Evidence map›Paper›PMID 27929526›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2017

Population screening for BRCA1/BRCA2 founder mutations in Ashkenazi Jews: proactive recruitment compared with self-referral.

Sari Lieberman, Ariela Tomer, Avi Ben-Chetrit, Oded Olsha, Shalom Strano, Rachel Beeri, Sivan Koka, Hila Fridman, Karen Djemal, Itzhak Glick and 7 more

Erratum issuedOpen access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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
5.7field-weighted citation impact, top 4% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Article
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  19. Review
  20. Familial communication and cascade testing among relatives of BRCA population screening participants.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 1 country.

Sari LiebermanFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID 0000-0003-1671-6444
Ariela TomerFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID 0000-0003-1756-5801
Avi Ben-ChetritFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Oded OlshaSurgical Department, Shaare Zedek Medical Center, Jerusalem, Israel.ORCID 0000-0002-8805-7794
Shalom StranoThe Comprehensive Breast Center, Shaare Zedek Medical Center, Jerusalem, Israel.
Rachel BeeriMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem, Israel.
Sivan KokaMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem, Israel.
Hila FridmanMedical Genetics Institute, Shaare Zedek Medical Center, Jerusalem, Israel.
Karen DjemalTerem Family Medical Center, Jerusalem, Israel.
Itzhak GlickEfrat Emergency Medical Center, Efrat, Israel.
Todd ZalutTerem Clinic, Modi'in, Israel.
Shlomo SegevInstitute of Medical Screening, Chaim Sheba Medical Center, Tel Hashomer, Israel.ORCID 0000-0002-3374-4730
Miri SklairDepartment of Radiology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Bella KaufmanSackler Faculty of Mediciine, Tel Aviv University Tel Aviv, Israel.
Amnon LahadFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Aviad RazDepartment of Sociology and Anthropology, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Ephrat Levy-LahadFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Shaare Zedek Medical Center · ILSheba Medical Center · ILHebrew University of Jerusalem · ILBen-Gurion University of the Negev · ILClalit Health Services · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePopulation screening of three common BRCA1/BRCA2 mutations in Ashkenazi Jews (AJ) apparently fulfills screening criteria. We compared streamlined BRCA screening via self-referral with proactive recruitment in medical settings.

methodsUnaffected AJ, age ≥25 years without known familial mutations, were either self-referred or recruiter-enrolled. Before testing, participants received written information and self-reported family history (FH). After testing, both non-carriers with significant FH and carriers received in-person genetic counseling. Psychosocial questionnaires were self-administered 1 week and 6 months after enrollment.

resultsOf 1,771 participants, 58% were recruiter-enrolled and 42% were self-referred. Screening uptake was 67%. Recruited enrollees were older (mean age 54 vs. 48, P < 0.001) and had less suggestive FH (23 vs. 33%, P < 0.001). Of 32 (1.8%) carriers identified, 40% had no significant FH. Post-test counseling compliance was 100% for carriers and 89% for non-carrier women with FH. All groups expressed high satisfaction (>90%). At 6 months, carriers had significantly increased distress and anxiety, greater knowledge, and similar satisfaction; 90% of participants would recommend general AJ BRCA screening.

conclusionStreamlined BRCA screening results in high uptake, very high satisfaction, and no excess psychosocial harm. Proactive recruitment captured older women less selected for FH. Further research is necessary to target younger women and assess other populations.Genet Med advance online publication 08 December 2016.

Indexed as

AdultAgedAged, 80 and overBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsFemaleFounder EffectGenes, BRCA1Genes, BRCA2Genetic CounselingGenetic Predisposition to DiseaseGenetic TestingHumansJewsMaleBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, human

Identifiers

PMID27929526
OpenAlexW4210962723

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.