Evidence map›Paper›PMID 31347304›Full record

Trial reportMolecular genetics & genomic medicine2019

Family still matters: Counseling patients with complex family histories of colon and endometrial cancers.

Amber P Gemmell, Caitlin B Mauer, Brian D Reys, Sara Pirzadeh-Miller, Theodora S Ross

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Molecular genetics & genomic medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Trial
  2. 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

5 authors at 1 institution in 1 country.

Amber P GemmellSimmons Comprehensive Cancer Center and Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas.
Caitlin B MauerSimmons Comprehensive Cancer Center and Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas.
Brian D ReysSimmons Comprehensive Cancer Center and Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas.
Sara Pirzadeh-MillerSimmons Comprehensive Cancer Center and Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas.
Theodora S RossSimmons Comprehensive Cancer Center and Department of Internal Medicine, UT Southwestern Medical Center, Dallas, Texas.ORCID 0000-0002-9166-1802
Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are no national guidelines for the management of patients with a family history consistent with Lynch syndrome (LS) but a negative genetic test. To determine current management practices, genetic counselors' (GCs) recommendations were assessed.

methodsA survey of GCs using five hypothetical pedigrees was posted to National Society of Genetic Counselors (NSGC) discussion forums. Descriptive statistics were used.

resultsOne-hundred and fifteen surveys were completed. A pedigree with a first-degree relative (FDR) with early-onset colorectal cancer (CRC) and a family history of CRC and endometrial cancer (EC) prompted 83% (n = 95) of respondents to recommend early and frequent colonoscopies, based on family history. When the CRCs and ECs occurred in family members removed from the proband, 96% (n = 110) of GCs said they would screen based on family history. However, only 52% (n = 60) suggested CRC screening should begin earlier and occur more often, and 43% (n = 50) suggested CRC screening should follow standard age and frequency guidelines.

conclusionConcordance of opinion among GCs for the management of patients with negative genetic test results exists when FDRs are affected. However, when affected relatives are more distant, GCs disagreed on screening recommendations. These data suggest a need for guidelines for patients with a family history of cancer and a negative genetic test.

Indexed as

FamilyGenetic CounselingPedigreeAdultColonic NeoplasmsColorectal Neoplasms, Hereditary NonpolyposisEndometrial NeoplasmsFemaleHumansMalecolon cancerendometrial cancergenetic counselingLynch syndromemanagement guidelines

Identifiers

PMID31347304
PMCPMC6732297
OpenAlexW2964354441

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.