Evidence map›Paper›PMID 33208383›Full record

ArticleJournal of medical genetics2021

Combining evidence for and against pathogenicity for variants in cancer susceptibility genes: CanVIG-UK consensus recommendations.

Alice Garrett, Miranda Durkie, Alison Callaway, George J Burghel, Rachel Robinson, James Drummond, Bethany Torr, Cankut Cubuk, Ian R Berry, Andrew J Wallace and 6 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Journal of medical genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.6field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 62 citations in OpenAlex.

  1. Trial
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  8. Reclassification of VUS inGenetics in medicine open · 2025
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  9. Reinterpretation of Conflicting ClinVarDiagnostics (Basel, Switzerland) · 2024
    Article
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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

16 authors at 11 institutions in 1 country.

Alice Garrett *Division of Genetics and Epidemiology, Institute of Cancer Research, Sutton, London, UK.ORCID 0000-0001-8942-283X
Miranda Durkie *Sheffield Diagnostic Genetics Service, Sheffield Children's NHS Foundation Trust, Sheffield, UK.
Alison Callaway *Wessex Regional Genetics Laboratory, Salisbury Hospital NHS Foundation Trust, Salisbury, Wiltshire, UK.
George J BurghelManchester Centre for Genomic Medicine and NW Laboratory Genetics Hub, Manchester University NHS Foundation Trust, Manchester, UK.ORCID 0000-0001-9360-8194
Rachel RobinsonYorkshire Regional Genetics Service, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
James DrummondEast Anglian Medical Genetics Service, Addenbrooke's Hospital, Cambridge, Cambridgeshire, UK.
Bethany TorrDivision of Genetics and Epidemiology, Institute of Cancer Research, Sutton, London, UK.
Cankut CubukDivision of Genetics and Epidemiology, Institute of Cancer Research, Sutton, London, UK.
Ian R BerryYorkshire Regional Genetics Service, Leeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID 0000-0002-9710-4724
Andrew J WallaceManchester Centre for Genomic Medicine and NW Laboratory Genetics Hub, Manchester University NHS Foundation Trust, Manchester, UK.
Sian EllardDepartment of Molecular Genetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, Devon, UK.
Diana M EcclesCancer Sciences Research Group, University of Southampton Faculty of Medicine, Southampton, UK.ORCID 0000-0002-9935-3169
Marc TischkowitzDepartment of Medical Genetics and National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, Cambridgeshire, UK.
Helen HansonDepartment of Clinical Genetics, St George's University Hospitals NHS Foundation Trust, London, UK.
Clare TurnbullDivision of Genetics and Epidemiology, Institute of Cancer Research, Sutton, London, UK clare.turnbull@icr.ac.uk.
CanVIG-UK
Institute of Cancer Research · GBLeeds Teaching Hospitals NHS Trust · GBManchester University NHS Foundation Trust · GBAddenbrooke's Hospital · GBRoyal Devon & Exeter NHS Foundation Trust · GBRoyal Marsden NHS Foundation Trust · GBSheffield Children's NHS Foundation Trust · GBSt George’s University Hospitals NHS Foundation Trust · GBUniversity of Cambridge · GBUniversity of Southampton · GBWessex Regional Genetics Laboratory · GB

Funding

Cancer Research UK 27223
6 · The paper itself

Abstract

Accurate classification of variants in cancer susceptibility genes (CSGs) is key for correct estimation of cancer risk and management of patients. Consistency in the weighting assigned to individual elements of evidence has been much improved by the American College of Medical Genetics (ACMG) 2015 framework for variant classification, UK Association for Clinical Genomic Science (UK-ACGS) Best Practice Guidelines and subsequent Cancer Variant Interpretation Group UK (CanVIG-UK) consensus specification for CSGs. However, considerable inconsistency persists regarding practice in the combination of evidence elements. CanVIG-UK is a national subspecialist multidisciplinary network for cancer susceptibility genomic variant interpretation, comprising clinical scientist and clinical geneticist representation from each of the 25 diagnostic laboratories/clinical genetic units across the UK and Republic of Ireland. Here, we summarise the aggregated evidence elements and combinations possible within different variant classification schemata currently employed for CSGs (ACMG, UK-ACGS, CanVIG-UK and ClinGen gene-specific guidance for PTEN, TP53 and CDH1). We present consensus recommendations from CanVIG-UK regarding (1) consistent scoring for combinations of evidence elements using a validated numerical 'exponent score' (2) new combinations of evidence elements constituting likely pathogenic' and 'pathogenic' classification categories, (3) which evidence elements can and cannot be used in combination for specific variant types and (4) classification of variants for which there are evidence elements for both pathogenicity and benignity.

Indexed as

Genes, NeoplasmEvidence-Based MedicineGenetic Predisposition to DiseaseGenetic VariationHumansNeoplasmsgeneticsgenetic testinggenetic variationgenomicsmedical

Identifiers

PMID33208383
PMCPMC8086256
OpenAlexW3102158843

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.