Evidence map›Paper›PMID 28944243›Full record

ArticleMolecular genetics & genomic medicine2017

Clinical management of pheochromocytoma and paraganglioma in Singapore: missed opportunities for genetic testing.

Winston Hong Wern Chew, Eliza Courtney, Kok Hing Lim, Shao Tzu Li, Yanni Chen, Min Han Tan, Alexander Chung, Joan Khoo, Amos Loh, Shui Yen Soh and 3 more

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

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  5. Carotid body tumor with neck metastasis due to germlineInternational cancer conference journal · 2022
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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

13 authors at 4 institutions in 1 country.

Winston Hong Wern ChewCancer Genetics ServiceDivision of Medical OncologyNational Cancer Centre SingaporeSingapore City169610Singapore.ORCID 0000-0002-8410-8216
Eliza CourtneyCancer Genetics ServiceDivision of Medical OncologyNational Cancer Centre SingaporeSingapore City169610Singapore.
Kok Hing LimDepartment of PathologySingapore General HospitalSingapore City169610Singapore.
Shao Tzu LiCancer Genetics ServiceDivision of Medical OncologyNational Cancer Centre SingaporeSingapore City169610Singapore.
Yanni ChenCancer Genetics ServiceDivision of Medical OncologyNational Cancer Centre SingaporeSingapore City169610Singapore.
Min Han TanCancer Genetics ServiceDivision of Medical OncologyNational Cancer Centre SingaporeSingapore City169610Singapore.
Alexander ChungDivision of SurgerySingapore General HospitalSingapore City169610Singapore.
Joan KhooDepartment of EndocrinologyChangi General HospitalSingapore City529889Singapore.
Amos LohDepartment of Paediatrics SurgeryKK Women's and Children's HospitalSingapore City229899Singapore.
Shui Yen SohDivision of PaediatricsKK Women's and Children's HospitalSingapore City229899Singapore.
Prasad IyerDepartment of Paediatric SubspecialtiesHaematology-Oncology ServiceKK Women's and Children's HospitalSingapore City229899Singapore.
Lih Ming LohDepartment of EndocrinologySingapore General HospitalSingapore City169610Singapore.
Joanne NgeowCancer Genetics ServiceDivision of Medical OncologyNational Cancer Centre SingaporeSingapore City169610Singapore.
National Cancer Centre Singapore · SGKK Women's and Children's Hospital · SGSingapore General Hospital · SGChangi General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPheochromocytomas and paragangliomas (PPGLs) are neuroendocrine tumors of the adrenal glands and paraganglia, occurring sporadically or as a range of hereditary tumor syndromes. About 30% of PPGLs are attributed to germline mutations. Clinical presentation, including localization, malignant potential, and age of onset, varies depending on the genetic background. Genetic testing for PPGLs is not well studied in Southeast Asia. We reviewed clinical management of PPGLs in Singapore, highlighting current gaps in clinical practice.

methodsMedical records of patients with PPGLs between 2005 and 2016 were reviewed. Diagnosis was confirmed histologically and stratified into sporadic or familial/syndromic (FS).

resultsTwenty-seven (21.8%) patients were referred to the Cancer Genetics Service (CGS). FS PPGLs (18.5%) and extra-adrenal PPGLs (58.1%) incidences were higher than previous studies. Referrals were lower for sporadic PPGLs compared to FS PPGLs (3.7% vs. 100%). Referrals were highest at diagnosis age <20 years old (80%) and decreased with increasing age; ≥20-<40 years old (32.1%), ≥40-<60 years old (10.6%). Genetic testing was taken up in 12/27 (44.4%) patients of which 7/12 (58.3%,

conclusionOpportunities for genetic testing are frequently missed due to low referral rates in patients with apparently sporadic PPGLs, particularly between ages 20-60.

Indexed as

Genetic counsellinggenetic testingparagangliomapheochromocytoma

Identifiers

PMID28944243
PMCPMC5606879
OpenAlexW2738190617

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.