Evidence map›Paper›PMID 31568561›Full record

ArticleCancer2020

BRCA testing in unaffected young women in the United States, 2006-2017.

Fangjian Guo, Matthew Scholl, Erika L Fuchs, Abbey B Berenson, Yong-Fang Kuo

Abstract read
In one paragraph

Article in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. BRCA genetic testing utilization and expenditures among privately insured adults in the United States, 2013 to 2022.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
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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

5 authors.

Fangjian GuoDepartment of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.ORCID 0000-0003-3729-2724
Matthew SchollSchool of Medicine, The University of Texas Medical Branch at Galveston, Galveston, Texas.
Erika L FuchsDepartment of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.ORCID 0000-0002-5243-8464
Abbey B BerensonDepartment of Obstetrics and Gynecology, The University of Texas Medical Branch at Galveston, Galveston, Texas.ORCID 0000-0002-5007-1080
Yong-Fang KuoCenter for Interdisciplinary Research in Women's Health, The University of Texas Medical Branch at Galveston, Galveston, Texas.ORCID 0000-0003-1927-0927

Funding

UTMB WOMEN'S HEALTH RESEARCH SCHOLARS PROGRAMK12HD052023 · NICHD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI BERENSON, ABBEY B · 2005 to 2023
$8.1M
Genetic testing in young women for cancer preventionK07CA222343 · NCI · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GUO, FANGJIAN · 2018 to 2022
$632k
NCI NIH HHS K07 CA222343NICHD NIH HHS K12 HD052023
6 · The paper itself

Abstract

backgroundThe discovery of the BRCA gene in the 1990s created an opportunity for individualized cancer prevention. BRCA testing in young women before cancer onset enables early detection of those with an increased cancer risk and creates an opportunity to offer lifesaving prophylactic procedures and medications. This study assessed trends in BRCA testing in women younger than 40 years without diagnosed breast or ovarian cancer (unaffected young women [UYW]) for cancer prevention between 2006 and 2017 in the United States.

methodsThis study included 93,278 adult women 18 to 65 years old with insurance claims for BRCA testing between 2006 and 2017 from the de-identified Optum Clinformatics Data Mart database. The data contained medical claims and administrative information from privately insured individuals in the United States. The proportion of BRCA testing in UYW younger than 40 years among adult women aged 18 to 65 years who received BRCA testing was assessed.

resultsIn 2006, only 10.5% of the tests were performed in UYW. The proportion of BRCA tests performed in UYW increased significantly to 25.5% in 2017 (annual percentage change for the 2006-2017 period, 6.9; 95% confidence interval, 6.4-7.3; P < .001). The increased trend in the proportion of BRCA tests in UYW significantly differed by region of residence and family history of breast or ovarian cancer.

conclusionsOver the past decade, there was increased use of BRCA testing for cancer prevention. Additional efforts are needed to maximize the early detection of women with BRCA pathogenic variants so that these cancers may be prevented.

Indexed as

Administrative Claims, HealthcareAdolescentAdultAgedBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsFemaleGenetic Predisposition to DiseaseGenetic TestingHeterozygoteHumansMedical History TakingMiddle AgedOvarian NeoplasmsPractice Guidelines as TopicBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanBRCA testingbreast cancermutation carrierovarian cancerpathogenic variant carrierprimary preventionunaffected

Identifiers

PMID31568561
PMCPMC6952576

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Registered trials

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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.