Hospital, CHU, Dijon, France.
Karine PeignauxRadiotherapy Unit, Georges-François Leclerc Centre, Dijon, France.
Sandy ChevrierPlatform of Transfer in Cancer Biology, Georges-François Leclerc Centre, Dijon, France.
Frédérique VegranPlatform of Transfer in Cancer Biology, Georges-François Leclerc Centre, Dijon, France.
François GhiringhelliMedical Oncology, Georges-François Leclerc Centre, Dijon, France.
Romain BoidotPlatform of Transfer in Cancer Biology, Georges-François Leclerc Centre, Dijon, France.
Nicolas SevenetBergonié Institute, Bordeaux, France.
Sarab LizardBiology and Tumor Pathology Department, Georges-François Leclerc Centre, Dijon, France.
Laurence FaivreCentre of Genetic, Children Hospital, CHU, Dijon, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Until recently, the molecular diagnosis of hereditary breast and ovarian cancer (HBOC) was mostly based on BRCA1/2 testing. Next generation sequencing and the recent discovery of new genes involved in HBOC now permit the transfer of genomic capture targeting multiple candidate genes from research to clinical use. However, the implications for the management of patients and their families have not been extensively studied, in particular since some of these genes are not well-established cancer predisposing genes. We studied 583 consecutive patients from Burgundy (France) fulfilling the criteria for BRCA testing using a next generation sequencing 25-genes panel including 20 well-established high-risk cancer genes as well as more recently identified predisposing HBOC cancer. A pathogenic BRCA1/2 mutation was found in 51 patients (9%). Besides, we found 37 pathogenic or likely pathogenic mutations in 10 different high to low-risk genes in 34 patients (6%). The most frequently mutated genes were CHEK2 (n = 12; 2%), ATM (n = 9; 1.5%), and PALB2 (n = 4; 0.6%). Three patients had a mutation in two different predisposing genes. The analysis of clinical actionability conducted in mutation-positive individuals revealed that additional disease-specific screening and/or prevention measures beyond those based on personal and family history alone had been recommended in 69% of cases. In conclusion, multigene panel testing is a powerful tool to identifying high to low-risk HBOC susceptibility genes. The penetrance and spectrum of cancers with these other genes are sometimes undefined, and further collaborative work is crucial to address this question.

Indexed as

Genetic TestingPractice Patterns, Physicians'TranscriptomeTranslational Research, BiomedicalAdultAgedAged, 80 and overBiomarkers, TumorCohort StudiesEvidence-Based PracticeFemaleFranceGene Expression Regulation, NeoplasticGene FrequencyGenetic Predisposition to DiseaseHereditary Breast and Ovarian Cancer SyndromeBiomarkers, Tumorbreast and ovarian cancer susceptibility genescandidate genesgenomic capturemanagementnext generation sequencing

Identifiers

PMID27779110
PMCPMC5356770

What OpenQuestion holds

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Registered trials

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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.