Evidence map›Paper›PMID 32719921›Full record

SynthesisArchives of gynecology and obstetrics2020

Use of fertility treatments in BRCA1/2 mutation carriers and risk for ovarian and breast cancer: a systematic review.

D Huber, S Seitz, K Kast, G Emons, O Ortmann

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Archives of gynecology and obstetrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

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

  1. Pooled it
  2. Assessing the Clinical Relevance ofCurrent oncology (Toronto, Ont.) · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. The Features ofInternational journal of general medicine · 2022
    Article
  9. Review
  10. Review
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 3 institutions in 1 country.

D Huber *Department of Gynecology and Obstetrics, University Medical Center Regensburg, Regensburg, Germany.
S Seitz *Department of Gynecology and Obstetrics, University Medical Center Regensburg, Regensburg, Germany.
K KastDepartment of Gynecology and Obstetrics, Medical Faculty, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany.
G EmonsDepartment of Gynecology and Obstetrics, Georg August University Göttingen, University Medicine, Göttingen, Germany.
O OrtmannDepartment of Gynecology and Obstetrics, University Medical Center Regensburg, Regensburg, Germany. olaf.ortmann@klinik.uni-regensburg.de.ORCID http://orcid.org/0000-0001-6238-3949
University Hospital Regensburg · DEUniversity Hospital Carl Gustav Carus · DEUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMutations in the genes BRCA1 and BRCA2 represent a significant risk factor for ovarian and breast cancer. With increasing number and success rates, fertility protection and treatment are gaining importance also for BRCA1/2 mutation carriers. However, the effect on primary cancer risk and risk for recurrence remains unclear. This review analyses the published data on fertility treatment and risk of ovarian and breast cancer in BRCA1/2 mutation carriers.

methodsIn this review, we included all relevant articles published in English from 1995 to 2018. Literature was identified through a search on PubMed and Cochrane Library.

resultsWe identified one retrospective cohort and one case-control study regarding the association of fertility treatments and ovarian cancer risk in BRCA mutation carriers. The studies show no increase in ovarian cancer risk. Furthermore, one case-control study on the association between fertility treatment and breast cancer risk in BRCA mutation carriers and one prospective cohort study on the long-term safety of medication used for fertility preservation in women with a history of breast cancer were identified. One of the studies shows a possible adverse effect for gonadotropin-containing medication.

conclusionPossible increases in cancer risk associated with fertility treatments in BRCA1/2 mutation carriers cannot be excluded at this time. Based on the existing studies, BRCA1/2 mutation carriers should not be generally excluded from fertility treatments. However, they have to be informed about limited data and possible increases in cancer risk.

Indexed as

Breast NeoplasmsCase-Control StudiesCohort StudiesFemaleFertility PreservationGenes, BRCA1Genes, BRCA2HumansMiddle AgedMutationOvarian NeoplasmsRetrospective StudiesRisk FactorsBRCA1BRCA2Breast cancerFertility preservationFertility treatmentOvarian cancer

Identifiers

PMID32719921
PMCPMC7447664
OpenAlexW3045133325

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.