Evidence map›Paper›PMID 27796678›Full record

ArticleJournal of genetic counseling2017

Reproductive Decision-Making in Women with BRCA1/2 Mutations.

Jessica L Chan, Lauren N C Johnson, Mary D Sammel, Laura DiGiovanni, Chan Voong, Susan M Domchek, Clarisa R Gracia

Abstract 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. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  17. BRCA, infertility, and fertility preservation: a review for counseling.Journal of assisted reproduction and genetics · 2023
    Review
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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

7 authors at 2 institutions in 1 country.

Jessica L ChanDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA. jessicachanmd@gmail.com.
Lauren N C JohnsonDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.
Mary D SammelDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.
Laura DiGiovanniAbramson Cancer Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Chan VoongAbramson Cancer Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Susan M DomchekAbramson Cancer Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Clarisa R GraciaDepartment of Obstetrics and Gynecology, University of Pennsylvania, Philadelphia, PA, USA.
University of Pennsylvania · USCedars-Sinai Medical Center · US

Funding

REPRODUCTIVE EPIDEMIOLOGY TRAINING GRANTT32HD007440 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI BARNHART, KURT T · 1996 to 2020
$7.5M
Ovarian Reserve After Cancer: Longitudinal Effects (The ORACLE Study)R01HD062797 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI GRACIA, CLARISA R. · 2010 to 2014
$2.7M
NICHD NIH HHS R01 HD062797NICHD NIH HHS T32 HD007440
6 · The paper itself

Abstract

Expanded genetic testing of BRCA mutations has led to identification of more reproductive-aged women who test positive for the mutation which might impact attitudes and decisions about relationships, childbearing and the use of preimplantation genetic diagnosis (PGD) and prenatal diagnosis (PND). A cross-sectional survey was administered to 1081 self-reported BRCA carriers to investigate how knowledge of BRCA status influences these issues. The mean age at BRCA test disclosure was 44 years and 36 % reported a personal history of cancer. Of 163 women who were unpartnered, 21.5 % felt more pressure to get married. Of 284 women whose families were not complete, 41 % reported that carrier status impacted their decision to have biological children. Women with a history of cancer were more likely to report that knowledge of BRCA+ status impacted their decision to have a child (OR 1.8, 95 % CI 1-3.2). Fifty-nine percent thought PGD should be offered to mutation carriers and 55.5 % thought PND should be offered. In conclusion, knowledge of BRCA status impacts attitudes regarding relationships and childbearing, and most carriers believe that PGD and PND should be offered to other carriers. This study suggests that BRCA carriers desire and would benefit from reproductive counseling after test disclosure.

Indexed as

Decision MakingFertility PreservationGenes, BRCA1Genes, BRCA2Reproductive BehaviorAdultBreast NeoplasmsCross-Sectional StudiesFemaleHumansMiddle AgedMutationOvarian NeoplasmsPregnancyBRCABRCA1BRCA2Fertility preservationGenetic counselingPreimplantation genetic diagnosisPrenatal diagnosisReproductive decisions

Identifiers

PMID27796678
PMCPMC5409889
OpenAlexW2546156442

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.