Evidence map›Paper›PMID 33920818›Full record

ArticleCancers2021

The Screen Project: Guided Direct-To-Consumer Genetic Testing for Breast Cancer Susceptibility in Canada.

Steven A Narod, Nicole Gojska, Ping Sun, Angelina Tryon, Joanne Kotsopoulos, Kelly Metcalfe, Mohammad R Akbari

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Trends in the Utilization ofCurrent oncology (Toronto, Ont.) · 2025
    Article
  3. Primary care provider practices, attitudes, and confidence with hereditary cancer risk assessment and testing: A mixed methods study.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  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

7 authors at 3 institutions in 1 country.

Steven A NarodWomen's College Research Institute, Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Nicole GojskaWomen's College Research Institute, Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Ping SunWomen's College Research Institute, Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Angelina TryonWomen's College Research Institute, Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Joanne KotsopoulosWomen's College Research Institute, Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Kelly MetcalfeWomen's College Research Institute, Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Mohammad R AkbariWomen's College Research Institute, Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Women's College Hospital · CAUniversity of Toronto · CAPublic Health Ontario · CA

Funding

Basser Global Prize NAPeter Gilgan Centre for Women's Cancers NA
6 · The paper itself

Abstract

There is limited information of the outcomes of direct-to-consumer testing for BRCA1 and BRCA2 mutations. The Screen Project was initiated in 2017 to offer BRCA1 and BRCA2 genetic screening to all Canadians over the age of 18 who wish to know their mutation status. Patients enrolled in the study from 2017 to 2019 and were followed for one year after the receipt of a genetic test result. Study subjects registered online and were sent a saliva sample kit, which was shipped to the reference laboratory. Pre-test genetic counselling and counselling for mutation-negative subjects was optional and at the individual's discretion. There were 1269 tested individuals between March 2017 and January 2019. A total of 1157 (93%) were women and 87 (7%) were men. Sixty-six percent had a first- or second-degree relative with breast or ovarian cancer. Of the 1269 tested individuals, 30 (2.4%) had a pathogenic mutation in BRCA1 or BRCA2 (20 women and 10 men). Seventy-five percent of the female mutation carriers underwent a bilateral mastectomy and/or salpingo-oophorectomy within a year of receiving a positive result. Genetic counselling was available at no cost to all participants but was requested by only 5% of the non-carriers. The study subjects expressed a high degree of satisfaction with the process.

Indexed as

BRCA1BRCA2genetic counsellinggenetic testing

Identifiers

PMID33920818
PMCPMC8071125
OpenAlexW3153669209

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.