Evidence map›Paper›PMID 33389410›Full record

Observational studyBreast cancer research and treatment2021

BRCA testing and outcomes in women with breast cancer.

David D Stenehjem, Claire Telford, Sudhir K Unni, Hillevi Bauer, Amy Sainski, Rishi Deka, Marisa B Schauerhamer, Xiangyang Ye, Casey R Tak, Junjie Ma and 6 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Breast cancer research and treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Frontiers in oncology · 2026
    Review
  4. Frontiers in oncology · 2026
    Article
  5. Article
  6. Low testing rates and highWorld journal of clinical oncology · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

16 authors.

David D StenehjemDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA. stene032@d.umn.edu.ORCID http://orcid.org/0000-0002-1831-285X
Claire TelfordAstraZeneca Pharmaceuticals, Gaithersburg, MD, USA.
Sudhir K UnniDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Hillevi BauerDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Amy SainskiDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Rishi DekaDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Marisa B SchauerhamerDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Xiangyang YeDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Casey R TakDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Junjie MaDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Tapashi B DalviAstraZeneca Pharmaceuticals, Gaithersburg, MD, USA.
Lia GutierrezRTI Health Solutions, Barcelona, Spain.
James A KayeRTI Health Solutions, Waltham, MA, USA.
Jerzy E TyczynskiAstraZeneca Pharmaceuticals, Gaithersburg, MD, USA.
Diana I BrixnerDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.
Joseph E BiskupiakDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

main purposeGermline BRCA mutations (BRCAm) strongly influence the risk of developing breast cancer. This study aimed to understand the role of BRCAm testing in affected individuals and to assess its impact on the outcome of BRCAm carriers compared to non-carriers (BRCAwt) with breast cancer. RESEARCH QUESTION: The research question is "Does standard of care testing for BRCAm improve survival outcomes of breast cancer patients?"

methodsIn a single institution observational cohort study, demographic and clinical characteristics were compared between breast cancer patients with and without BRCAm. Frequency of BRCA testing was assessed. Survival outcomes were assessed by initial treatment setting stratified by BRCA status.

resultsOf 5712 identified women with breast cancer, 14.6% (n = 835) were tested for a BRCA mutation and had a documented result. The total number and proportion of women tested for a BRCAm increased between 2000 and 2014, resulting in an increased number of BRCAm carriers identified. However, the proportion of women who underwent testing and had a BRCAm decreased during the study period from 27.5% in 2000-2004 to 13.3% in 2010-2014. Disease-free survival was similar in the adjuvant and neoadjuvant treatment settings between BRCAm and BRCAwt patients. Progression-free survival on first line treatment and overall survival for patients with metastatic disease was also similar between BRCAm and BRCAwt patients.

conclusionsThe proportion of women tested and the number of BRCAm identified increased during the study period despite a decreasing proportion of positive results among women tested.

Indexed as

Breast NeoplasmsBRCA1 ProteinBRCA2 ProteinCohort StudiesDisease-Free SurvivalFemaleGerm-Line MutationHumansMutationBRCA1 ProteinBRCA2 ProteinBRCA testingBreast cancerSurvivalSystemic treatment

Identifiers

What OpenQuestion holds

Textmetadata
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.