Evidence map›Paper›PMID 31253107›Full record

ArticleBMC cancer2019

BRCA germline mutation test for all woman with ovarian cancer?

A V Paradiso, M Digennaro, M Patruno, S De Summa, S Tommasi, I Berindan-Neagoe

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Predictive Genetic Testing in the Cancer Management and Prevention.Journal of cancer science and clinical therapeutics · 2025
    Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Germline and tumorAnnals of translational medicine · 2021
    Article
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 at 1 institution in 1 country.

A V ParadisoExperimental Oncology - Center for Study of Heredo-Familial Tumors, IRCCS-Istituto Tumori "Giovanni Paolo II", viale Orazio Flacco, 65, 70124, Bari, Italy. a.paradiso@oncologico.bari.it.
M DigennaroExperimental Oncology - Center for Study of Heredo-Familial Tumors, IRCCS-Istituto Tumori "Giovanni Paolo II", viale Orazio Flacco, 65, 70124, Bari, Italy.
M PatrunoExperimental Oncology - Center for Study of Heredo-Familial Tumors, IRCCS-Istituto Tumori "Giovanni Paolo II", viale Orazio Flacco, 65, 70124, Bari, Italy.
S De SummaMolecular and Pharmacogenetics Diagnostic Laboratory, IRCCS-Istituto Tumori "Giovanni Paolo II", viale Orazio Flacco, 65, 70124, Bari, Italy.
S TommasiMolecular and Pharmacogenetics Diagnostic Laboratory, IRCCS-Istituto Tumori "Giovanni Paolo II", viale Orazio Flacco, 65, 70124, Bari, Italy.
I Berindan-NeagoeDepartment of Functional Genomics and Experimental Pathology, The Oncology Institute "Prof. Dr. Ion Chiricuta", University of Medicine and Pharmacy Iuliu Hatieganu- Center for Functional Genomics and Center for Advanced Medicine Medfuture, Republicii 34th street; Marinescu 23, Pasteur 4-6, 400015, Cluj-Napoca, Romania.
Istituto Tumori Bari · IT

Funding

Ministero della Salute Italian Gouvernment (IT) Funds for Institutional research 2016
6 · The paper itself

Abstract

backgroundDelivering widespread BRCA testing to patients with ovarian cancer has been suggested by several scientists, recommended by professional societies and solicited by patients organizations. However, based on the lack of studies clearly demonstrating the cost-effectiveness of such approach compared to standard practice, we evaluated the possibility to better select subgroups of ovarian cancer (OC) patients with higher probability to be a BRCA mutation carrier'.

methodsWe analyzed the database of 2222 germline BRCA analyses from OC patients recently published by Song et al. (Song 2014) by applying multivariate and conditional inference regression tree-analyses.

resultsOverall, 178/2192 (8.1%) evaluable OC women showed pathogenic germline mutations in BRCA genes (84 BRCA1;94 BRCA2). BRCA mutations resulted significantly more frequent in Epithelial tumors (10.7%), less differentiated tumours (11.0%) and younger subjects (13.4%). Regression tree analysis permitted to individualize a subset of 66% OC patients with particularly low risk (3.5%) to carry a BRCA mutation vs a subgroup (24% of the series), with a probability higher than 17% to carry a pathogenic mutation. Younger age, OC and Breast Cancer family history were confirmed powerful factors in selecting subgroups of patients with significantly different BRCA mutation probability.

conclusionsOur regression tree-analysis can represent an innovative approach taking into consideration all main clinical pathological information to select OC patients to be candidated for BRCA test.

Indexed as

Genes, BRCA1Genes, BRCA2Biomarkers, TumorDatabases, FactualFemaleGenetic TestingGerm-Line MutationHumansOvarian NeoplasmsPatient SelectionPractice Guidelines as TopicRisk FactorsBiomarkers, TumorBRCAOvarian cancerTest criteria

Identifiers

PMID31253107
PMCPMC6599356
OpenAlexW2954014685

What OpenQuestion holds

Textmetadata
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.