Evidence map›Paper›PMID 30349099›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

A framework to build capacity for a reflex-testing program for Lynch syndrome.

Vanessa N Palter, Natalie A Baker, Linda Rabeneck, Jill Tinmouth, Anna R Gagliardi, Erin D Kennedy, June C Carroll, Steven Gallinger, Nancy N Baxter

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. 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
1.3field-weighted citation impact, top 20% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Cost-effectiveness of Active Identification and Subsequent Colonoscopy Surveillance of Lynch Syndrome Cases.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2020
    Article
  5. Article
  6. Article
  7. Article
  8. Genetic Counseling and Surveillance Focused on Lynch Syndrome.Journal of the anus, rectum and colon · 2019
    Review
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

9 authors at 7 institutions in 1 country.

Vanessa N PalterSt. Michael's Hospital, Toronto, ON, Canada. vanessa.palter@mail.utoronto.ca.
Natalie A BakerSt. Michael's Hospital, Toronto, ON, Canada.
Linda RabeneckCancer Care Ontario, Toronto, ON, Canada.
Jill TinmouthPublic Health Sciences, University of Toronto, Toronto, ON, Canada.
Anna R GagliardiToronto General Research Institute, Toronto, ON, Canada.
Erin D KennedyPublic Health Sciences, University of Toronto, Toronto, ON, Canada.
June C CarrollPublic Health Sciences, University of Toronto, Toronto, ON, Canada.
Steven GallingerPublic Health Sciences, University of Toronto, Toronto, ON, Canada.
Nancy N BaxterSt. Michael's Hospital, Toronto, ON, Canada.
University of Toronto · CACancer Care Ontario · CAPublic Health Ontario · CASt. Michael's Hospital · CASunnybrook Health Science Centre · CAToronto General Hospital · CAUniversity Health Network · CA

Funding

CIHR FDN-148470
6 · The paper itself

Abstract

purposeLynch syndrome (LS) is the most common inherited cause of colorectal cancer. Although testing all colorectal tumors for LS is recommended, the uptake of reflex-testing programs within health systems has been limited. This multipronged study describes the design of a provincial program for reflex testing in Ontario, Canada.

methodsWe recruited key stakeholders to participate in qualitative interviews to explore the barriers and facilitators to the implementation of a reflex-testing program. Data were analyzed in an iterative manner, key themes identified, and a framework for a proposed program developed.

resultsTwenty-six key informants participated in our interviews, and several themes were identified. These included providing education for stakeholders (patients, primary care providers, surgeons); challenges with sustaining various resources (laboratory costs, increased workload for pathologists); ensuring consistency of reporting test results; and developing a plan to measure program success. Using these themes, a framework for the reflex-testing program was developed. At a subsequent stakeholder meeting, the framework was refined, and recommendations were identified.

conclusionsThis study identifies factors to ensure the effective implementation of a population-level program for reflex LS testing. The final product is a prototype that can be utilized in other jurisdictions, taking into account local environmental considerations.

Indexed as

AdultAttitude of Health PersonnelCapacity BuildingColorectal NeoplasmsColorectal Neoplasms, Hereditary NonpolyposisEarly Detection of CancerFemaleHealth PersonnelHumansMaleMiddle AgedReflexStakeholder ParticipationSurveys and Questionnairescancer preventionLynch syndromereflex testingscreening

Identifiers

PMID30349099
OpenAlexW2896921433

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.