Evidence map›Paper›PMID 33637119›Full record

ArticleHereditary cancer in clinical practice2021

Assessment of genetic referrals and outcomes for women with triple negative breast cancer in regional cancer centres in Australia.

Lucie G Hallenstein, Carol Sorensen, Lorraine Hodgson, Shelly Wen, Justin Westhuyzen, Carmen Hansen, Andrew T J Last, Julan V Amalaseelan, Shehnarz Salindera, William Ross and 3 more

Open access · goldAbstract read
In one paragraph

Article in Hereditary cancer in clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 4 institutions in 1 country.

Lucie G HallensteinCancer Genetics Service, Mid North Coast Cancer Institute, Coffs Harbour, New South Wales, Australia.
Carol SorensenCancer Genetics Service, Mid North Coast Cancer Institute, Port Macquarie, New South Wales, Australia.
Lorraine HodgsonKingscliff Community Health, Kingscliff, New South Wales, Australia.
Shelly WenDepartment of Radiation Oncology, Mid North Coast Cancer Institute, Coffs Harbour, New South Wales, Australia.
Justin WesthuyzenDepartment of Radiation Oncology, Mid North Coast Cancer Institute, Coffs Harbour, New South Wales, Australia.
Carmen HansenDepartment of Radiation Oncology, Mid North Coast Cancer Institute, Port Macquarie, New South Wales, Australia.
Andrew T J LastDepartment of Radiation Oncology, Mid North Coast Cancer Institute, Port Macquarie, New South Wales, Australia.
Julan V AmalaseelanDepartment of Radiation Oncology, North Coast Cancer Institute, Lismore, New South Wales, Australia.
Shehnarz SalinderaDepartment of Surgery, University of New South Wales, St Vincent's Clinical School, Sydney, New South Wales, Australia.
William RossDepartment of Surgery, University of New South Wales, St Vincent's Clinical School, Sydney, New South Wales, Australia.
Allan D SpigelmanCancer Genetics Unit, The Kinghorn Cancer Centre, St Vincent's Hospital, Sydney, New South Wales, Australia.
Thomas P ShakespeareDepartment of Radiation Oncology, Mid North Coast Cancer Institute, Coffs Harbour, New South Wales, Australia.
Noel J AherneDepartment of Radiation Oncology, Mid North Coast Cancer Institute, Coffs Harbour, New South Wales, Australia. noel.aherne@health.nsw.gov.au.
Northern Cancer Institute · AUSt Vincent's Clinic · AUThe Kinghorn Cancer Centre · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidelines for referral to cancer genetics service for women diagnosed with triple negative breast cancer have changed over time. This study was conducted to assess the changing referral patterns and outcomes for women diagnosed with triple negative breast cancer across three regional cancer centres during the years 2014-2018.

methodsFollowing ethical approval, a retrospective electronic medical record review was performed to identify those women diagnosed with triple negative breast cancer, and whether they were referred to a genetics service and if so, the outcome of that genetics assessment and/or genetic testing.

resultsThere were 2441 women with newly diagnosed breast cancer seen at our cancer services during the years 2014-2018, of whom 237 women were diagnosed with triple negative breast cancer. Based on age of diagnosis criteria alone, 13% (31/237) of our cohort fulfilled criteria for genetic testing, with 81% (25/31) being referred to a cancer genetics service. Of this group 68% (21/31) were referred to genetics services within our regions and went on to have genetic testing with 10 pathogenic variants identified; 5x BRCA1, 4x BRCA2 and × 1 ATM:c.7271 T > G.

conclusionsReferral pathways for women diagnosed with TNBC to cancer genetics services are performing well across our cancer centres. We identified a group of women who did not meet eligibility criteria for referral at their time of diagnosis, but would now be eligible, as guidelines have changed. The use of cross-discipline retrospective data reviews is a useful tool to identify patients who could benefit from being re-contacted over time for an updated cancer genetics assessment.

Indexed as

BRCABreast cancerGenetic counsellingHereditary cancerPanel testingRe-contactingRegionalTriple negative

Identifiers

PMID33637119
PMCPMC7908792
OpenAlexW3130752728

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.