Evidence map›Paper›PMID 31171481›Full record

ArticleClinical genitourinary cancer2019

Germline Genetic Testing in Advanced Prostate Cancer; Practices and Barriers: Survey Results from the Germline Genetics Working Group of the Prostate Cancer Clinical Trials Consortium.

Channing J Paller, Emmanuel S Antonarakis, Tomasz M Beer, Hala T Borno, Maria I Carlo, Daniel J George, Julie N Graff, Shilpa Gupta, Elisabeth I Heath, Celestia S Higano and 12 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Clinical genitourinary cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 11% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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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

22 authors at 16 institutions in 1 country.

Channing J PallerSidney Kimmel Comprehensive Cancer Center, Department of Urology, Johns Hopkins University, Baltimore, MD.
Emmanuel S AntonarakisSidney Kimmel Comprehensive Cancer Center, Department of Urology, Johns Hopkins University, Baltimore, MD.
Tomasz M BeerDivision of Hematology/Medical Oncology School of Medicine, Oregon Health and Science University Knight Cancer Institute, Portland, OR.
Hala T BornoDepartment of Medicine, University of California San Francisco/Helen Diller Family Cancer, San Francisco, CA.
Maria I CarloSidney Kimmel Center for Prostate and Urologic Cancers, Memorial Sloan Kettering Cancer Center, New York, NY.
Daniel J GeorgeDivision of Medical Oncology, Department of Medicine and Duke Cancer Institute, Duke University Medical Center, Durham, NC.
Julie N GraffDivision of Hematology and Medical Oncology, VA Portland Health Care System/Oregon Health & Science University Knight Cancer Institute, Portland, OR.
Shilpa GuptaDivision of Hematology, Oncology, and Transplantation, University of Minnesota Masonic Cancer Center, Minneapolis, MN.
Elisabeth I HeathKarmanos Cancer Institute and Department of Oncology, Wayne State University, Detroit, MI.
Celestia S HiganoFred Hutchinson Cancer Research Center and Division of Medical Oncology, Department of Medicine, University of Washington School of Medicine, Seattle, WA.
Rana R McKayDepartment of Medicine, University of California at San Diego Moores Cancer Center, La Jolla, CA.
Alicia K MorgansDivision of Hematology/Oncology, Department of Medicine, Feinberg School of Medicine at Northwestern University, Chicago, IL.
Akash PatnaikDepartment of Medicine, University of Chicago Comprehensive Cancer Center, Chicago, IL.
Daniel P PetrylakDepartment of Urology, Yale Cancer Center, New Haven, CT.
Matthew B RettigDepartment of Medicine, Division of Hematology-Oncology, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Charles J RyanDivision of Hematology, Oncology, and Transplantation, University of Minnesota Masonic Cancer Center, Minneapolis, MN.
Mary-Ellen TaplinDepartment of Medical Oncology, Dana Farber Cancer Institute, Boston, MA.
Young E WhangDepartment of Medicine, Hematology/Oncology, University of North Carolina Lineberger Cancer Center, Chapel Hill, NC.
Jacob VinsonProstate Cancer Clinical Trials Consortium, Memorial Sloan Kettering Cancer Center, New York, NY.
Heather H ChengFred Hutchinson Cancer Research Center and Division of Medical Oncology, Department of Medicine, University of Washington School of Medicine, Seattle, WA. Electronic address: hhcheng@uw.edu.
Veda N GiriDepartment of Medical Oncology, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA. Electronic address: Veda.Giri@jefferson.edu.
PCCTC Germline Genetics Working Group
Johns Hopkins University · USMemorial Sloan Kettering Cancer Center · USOregon Health & Science University · USUniversity of Minnesota Medical Center · USUniversity of Washington · USDana-Farber Cancer Institute · USDuke Medical Center · USNorthwestern University · USThomas Jefferson University · USUniversity of California, Los Angeles · USUniversity of California San Diego · USUniversity of California, San Francisco · USUniversity of Chicago · USUniversity of North Carolina at Chapel Hill · USWayne State University · USYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
TRANSCRIPTOME AND PROTEOME STRATIFICATION OF PROSTATE ADENOCARCINOMA PHENOTYPESP50CA097186 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI John Kyung Lee · 2002 to 2026
$58.1M
Overcoming drug resistance in metastatic castration resistant prostate cancer with a novel combination of TGF-beta inhibition and enzalutamideK23CA197526 · NCI · JOHNS HOPKINS UNIVERSITY · PI PALLER, CHANNING · 2016 to 2018
$531k
NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR002319NCI NIH HHS K23 CA197526NCI NIH HHS P30 CA006973NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA097186
6 · The paper itself

Abstract

backgroundGermline genetic testing increasingly identifies advanced prostate cancer (PCa) patients who are candidates for precision therapies. The Prostate Cancer Clinical Trials Consortium (PCCTC) established the Germline Genetics Working Group to provide guidance and resources to expand effective use of germline genetic testing. MATERIALS AND

methodsA 14-item questionnaire was e-mailed to academic oncologists at 43 PCCTC sites to collect information on germline genetic testing patterns, including patients considered, choice of assays, barriers slowing adoption, and actions to overcome barriers.

resultsTwenty-six genitourinary oncologists from 19 institutions responded. Less than 40% (10 of 26) reported referring patients to a genetics department, whereas the remainder take personal responsibility for genetic testing and counseling; 16 (62%) consider testing all metastatic PCa patients, whereas 3 (12%) consider testing all patients with high-risk local disease; and 7 (27%) use multigene comprehensive pan-cancer panels, and 14 (54%) use smaller or targeted cancer gene panels. Barriers to widespread use are: (1) delayed or limited access to genetic counseling; (2) no insurance coverage; (3) lack of effective workflows; (4) insufficient educational materials; and (5) time and space constraints in busy clinics. The primary limitation was the <50% (19 of 43) response from PCCTC sites and no coverage of nonacademic cancer treatment facilities.

conclusionJoint efforts by urologists, oncologists, genetics counselors, insurers, and cancer centers can accelerate implementation of integrated germline genetic services for personalized treatment and clinical trial eligibility for PCa patients.

Indexed as

Genetic TestingGerm-Line MutationGenetic CounselingHealth WorkforceHumansMaleMedically UninsuredMolecular Targeted TherapyPractice Guidelines as TopicPrecision MedicineProstatic NeoplasmsReferral and ConsultationSurveys and QuestionnairesBRCADNA repairLynchPARP inhibitorsPembrolizumab

Identifiers

PMID31171481
PMCPMC6662206
OpenAlexW2940059029

What OpenQuestion holds

Textmetadata
LicenceTDM
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.