Evidence map›Paper›PMID 28726806›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2018

Data sharing as a national quality improvement program: reporting on BRCA1 and BRCA2 variant-interpretation comparisons through the Canadian Open Genetics Repository (COGR).

Matthew S Lebo, Kathleen-Rose Zakoor, Kathy Chun, Marsha D Speevak, John S Waye, Elizabeth McCready, Jillian S Parboosingh, Ryan E Lamont, Harriet Feilotter, Ian Bosdet and 16 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.7field-weighted citation impact, top 7% 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, 31 citations in OpenAlex.

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  12. Variant classification changes over time in BRCA1 and BRCA2.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
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  18. Peter Bauer, Ellen Karges, Gabriela Oprea and Arndt Rolfs.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
  19. Clinical testing ofNPJ genomic medicine · 2018
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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

26 authors at 14 institutions in 3 countries.

Matthew S LeboDepartments of Pathology, Harvard Medical School and Brigham and Women's Hospital, Boston, Massachusetts, USA.
Kathleen-Rose ZakoorPathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
Kathy ChunGenetics Program, North York General Hospital, Toronto, Ontario, Canada.
Marsha D SpeevakTrillium Health Partners Credit Valley Site, Toronto, Ontario, Canada.
John S WayeHamilton Regional Laboratory Medicine Program, Hamilton Health Sciences, Hamilton, Ontario, Canada.
Elizabeth McCreadyHamilton Regional Laboratory Medicine Program, Hamilton Health Sciences, Hamilton, Ontario, Canada.
Jillian S ParboosinghDepartment of Medical Genetics and Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
Ryan E LamontDepartment of Medical Genetics and Alberta Children's Hospital Research Institute, University of Calgary, Calgary, Alberta, Canada.
Harriet FeilotterDepartment of Pathology and Molecular Medicine, Queen's University, Kingston, Ontario, Canada.
Ian BosdetDepartment of Pathology and Laboratory Medicine, British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
Tracy TuckerDepartment of Pathology and Laboratory Medicine, British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
Sean YoungDepartment of Pathology and Laboratory Medicine, British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
Aly KarsanDepartment of Pathology and Laboratory Medicine, British Columbia Cancer Agency, Vancouver, British Columbia, Canada.
George S CharamesPathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
Ronald AgatepGenomics Laboratory, Diagnostic Services Manitoba and Department of Biochemistry and Medical Genetics, University of Manitoba, Winnipeg, Canada.
Elizabeth L SpriggsGenomics Laboratory, Diagnostic Services Manitoba and Department of Biochemistry and Medical Genetics, University of Manitoba, Winnipeg, Canada.
Caitlin ChisholmDepartment of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Nasim VasliDepartment of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Hussein DaoudDepartment of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Olga JarinovaDepartment of Genetics, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Robert TomaszewskiDepartment of Medical Genetics, University of Alberta, Edmonton, Alberta, Canada.
Stacey HumeDepartment of Medical Genetics, University of Alberta, Edmonton, Alberta, Canada.
Sherryl TaylorDepartment of Medical Genetics, University of Alberta, Edmonton, Alberta, Canada.
Mohammad R AkbariWomen's College Research Institute, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada.
Jordan Lerner-EllisPathology and Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada.
Canadian Open Genetics Repository Working Group
The Open Group · GBBC Cancer Agency · CAUniversity of Alberta · CAChildren's Hospital of Eastern Ontario · CAOntario Institute for Cancer Research · CAMount Sinai Hospital · CAUniversity of Calgary · CAUniversity of Toronto · CAHamilton Regional Laboratory Medicine Program · CAQueen's University · CANorth York General Hospital · CAShared Health · CATrillium Health Centre · CABrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PurposeThe purpose of this study was to develop a national program for Canadian diagnostic laboratories to compare DNA-variant interpretations and resolve discordant-variant classifications using the BRCA1 and BRCA2 genes as a case study.MethodsBRCA1 and BRCA2 variant data were uploaded and shared through the Canadian Open Genetics Repository (COGR; http://www.opengenetics.ca). A total of 5,554 variant observations were submitted; classification differences were identified and comparison reports were sent to participating laboratories. Each site had the opportunity to reclassify variants. The data were analyzed before and after the comparison report process to track concordant- or discordant-variant classifications by three different models.ResultsVariant-discordance rates varied by classification model: 38.9% of variants were discordant when using a five-tier model, 26.7% with a three-tier model, and 5.0% with a two-tier model. After the comparison report process, the proportion of discordant variants dropped to 30.7% with the five-tier model, to 14.2% with the three-tier model, and to 0.9% using the two-tier model.ConclusionWe present a Canadian interinstitutional quality improvement program for DNA-variant interpretations. Sharing of variant knowledge by clinical diagnostic laboratories will allow clinicians and patients to make more informed decisions and lead to better patient outcomes.

Indexed as

Data AccuracyInformation DisseminationQuality ImprovementCanadaClinical Decision-MakingDatabases, GeneticGenes, BRCA1Genes, BRCA2Genetic CounselingGenetic TestingGenetic VariationGovernment ProgramsHumansReproducibility of ResultsWorkflow

Identifiers

PMID28726806
OpenAlexW2737732224

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.