Evidence map›Paper›PMID 29164420›Full record

Trial reportBreast cancer research and treatment2018

BRCAsearch: written pre-test information and BRCA1/2 germline mutation testing in unselected patients with newly diagnosed breast cancer.

Martin P Nilsson, Therese Törngren, Karin Henriksson, Ulf Kristoffersson, Anders Kvist, Barbro Silfverberg, Åke Borg, Niklas Loman

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Breast cancer research and treatment, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02557776 (BRCAsearch), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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.

NCT02557776 nacompletednot on this map

BRCAsearch: A Population Based Prospective Study on Screening for BRCA1 and BRCA2 Germline Mutations in Patients With Newly Diagnosed Breast Cancer Treated in Southern Sweden.

TypeinterventionalSponsorLund UniversityRan2015 to 2018Enrolled542ConditionsHereditary Breast CancerArmsGermline genetic testing of BRCA1 and BRCA2
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
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  4. 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
  5. Article
  6. Article
  7. Observational
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  9. Review
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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

8 authors.

Martin P NilssonDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden. martin.nilsson@med.lu.se.ORCID http://orcid.org/0000-0002-7419-6750
Therese TörngrenDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Karin HenrikssonDepartment of Clinical Genetics, Laboratory Medicine Region Skåne, Lund, Sweden.
Ulf KristofferssonDepartment of Clinical Genetics, Laboratory Medicine Region Skåne, Lund, Sweden.
Anders KvistDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Barbro SilfverbergDepartment of Clinical Genetics, Laboratory Medicine Region Skåne, Lund, Sweden.
Åke BorgDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.
Niklas LomanDivision of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate a simplified method of pre-test information and germline BRCA1/2 mutation testing.

methodsIn a prospective, single-arm study, comprehensive BRCA1/2 testing was offered to unselected patients with newly diagnosed breast cancer at three hospitals in south Sweden (BRCAsearch, ClinicalTrials.gov Identifier: NCT02557776). Pre-test information was provided by a standardized invitation letter, but the patients could contact a genetic counselor for telephone genetic counseling if they felt a need for that. Noncarriers were informed about the test result through a letter. Mutation carriers were contacted and offered an appointment for in-person post-test genetic counseling.

resultsDuring the period Feb 2, 2015-Aug 26, 2016, eight hundred and eighteen patients were invited to participate in the study. Through Jan 31, 2017, five hundred and forty-two (66.2%) of them consented to analysis of BRCA1 and BRCA2. Eleven pathogenic mutations were found (BRCA1, n = 2; BRCA2, n = 9), corresponding to a mutation prevalence of 2.0%. Six out of 11 fulfilled the Swedish BRCA testing criteria, and 9 out of 11 fulfilled the NCCN testing criteria. None of the BRCA-associated tumors were of the luminal A-like subtype. Very few patients contacted us for telephone genetic counseling or practical questions, suggesting that a majority felt that the written pre-test information was sufficient for them to make a decision on testing.

conclusionsStreamlining the process of pre-test information, genetic testing, and delivery of test results was feasible and was associated with an uptake of genetic testing in 2/3 of the breast cancer patients.

Indexed as

Genetic Predisposition to DiseaseAdultAgedAged, 80 and overBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsFeasibility StudiesFemaleGenetic CounselingGenetic TestingGerm-Line MutationHumansMiddle AgedPatient Acceptance of Health CareProspective StudiesBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanBreast cancerCounselingGenetic testingUnselected

Identifiers

PMID29164420
PMCPMC5847037

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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.