Evidence map›Paper›PMID 30963508›Full record

ReviewJournal of racial and ethnic health disparities2019

Racial/Ethnic Disparities in BRCA Counseling and Testing: a Narrative Review.

Christina D Williams, Alyssa Jasmine Bullard, Meghan O'Leary, Reana Thomas, Thomas S Redding, Karen Goldstein

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–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

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Health Care Equity andHealth equity · 2025
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  15. Intersectionality,Cancers · 2024
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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

6 authors.

Christina D WilliamsCooperative Studies Program Epidemiology Center-Durham, Durham Veterans Affairs Health Care System, 508 Fulton Street, Durham, NC, 27705, USA. Christina.williams4@va.gov.
Alyssa Jasmine BullardCooperative Studies Program Epidemiology Center-Durham, Durham Veterans Affairs Health Care System, 508 Fulton Street, Durham, NC, 27705, USA.ORCID http://orcid.org/0000-0002-6953-353X
Meghan O'LearyCooperative Studies Program Epidemiology Center-Durham, Durham Veterans Affairs Health Care System, 508 Fulton Street, Durham, NC, 27705, USA.
Reana ThomasCooperative Studies Program Epidemiology Center-Durham, Durham Veterans Affairs Health Care System, 508 Fulton Street, Durham, NC, 27705, USA.
Thomas S ReddingCooperative Studies Program Epidemiology Center-Durham, Durham Veterans Affairs Health Care System, 508 Fulton Street, Durham, NC, 27705, USA.
Karen GoldsteinCenter for Health Services Research in Primary Care, Durham Veterans Affairs Health Care System, 508 Fulton Street, Durham, NC, 27705, USA.

Funding

HSRD VA IK2 HX001540
6 · The paper itself

Abstract

BACKGROUND/

objectiveDespite increases in BRCA mutation testing, racial/ethnic disparities in counseling and testing have persisted for decades. The purpose of the review was to summarize recent literature as it relates to detecting, understanding, and reducing disparities in BRCA counseling and testing.

designThis is a narrative review of articles published January 2012 to July 2017 relevant to genetic testing and counseling, breast and ovarian cancer, and minority health and heath disparities. Twenty-three articles were included in this review.

resultsStudies report lower counseling and/or testing rates for eligible racial/ethnic minorities among family members of high-risk individuals as well as among breast cancer survivors. Key barriers and facilitators of disparate BRCA counseling/testing that emerged in this review included awareness, cost-related factors, stress and distrust, family concerns and communication, and provider communication and referral. To address differential access to and use of BRCA testing services and expand testing in minority populations, it is necessary for interventions to focus on improving awareness, risk-perception, and family and patient-provider communication.

conclusionMulti-level and targeted interventions are needed to reduce persistent racial/ethnic disparities and improve assessment, provider recommendations, counseling and testing among minority populations.

Indexed as

EthnicityFemaleGenes, BRCA1Genetic CounselingGenetic TestingHealthcare DisparitiesHereditary Breast and Ovarian Cancer SyndromeHumansRacial GroupsSocioeconomic FactorsBreast cancerGenetic counselingGenetic testingHealth care disparitiesHereditary cancer syndrome

Identifiers

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.