Evidence map›Paper›PMID 28342662›Full record

ArticleAmerican journal of preventive medicine2017

Use of BRCA Mutation Test in the U.S., 2004-2014.

Fangjian Guo, Jacqueline M Hirth, Yu-Li Lin, Gwyn Richardson, Lyuba Levine, Abbey B Berenson, Yong-Fang Kuo

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
10.1field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 74 citations in OpenAlex.

  1. Trial
  2. Use of Family Relationships in Commercial Claims Data to Characterize Clinical Events of Patients withAMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2026
    Article
  3. BRCA genetic testing utilization and expenditures among privately insured adults in the United States, 2013 to 2022.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  4. Predictive Genetic Testing in the Cancer Management and Prevention.Journal of cancer science and clinical therapeutics · 2025
    Article
  5. Article
  6. Barriers to gJournal of personalized medicine · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Observational
  12. Preventive medicine reports · 2022
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Healthcare Utilization and Costs after Receiving a PositiveJournal of personalized medicine · 2020
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Fangjian GuoDepartment of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas. Electronic address: faguo@utmb.edu.
Jacqueline M HirthDepartment of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas.
Yu-Li LinCenter for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas; Office of Biostatistics, Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas.
Gwyn RichardsonDepartment of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas.
Lyuba LevineDepartment of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas.
Abbey B BerensonDepartment of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas; Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas.
Yong-Fang KuoCenter for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, Texas; Office of Biostatistics, Department of Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, Texas; Departments of Internal Medicine and Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas; Institute for Translational Science, University of Texas Medical Branch, Galveston, Texas.
The University of Texas Medical Branch at Galveston · US

Funding

UTMB WOMEN'S HEALTH RESEARCH SCHOLARS PROGRAMK12HD052023 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI BERENSON, ABBEY B · 2005 to 2023
$8.1M
Interdisciplinary Women's Reproductive Health Fellowship (RHF)T32HD055163 · NICHD · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BERENSON, ABBEY B · 2008 to 2017
$1.7M
NICHD NIH HHS K12 HD052023NICHD NIH HHS T32 HD055163
6 · The paper itself

Abstract

introductionBRCA mutation testing has been used for screening women at high risk of breast and ovarian cancer and for selecting the best treatment for those with breast cancer. To optimize the infrastructure and medical resources allocation for genetic testing, it is important to understand the use of BRCA mutation testing in the U.S. health system.

methodsThis retrospective cohort study included 53,254 adult women with insurance claims for BRCA mutation testing between 2004 and 2014 from Clinformatics

resultsBetween 2004 and 2014, of those receiving BRCA testing, the proportion of BRCA tests performed in unaffected women increased significantly (p<0.001), from 24.3% in 2004 to 61.5% in 2014. An increase in the proportion of BRCA tests used in unaffected women was found in each characteristic subgroup. In 2014, most subgroups had a proportion surpassing 50%, except for those aged 51-65 years and those without a family history of breast cancer. There was a much lower proportion of those aged 20-40 years among tested women with previously diagnosed breast or ovarian cancer than in unaffected women (17.6% vs 41.7%, p<0.001).

conclusionsDuring the past decade, the role of BRCA testing has gradually shifted from being used primarily in cancer patients to being used in unaffected women in the U.S.

Indexed as

Genes, BRCA1Genes, BRCA2Breast NeoplasmsFemaleGenetic Predisposition to DiseaseGenetic TestingHumansInsurance Claim ReviewMutationOvarian NeoplasmsRetrospective StudiesUnited States

Identifiers

PMID28342662
PMCPMC5370584
OpenAlexW2601206690

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.