Evidence map›Paper›PMID 30308700›Full record

Observational studyMolecular genetics & genomic medicine2018

Role of the general practitioner in the care of BRCA1 and BRCA2 mutation carriers: General practitioner and patient perspectives.

Pierre Vande Perre, Daniel Toledano, Carole Corsini, Elsa Escriba, Marine Laporte, Helena Bertet, Kevin Yauy, Alain Toledano, Virginie Galibert, Karen Baudry and 5 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Molecular genetics & genomic medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 26% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Observational
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

15 authors at 6 institutions in 1 country.

Pierre Vande PerreDepartment of Cancer Genetics, Montpellier University Hospital (CHRU), Montpellier, France.ORCID 0000-0001-7595-7243
Daniel ToledanoDepartment of Cancer Genetics, Breast Disease Center, Saint Louis Hospital, Paris, France.
Carole CorsiniDepartment of Cancer Genetics, Montpellier University Hospital (CHRU), Montpellier, France.
Elsa EscribaDepartment of Cancer Genetics, Montpellier University Hospital (CHRU), Montpellier, France.
Marine LaporteDepartment of Cancer Genetics, Montpellier University Hospital (CHRU), Montpellier, France.
Helena BertetEpidemiology and Clinical Research Department, INSERM U1411, Clinical Investigation Centre, Montpellier University Hospital, Montpellier, France.
Kevin YauyDepartment of Genetics, Montpellier University Hospital (CHRU), Montpellier, France.
Alain ToledanoDepartment of Radiotherapy, Hartmann Radiotherapy Center, American Hospital of Paris, Neuilly, France.
Virginie GalibertDepartment of Cancer Genetics, Montpellier University Hospital (CHRU), Montpellier, France.
Karen BaudryDepartment of Cancer Genetics, Montpellier University Hospital (CHRU), Montpellier, France.
Lucie ClotetUniversity Department of General Medicine, University of Montpellier, Montpellier, France.
Elodie MillionUniversity Department of General Medicine, University of Montpellier, Montpellier, France.
Marie-Christine PicotDepartment of Medical Statistics, INSERM U1046, CNRS UMR 9214, University of Montpellier, Montpellier, France.
David GenevièveDepartment of Genetics, Montpellier University Hospital (CHRU), Montpellier, France.
Pascal PujolDepartment of Cancer Genetics, Montpellier University Hospital (CHRU), Montpellier, France.
Université de Montpellier · FRAssistance Publique – Hôpitaux de Paris · FRCentre National de la Recherche Scientifique · FRHôpital américain de paris · FRInserm · FRUniversité Toulouse III - Paul Sabatier · FR

Funding

Cancer Research UK 16561
6 · The paper itself

Abstract

backgroundGeneral practitioners (GPs) have an increasing role in referring patients with putative mutation in BRCA1/2 genes for genetics consultation and for long-term follow-up of mutation carriers.

methodsWe compared the expectations of the GPs' role according to BRCA1/2 mutation carriers and to GPs themselves.

resultsOverall, 38% (58/152) of eligible GPs and 70% (176/252) of eligible patients were surveyed. Although 81% of GPs collected the family history, only 24% considered that they know criteria indicating genetics consultation and 39% sufficient knowledge of BRCA1/2 guidelines to answer patients' questions. Twelve% of GPs were aware of the French national guidelines. Among unsatisfied patients, 40% felt that their GP was able to answer (moderately, sufficiently, or completely) specific questions about BRCA1/2 care as compared with 81% in satisfied patients. Only 33% of GPs reported being informed directly by the geneticist about the patients' results. GPs' main expectations for their role in BRCA1/2 carrier care were psychological support and informing relatives about screening (72% and 71%, respectively), which contrasts with the perceptions of patients, who mainly requested medical advice for BRCA1/2-related care (51%).

conclusionThere is an important need for GP training and enhancing interactions between GPs and geneticists to improve the GP's role in BRCA1/2 screening and management.

Indexed as

Health Knowledge, Attitudes, PracticeAdultAgedAged, 80 and overBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsFemaleGeneral PractitionersGenetic Carrier ScreeningGenetic CounselingHumansMiddle AgedReferral and ConsultationBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanBRCA1BRCA2general practitionersgenetic screeninghereditary breast and ovarian cancer syndrome

Identifiers

PMID30308700
PMCPMC6305637
OpenAlexW2896199652

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.