Evidence map›Paper›PMID 27837291›Full record

ArticleJournal of genetic counseling2017

The Psychosocial Impact of Undergoing Prophylactic Total Gastrectomy (PTG) to Manage the Risk of Hereditary Diffuse Gastric Cancer (HDGC).

Nina Hallowell, Julia Lawton, Shirlene Badger, Sue Richardson, Richard H Hardwick, Carlos Caldas, Rebecca C Fitzgerald

Open access · bronzeAbstract read
PubMed Publisher
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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

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

  1. Guideline
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  8. Costs of Cancer Prevention: Physical and Psychosocial Sequelae of Risk-Reducing Total Gastrectomy.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  9. Review
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  12. Article
  13. Cancers · 2021
    Article
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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 4 institutions in 1 country.

Nina HallowellEthox Centre, Nuffield Department of Population Health, University of Oxford, Old Road, Oxford, OX3 7LF, UK. Nina.Hallowell@ethox.ox.ac.uk.ORCID http://orcid.org/0000-0002-7647-8524
Julia LawtonCentre for Population Health Sciences, University of Edinburgh, Edinburgh, UK.
Shirlene BadgerPHG Foundation, Cambridge, UK.
Sue RichardsonUniversity of Cambridge, Cambridge, UK.
Richard H HardwickCambridge University Hospitals Trust, Addenbrookes Hospital, Cambridge, UK.
Carlos CaldasCambridge University Hospitals Trust, Addenbrookes Hospital, Cambridge, UK.
Rebecca C FitzgeraldCambridge University Hospitals Trust, Addenbrookes Hospital, Cambridge, UK.
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GBUniversity of Edinburgh · GBUniversity of Oxford · GB

Funding

Cancer Research UK 16465Cancer Research UK 16942Cancer Research UK 9675Medical Research Council MR/M008975/1
6 · The paper itself

Abstract

Individuals identified as at high risk of developing Hereditary Diffuse Gastric Cancer (HDGC) are advised to undergo prophylactic surgery - have their stomach removed - in their early twenties. Research with (older) cancer patients who undergo gastrectomy for curative reasons suggests that gastric resection has a number of physical and psychosocial sequelae. Because it is difficult to extrapolate the findings of studies of older cancer patients to younger healthy patients who are considering prophylactic total gastrectomy (PTG), the aim of this qualitative interview study was to determine the psychosocial implications of undergoing prophylactic surgery to manage genetic risk. Fourteen men and 13 women from the UK's Familial Gastric Cancer study who had undergone PTG were invited to participate in qualitative interviews. Most reported that undergoing surgery and convalescence was easier than anticipated. There was evidence that age affected experiences of PTG, with younger patients tending to report faster recovery times and more transient aftereffects. All saw the benefits of risk reduction as outweighing the costs of surgery. Surgery was described as having a range of physical impacts (disrupted appetite, weight loss, fatigue, GI symptoms) that had related psychological, social and economic implications. Those considering PTG need to be aware that its impact on quality of life is difficult to predict and negative sequelae may be ongoing for some individuals.

Indexed as

Genetic Predisposition to DiseaseAdultFemaleGastrectomyHumansMaleMiddle AgedQualitative ResearchQuality of LifeStomach NeoplasmsE-Cadherin (CDH1)Hereditary diffuse gastric cancer (HDGC)Prophylactic surgeryPsychosocial impactQualitative interviewsQuality of lifeTotal gastrectomy

Identifiers

PMID27837291
OpenAlexW2551381866

What OpenQuestion holds

Textmetadata
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.