Evidence map›Paper›PMID 32045136›Full record

ArticleCancer medicine2020

A regional population-based hereditary breast cancer screening tool in Italy: First 5-year results.

Laura Cortesi, Bruna Baldassarri, Stefano Ferretti, Elisabetta Razzaboni, Mariangela Bella, Lauro Bucchi, Debora Canuti, Pierandrea De Iaco, Giorgio De Santis, Fabio Falcini and 14 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06629896 (Comparison Between Contrast-Enhanced Mammography and Magnetic Resonance Imaging in the Surveillance of High-Risk Women for Breast Cancer), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT06629896 narecruitingnot on this mapstarted 2025, after this paper: background citation

Comparison Between Contrast-Enhanced Mammography and Magnetic Resonance Imaging in the Surveillance of High-Risk Women for Breast Cancer: The Randomized Controlled Trial 'Con-trust. Funded by European Commission NextGenerationEU - Ministero Della Salute PNRR: M6/C2_CALL 2023 Full Proposal

TypeinterventionalSponsorAzienda USL Reggio Emilia - IRCCSRan2025 to 2030Enrolled2,200ConditionsBreast Cancer Screening and DiagnosisArmsContrast Enhancement Mammography, magnetic resonance imaging (MRI) and digital mammography (DM)
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 19 citations in OpenAlex.

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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

24 authors at 9 institutions in 1 country.

Laura CortesiDepartment of Oncology and Haematology, Azienda Ospedaliero, Universitaria di Modena Ospedale Civile di Baggiovara, Modena, Italy.ORCID 0000-0001-8950-8561
Bruna BaldassarriDepartment of Health and Welfare, Emilia-Romagna Region, Bologna, Italy.
Stefano FerrettiDepartment of Health and Welfare, Emilia-Romagna Region, Bologna, Italy.
Elisabetta RazzaboniDepartment of Oncology and Haematology, Azienda Ospedaliero, Universitaria di Modena Ospedale Civile di Baggiovara, Modena, Italy.
Mariangela BellaMedical Oncology Unit, University Hospital of Parma, Parma, Italy.
Lauro BucchiRomagna Cancer Registry, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.ORCID 0000-0002-6771-8119
Debora CanutiCancer Screening Unit, Local Health Agency of Romagna, Rimini, Italy.
Pierandrea De IacoUnit of Oncologic Gynecology, Department of Obstetrics and Gynecology, University of Bologna, Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Giorgio De SantisDivision of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.
Fabio FalciniRomagna Cancer Registry, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Vania GalliAUSL Modena, Mammography Screening Centre, Modena, Italy.
Lea GodinoDepartment of Medical and Surgical Sciences, University of Bologna, Hospital of Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Maurizio LeoniOncology Unit, Ospedale Santa Maria delle Croci, Ravenna, Italy.
Anna Myriam PerroneUnit of Oncologic Gynecology, Department of Obstetrics and Gynecology, University of Bologna, Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Marco PignattiDivision of Plastic Surgery, University of Modena and Reggio Emilia, Modena, Italy.
Gianni SaguattiSenology Unit, Bellaria Carlo Alberto Pizzardi Hospital, Bologna, Italy.
Donatella SantiniSant'Orsola-Malpighi Polyclinic, University of Bologna, Hospital of Bologna, Bologna, Italy.
Priscilla Sassoli de'BianchiDepartment of Health and Welfare, Emilia-Romagna Region, Bologna, Italy.
Federica SebastianiDepartment of Oncology and Haematology, Azienda Ospedaliero, Universitaria di Modena Ospedale Civile di Baggiovara, Modena, Italy.
Mario TaffurelliDepartment of the Health of Woman, Child and Urological Diseases, University of Bologna, Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Giovanni TazzioliDepartment of Medical and Surgical Sciences for Children and Adults, University of Modena and Reggio Emilia, Modena, Italy.ORCID 0000-0002-1102-7431
Daniela TurchettiDepartment of Medical and Surgical Sciences, University of Bologna, Hospital of Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Claudio ZamagniDepartment of Hematology and Oncology, University of Bologna, Hospital of Bologna Sant'Orsola-Malpighi Polyclinic, Bologna, Italy.
Carlo NaldoniDepartment of Health and Welfare, Emilia-Romagna Region, Bologna, Italy.
IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITAgenzia Sanitaria e Sociale Regionale · ITAzienda Unita' Sanitaria Locale Di Modena · ITUniversity of Modena and Reggio Emilia · ITIstituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori · ITAzienda Ospedaliero-Universitaria di Modena · ITAzienda Unità Sanitaria Locale Della Romagna · ITOspedale Santa Maria · ITUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUp to 10% of individuals with breast cancer (BC) belong to families with hereditary syndromes. The aim of this study was to develop an instrument to identify individuals/families at high-hereditary risk for BC and offer dedicated surveillance programs according to different risks.

methodsThe instrument consisted of a primary questionnaire collecting history of BC and ovarian cancer (OC). This questionnaire was applied to women enrolled in the Emilia-Romagna Breast Cancer Screening Program. General practitioners (GPs) and specialists could propose the same questionnaire too. Women with a score of ≥ 2, were invited to complete an oncogenetic counseling. According to the Tyrer-Cuzick evaluation, women considered at high risk were invited to involve the most representative alive individual of the family affected with BC/OC for BRCA1/2 genetic testing.

resultsSince January 2012 and December 2016, 660 040 women were evaluated by the regional screening program, of which 22 289 (3.5%) were invited to the Spoke evaluation, but only 5615 accepted (25.2%). Totally, also considering women sent by GPs and specialists, 11 667 were assessed and 5554 were sent to the Hub evaluation. Finally, 2342 (42.8%) women fulfilled the criteria for genetic testing, and 544 (23.2%) resulted BRCA1/2 mutation carriers.

conclusionsTo our knowledge, this is the first regional population-based multistep model that is aimed to identify individuals with BRCA1/2 mutations and to offer an intensive surveillance program for hereditary-high risk women. This tool is feasible and effective, even if more efforts must be performed to increase the acceptance of multiple assessments by the study population.

Indexed as

Genetic Predisposition to DiseaseMutationAdultAgedBiomarkers, TumorBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsEarly Detection of CancerFemaleFollow-Up StudiesGenetic TestingHumansItalyMiddle AgedPrognosisBiomarkers, TumorBRCA1 ProteinBRCA1 protein, humanBRCA2 ProteinBRCA2 protein, humanhereditary breast ovarian cancerpopulation-based screeningTyrer-Cuzick model

Identifiers

PMID32045136
PMCPMC7131858
OpenAlexW3006137990

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Registered trials

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.