Evidence map›Paper›PMID 31308460›Full record

ArticleScientific reports2019

Evaluating BRCA mutation risk predictive models in a Chinese cohort in Taiwan.

Fei-Hung Hung, Yong Alison Wang, Jhih-Wei Jian, Hung-Pin Peng, Ling-Ling Hsieh, Chen-Fang Hung, Max M Yang, An-Suei Yang

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. BRCA Testing in Asian Patients with Ovarian Cancer: Standard Clinical Practice or Mutation Prediction Model?Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  3. Clinical predictors ofFrontiers in oncology · 2026
    Article
  4. Article
  5. Review
  6. Risk-Stratified Breast Cancer Screening in Malaysia: Challenges and Opportunities.Asian Pacific journal of cancer prevention : APJCP · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Predicting the Likelihood of Carrying aJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Article
  12. Article
  13. Review
  14. Article
  15. 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

8 authors at 3 institutions in 2 countries.

Fei-Hung HungGenomics Research Center, Academia Sinica, Taipei, Taiwan.
Yong Alison WangKoo Foundation Sun-Yat Sen Cancer Center, Taipei, Taiwan. wang@kfsyscc.org.
Jhih-Wei JianGenomics Research Center, Academia Sinica, Taipei, Taiwan.
Hung-Pin PengGenomics Research Center, Academia Sinica, Taipei, Taiwan.
Ling-Ling HsiehKoo Foundation Sun-Yat Sen Cancer Center, Taipei, Taiwan.
Chen-Fang HungKoo Foundation Sun-Yat Sen Cancer Center, Taipei, Taiwan.
Max M YangUniversity of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
An-Suei YangGenomics Research Center, Academia Sinica, Taipei, Taiwan. yangas@gate.sinica.edu.tw.
Genomics Research Center, Academia Sinica · TWKoo Foundation Sun Yat-Sen Cancer Center · TWUniversity of Cincinnati Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate estimation of carrier probabilities of cancer susceptibility gene mutations is an important part of pre-test genetic counselling. Many predictive models are available but their applicability in the Asian population is uncertain. We evaluated the performance of five BRCA mutation risk predictive models in a Chinese cohort of 647 women, who underwent germline DNA sequencing of a cancer susceptibility gene panel. Using areas under the curve (AUCs) on receiver operating characteristics (ROC) curves as performance measures, the models did comparably well as in western cohorts (BOADICEA 0.75, BRCAPRO 0.73, Penn II 0.69, Myriad 0.68). For unaffected women with family history of breast or ovarian cancer (n = 144), BOADICEA, BRCAPRO, and Tyrer-Cuzick models had excellent performance (AUC 0.93, 0.92, and 0.92, respectively). For women with both personal and family history of breast or ovarian cancer (n = 241), all models performed fairly well (BOADICEA 0.79, BRCAPRO 0.79, Penn II 0.75, Myriad 0.70). For women with personal history of breast or ovarian cancer but no family history (n = 262), most models did poorly. Between the two well-performed models, BOADICEA underestimated mutation risks while BRCAPRO overestimated mutation risks (expected/observed ratio 0.67 and 2.34, respectively). Among 424 women with personal history of breast cancer and available tumor ER/PR/HER2 data, the predictive models performed better for women with triple negative breast cancer (AUC 0.74 to 0.80) than for women with luminal or HER2 overexpressed breast cancer (AUC 0.63 to 0.69). However, incorporating ER/PR/HER2 status into the BOADICEA model calculation did not improve its predictive accuracy.

Indexed as

AdultAsian PeopleBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsCarcinoma, Ovarian EpithelialCohort StudiesFemaleGenes, BRCA1Genes, BRCA2Genetic CounselingGenetic Predisposition to DiseaseGenetic TestingHeterozygoteHumansMiddle AgedBRCA1 ProteinBRCA2 Protein

Identifiers

PMID31308460
PMCPMC6629692
OpenAlexW2958679308

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.