Evidence map›Paper›PMID 31912597›Full record

ArticleJournal of genetic counseling2020

The big reveal: Family disclosure patterns of BRCA genetic test results among young Black women with invasive breast cancer.

Claire C Conley, Dana Ketcher, Maija Reblin, Monica L Kasting, Deborah Cragun, Jongphil Kim, Kimlin Tam Ashing, Cheryl L Knott, Chanita Hughes-Halbert, Tuya Pal and 1 more

Abstract read
In one paragraph

Article in Journal of genetic counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Cascade Testing for Hereditary Cancer Syndromes: Should We Move Toward Direct Relative Contact? A Systematic Review and Meta-Analysis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Pooled it
  2. Pooled it
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  11. Health equity in the implementation of genomics and precision medicine: A public health imperative.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Review
  12. Review
  13. Article
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  15. Review
  16. Prevalence of Clinically Relevant GermlineFrontiers in genetics · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Healthcare Predictors of Information Dissemination About Genetic Risks.Cancer control : journal of the Moffitt Cancer Center
    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

11 authors.

Claire C ConleyHealth Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0001-7695-2428
Dana KetcherHealth Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
Maija ReblinHealth Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
Monica L KastingDepartment of Health and Kinesiology, Purdue University, West Lafayette, IN, USA.
Deborah CragunCollege of Public Health, University of South Florida, Tampa, FL, USA.
Jongphil KimDepartment of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center, Tampa, FL, USA.
Kimlin Tam AshingDepartment of Population Sciences, City of Hope National Medical Center, Duarte, CA, USA.
Cheryl L KnottSchool of Public Health, University of Maryland, College Park, MD, USA.
Chanita Hughes-HalbertDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, USA.
Tuya PalDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Susan T VadaparampilHealth Outcomes and Behavior Program, H. Lee Moffitt Cancer Center, Tampa, FL, USA.

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
Behavioral Oncology Education & Career DevelopmentR25CA090314 · NCI · H. LEE MOFFITT CANCER CTR &RES INST · PI BRANDON, THOMAS H · 2003 to 2018
$4.0M
Behavioral Oncology Education & Career DevelopmentT32CA090314 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI Vani N Simmons, SUSAN T VADAPARAMPIL · 2019 to 2026
$2.9M
NCI NIH HHS P30 CA076292NCI NIH HHS R25 CA090314NCI NIH HHS T32 CA090314
6 · The paper itself

Abstract

Despite higher incidence and mortality of breast cancer among younger Black women, genetic testing outcomes remain severely understudied among Blacks. Past research on disclosure of genetic testing results to family members has disproportionately focused on White, educated, high socioeconomic status women. This study addresses this gap in knowledge by assessing (a) to whom Black women disclose genetic test results and (b) if patterns of disclosure vary based on test result (e.g., BRCA1/2 positive, negative, variant of uncertain significance [VUS]). Black women (N = 149) with invasive breast cancer diagnosed age ≤50 years from 2009 to 2012 received free genetic testing through a prospective, population-based study. At 12 months post-testing, women reported with whom they shared their genetic test results. The exact test by binomial distribution was used to examine whether disclosure to female relatives was significantly greater than disclosure to male relatives, and logistic regression analyses tested for differences in disclosure to any female relative, any male relative, parents, siblings, children, and spouses by genetic test result. Most (77%) women disclosed their results to at least one family member. Disclosure to female relatives was significantly greater than disclosure to males (p < .001). Compared to those who tested negative or had a VUS, BRCA1/2-positive women were significantly less likely to disclose results to their daughters (OR

Indexed as

FamilyTruth DisclosureAdultBlack or African AmericanBreast NeoplasmsChildDisclosureFemaleGenes, BRCA1Genes, BRCA2Genetic TestingHumansMaleMiddle AgedNeoplasm InvasivenessBRCA1/2 pathogenic variantbreast cancercommunicationdisclosuredisparitiesfamilygenetic counselinggenetic testing

Identifiers

PMID31912597
PMCPMC7343233

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.