Evidence map›Paper›PMID 29565421›Full record

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

Risks of breast or ovarian cancer in BRCA1 or BRCA2 predictive test negatives: findings from the EMBRACE study.

Fabio Girardi, Daniel R Barnes, Daniel Barrowdale, Debra Frost, Angela F Brady, Claire Miller, Alex Henderson, Alan Donaldson, Alex Murray, Carole Brewer and 24 more

Abstract read
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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

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

8 citing papers in PubMed.

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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

34 authors.

Fabio GirardiCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Daniel R BarnesCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Daniel BarrowdaleCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Debra FrostCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Angela F BradyNorth West Thames Regional Genetics Service, Northwick Park Hospital, London North West Healthcare NHS Trust, Harrow, UK.
Claire MillerCheshire and Merseyside Clinical Genetics Service, Liverpool Women's NHS Foundation Trust, Liverpool, UK.
Alex HendersonInstitute of Genetic Medicine, Centre for Life, Newcastle Upon Tyne Hospitals NHS Trust, Newcastle upon Tyne, UK.
Alan DonaldsonClinical Genetics Department, St Michael's Hospital, Bristol, UK.
Alex MurrayAll Wales Medical Genetics Services, Singleton Hospital, Swansea, UK.
Carole BrewerDepartment of Clinical Genetics, Royal Devon & Exeter Hospital, Exeter, UK.
Caroline PottingerAll Wales Medical Genetics Service, Glan Clwyd Hospital, Rhyl, UK.
D Gareth EvansManchester Centre for Genomic Medicine, Manchester Academic Health Sciences Centre, Division of Evolution and Genomic Science, Manchester University, Manchester Universities NHS Foundation Trust, Manchester, UK.
Diana EcclesUniversity of Southampton Faculty of Medicine, Southampton University Hospitals NHS Trust, Southampton, UK.
EMBRACE
Fiona LallooManchester Centre for Genomic Medicine, Manchester Academic Health Sciences Centre, Manchester Universities NHS Foundation Trust, Manchester, UK.
Helen GregoryNorth of Scotland Regional Genetics Service, NHS Grampian & University of Aberdeen, Foresterhill, Aberdeen, UK.
Jackie CookSheffield Clinical Genetics Service, Sheffield Children's Hospital, Sheffield, UK.
Jacqueline EasonNottingham Clinical Genetics Service, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Julian AdlardYorkshire Regional Genetics Service, Chapel Allerton Hospital, Leeds, UK.
Julian BarwellLeicestershire Clinical Genetics Service, University Hospitals of Leicester NHS Trust, Leicester, UK.
Kai Ren OngWest Midlands Regional Genetics Service, Birmingham Women's Hospital Healthcare NHS Trust, Birmingham, UK.
Lisa WalkerOxford Regional Genetics Service, Churchill Hospital, Oxford, UK.
Louise IzattClinical Genetics, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Lucy E SideNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children NHS Trust, London, UK.
M John KennedyAcademic Unit of Clinical and Molecular Oncology, Trinity College Dublin and St James's Hospital, Dublin, Ireland.
Marc TischkowitzDepartment of Medical Genetics, University of Cambridge, Cambridge, UK.
Mark T RogersAll Wales Medical Genetics Services, University Hospital of Wales, Cardiff, UK.
Mary E PorteousSouth East of Scotland Regional Genetics Service, Western General Hospital, Edinburgh, UK.
Patrick J MorrisonCentre for Cancer Research and Cell Biology, Queens University of Belfast, Belfast, UK.
Ros EelesOncogenetics Team, The Institute of Cancer Research and Royal Marsden NHS Foundation Trust, London, UK.
Rosemarie DavidsonDepartment of Clinical Genetics, South Glasgow University Hospitals, Glasgow, UK.
Katie SnapeMedical Genetics Unit, St George's, University of London, London, UK.
Douglas F EastonCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.
Antonis C AntoniouCentre for Cancer Genetic Epidemiology, Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK. aca20@medschl.cam.ac.uk.

Funding

Cancer Research UK 10118Cancer Research UK 16563Cancer Research UK 17523Cancer Research UK 19187Cancer Research UK 20861Cancer Research UK 23382Cancer Research UK A10118Cancer Research UK A11990Cancer Research UK A20861Cancer Research UK C1287/A16563Cancer Research UK C1287/A17523Cancer Research UK C1287/A23382Medical Research Council MR/K012126/1
6 · The paper itself

Abstract

purposeBRCA1/BRCA2 predictive test negatives are proven noncarriers of a BRCA1/BRCA2 mutation that is carried by their relatives. The risk of developing breast cancer (BC) or epithelial ovarian cancer (EOC) in these women is uncertain. The study aimed to estimate risks of invasive BC and EOC in a large cohort of BRCA1/BRCA2 predictive test negatives.

methodsWe used cohort analysis to estimate incidences, cumulative risks, and standardized incidence ratios (SIRs).

resultsA total of 1,895 unaffected women were eligible for inclusion in the BC risk analysis and 1,736 in the EOC risk analysis. There were 23 incident invasive BCs and 2 EOCs. The cumulative risk of invasive BC was 9.4% (95% confidence interval (CI) 5.9-15%) by age 85 years and the corresponding risk of EOC was 0.6% (95% CI 0.2-2.6%). The SIR for invasive BC was 0.93 (95% CI 0.62-1.40) in the overall cohort, 0.85 (95% CI 0.48-1.50) in noncarriers from BRCA1 families, and 1.03 (95% CI 0.57-1.87) in noncarriers from BRCA2 families. The SIR for EOC was 0.79 (95% CI 0.20-3.17) in the overall cohort.

conclusionOur results did not provide evidence for elevated risks of invasive BC or EOC in BRCA1/BRCA2 predictive test negatives.

Indexed as

AdultAgedBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsFemaleGenetic Predisposition to DiseaseGerm-Line MutationHumansMiddle AgedOvarian NeoplasmsRisk AssessmentRisk FactorsBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanBRCA1/BRCA2breast cancerovarian cancerpredictive test negativesrisks

Identifiers

PMID29565421
PMCPMC6033314

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Registered trials

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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.