Evidence map›Paper›PMID 28514183›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2017

Multigene Panel Testing Provides a New Perspective on Lynch Syndrome.

Carin R Espenschied, Holly LaDuca, Shuwei Li, Rachel McFarland, Chia-Ling Gau, Heather Hampel

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04533555 (Randomized Trial of Universal vs. Guideline-directed Germline Testing Among Young Adults With Cancer), which is not on this map. Cited by 80 papers.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed
13.5field-weighted citation impact, top 1% 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.

NCT04533555 nacompletednot on this mapstarted 2020, after this paper: background citation

Randomized Trial of Universal vs. Guideline-directed Germline Testing Among Young Adults With Cancer

TypeinterventionalSponsorUniversity of PennsylvaniaRan2020 to 2025Enrolled749ConditionsCancerArmsBroad gene panel for young adult cancers, Standard
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 133 citations in OpenAlex.

  1. Review
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  7. Therapeutic targeting of mismatch repair-deficient cancers.Nature reviews. Clinical oncology · 2025
    Review
  8. Dysfunctional mismatch repair in patients with early triple-negative breast cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  9. Genomic characterization of patients with colorectal cancer.Hereditary cancer in clinical practice · 2025
    Article
  10. Article
  11. Article
  12. Clinical genetics in breast cancer.Journal of surgical oncology · 2024
    Review
  13. Article
  14. Article
  15. Review
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  19. Article
  20. A Pathogenic Variant Reclassified to the PseudogeneInternational journal of molecular sciences · 2023
    Article

20 more citing papers are in PubMed but not listed here.

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

6 authors at 1 institution in 1 country.

Carin R EspenschiedCarin R. Espenschied, Holly LaDuca, Shuwei Li, Rachel McFarland, and Chia-Ling Gau, Ambry Genetics, Clinical Diagnostics, Aliso Viejo, CA; and Heather Hampel, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
Holly LaDucaCarin R. Espenschied, Holly LaDuca, Shuwei Li, Rachel McFarland, and Chia-Ling Gau, Ambry Genetics, Clinical Diagnostics, Aliso Viejo, CA; and Heather Hampel, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
Shuwei LiCarin R. Espenschied, Holly LaDuca, Shuwei Li, Rachel McFarland, and Chia-Ling Gau, Ambry Genetics, Clinical Diagnostics, Aliso Viejo, CA; and Heather Hampel, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
Rachel McFarlandCarin R. Espenschied, Holly LaDuca, Shuwei Li, Rachel McFarland, and Chia-Ling Gau, Ambry Genetics, Clinical Diagnostics, Aliso Viejo, CA; and Heather Hampel, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
Chia-Ling GauCarin R. Espenschied, Holly LaDuca, Shuwei Li, Rachel McFarland, and Chia-Ling Gau, Ambry Genetics, Clinical Diagnostics, Aliso Viejo, CA; and Heather Hampel, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
Heather HampelCarin R. Espenschied, Holly LaDuca, Shuwei Li, Rachel McFarland, and Chia-Ling Gau, Ambry Genetics, Clinical Diagnostics, Aliso Viejo, CA; and Heather Hampel, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
Ambry Genetics (United States) · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
NCI NIH HHS P30 CA016058
6 · The paper itself

Abstract

Purpose Most existing literature describes Lynch syndrome (LS) as a hereditary syndrome leading to high risks of colorectal cancer (CRC) and endometrial cancer mainly as a result of mutations in MLH1 and MSH2. Most of these studies were performed on cohorts with disease suggestive of hereditary CRC and population-based CRC and endometrial cancer cohorts, possibly biasing results. We aimed to describe a large cohort of mismatch repair (MMR) mutation carriers ascertained through multigene panel testing, evaluate their phenotype, and compare the results with those of previous studies. Methods We retrospectively reviewed clinical histories of patients who had multigene panel testing, including the MMR and EPCAM genes, between March 2012 and June 2015 (N = 34,981) and performed a series of statistical comparisons. Results Overall, MSH6 mutations were most frequent, followed by PMS2, MSH2, MLH1, and EPCAM mutations, respectively. Of 528 patients who had MMR mutations, 63 (11.9%) had breast cancer only and 144 (27.3%) had CRC only. When comparing those with breast cancer only to those with CRC only, MSH6 and PMS2 mutations were more frequent than MLH1 and MSH2 mutations ( P = 2.3 × 10

Indexed as

Genetic TestingAdolescentAdultAgedAged, 80 and overBreast NeoplasmsChildColorectal Neoplasms, Hereditary NonpolyposisDNA-Binding ProteinsDNA Mismatch RepairDNA Mutational AnalysisDNA, NeoplasmEpithelial Cell Adhesion MoleculeFemaleGenes, BRCA1Genes, BRCA2DNA-Binding ProteinsDNA, NeoplasmEPCAM protein, humanEpithelial Cell Adhesion MoleculeG-T mismatch-binding proteinMismatch Repair Endonuclease PMS2MLH1 protein, humanMSH2 protein, humanMutL Protein Homolog 1MutS Homolog 2 ProteinPMS2 protein, human

Identifiers

PMID28514183
PMCPMC7186580
OpenAlexW2614364607

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.