Evidence map›Paper›PMID 30971774›Full record

ArticleBritish journal of cancer2019

International trends in the uptake of cancer risk reduction strategies in women with a BRCA1 or BRCA2 mutation.

Kelly Metcalfe, Andrea Eisen, Leigha Senter, Susan Armel, Louise Bordeleau, Wendy S Meschino, Tuya Pal, Henry T Lynch, Nadine M Tung, Ava Kwong and 9 more

Abstract read
In one paragraph

Article in British journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed, 2 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

109 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Breast cancer prevention in patients with gBRCA-mutated ovarian cancer.Journal of cancer research and clinical oncology · 2026
    Article
  10. Contemporary risk assessment and risk-reducing strategies for tubo-ovarian cancer in women with BRCA pathogenic variants.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Comparative Analysis ofJCO precision oncology · 2026
    Article
  15. Article
  16. Article
  17. Cost-effectiveness analysis (CEA) of ovarian cancer preventive strategies for women with BRCA1/2 pathogenic variants: the role of surveillance.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  18. Article
  19. Article
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49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Kelly MetcalfeWomen's College Research Institute, Toronto, ON, Canada.
Andrea EisenToronto-Sunnybrook Regional Cancer Center, Toronto, ON, Canada.
Leigha SenterDivision of Human Genetics, The Ohio State University Medical Center, Comprehensive Cancer Center, Columbus, OH, USA.
Susan ArmelDivision of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada.
Louise BordeleauJuravinksi Cancer Centre, Hamilton, ON, L8V 5C2, Canada.
Wendy S MeschinoNorth York General Hospital, Toronto, ON, Canada.
Tuya PalVanderbilt-Ingram Cancer Center/Vanderbilt University Medical Center, Nashville, TN, USA.
Henry T LynchHereditary Cancer Center, Creighton University School of Medicine, Omaha, NE, USA.
Nadine M TungBeth Israel Deaconess Medical Center, Boston, MA, USA.
Ava KwongDepartment of Surgery, The University of Hong Kong, Queen Mary Hospital, Pokfulam, Hong Kong SAR.
Peter AinsworthDepartment of Population Sciences, Beckman Research Institute of City of Hope, Duarte, CA, USA.
Beth KarlanDepartment of Obstetrics and Gynecology, Cedars-Sinai Medical Center, West Hollywood, CA, USA.
Pal MollerResearch Group Inherited Cancer, Department of Medical, Genetics, Oslo University Hospital, Oslo, Norway.
Charis EngGenomic Medicine Institute, Center for Personalised Genetic Healthcare, Cleveland Clinic, Cleveland, OH, USA.
Jeffrey N WeitzelCity of Hope National Medical Center, Duarte, CA, USA.
Ping SunWomen's College Research Institute, Toronto, ON, Canada.
Jan LubinskiInternational Hereditary Cancer Center, Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
Steven A NarodWomen's College Research Institute, Toronto, ON, Canada. steven.narod@wchospital.ca.
Hereditary Breast Cancer Clinical Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWomen with a BRCA1 or BRCA2 mutation face high risks of breast and ovarian cancer. In the current study, we report on uptake of cancer screening and risk-reduction options in a cohort of BRCA mutation carriers from ten countries over two time periods (1995 to 2008 and 2009 to 2017).

methodsEligible subjects were identified from an international database of female BRCA mutation carriers and included women from 59 centres from ten countries. Subjects completed a questionnaire at the time of genetic testing, which included past use of cancer prevention options and screening tests. Biennial follow-up questionnaires were administered.

resultsSix-thousand two-hundred and twenty-three women were followed for a mean of 7.5 years. The mean age at last follow-up was 52.1 years (27-96 years) and 42.3% of the women had a prior diagnosis of breast cancer. In all, 27.8% had a prophylactic bilateral mastectomy and  64.7% had a BSO. Screening with breast MRI increased from 70% before 2009 to 81% at or after 2009. There were significant differences in uptake of all options by country.

conclusionFor women who received genetic testing more recently, uptake of prophylactic mastectomy and breast MRI is significantly higher than those who received genetic testing more than 10 years ago. However, uptake of both BSO and breast MRI is not optimal, and interventions to increase uptake are needed.

Indexed as

Genes, BRCA1Genes, BRCA2MutationRisk Reduction BehaviorAdultAgedAged, 80 and overBreast NeoplasmsFemaleHumansMagnetic Resonance ImagingMammographyMastectomyMiddle AgedSalpingo-oophorectomy

Identifiers

PMID30971774
PMCPMC6738089

What OpenQuestion holds

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LicenceCC BY
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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.