Evidence map›Paper›PMID 34250421›Full record

ArticleJCO precision oncology2021

Clinical Germline Testing Results of Men With Prostate Cancer: Patient-Level Factors and Implications of NCCN Guideline Expansion.

Samantha E Greenberg, Trevor C Hunt, Jacob P Ambrose, William T Lowrance, Christopher B Dechet, Brock B O'Neil, Jonathan D Tward

Open access · bronzeAbstract read
In one paragraph

Article in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Prevalence of GermlineCancers · 2023
    Review
  7. 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 1 institution in 1 country.

Samantha E GreenbergGenetic Counseling Shared Resource, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0003-4994-4793
Trevor C HuntDivision of Urology, Department of Surgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0003-2439-7578
Jacob P AmbroseDivision of Urology, Department of Surgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.
William T LowranceDivision of Urology, Department of Surgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Christopher B DechetDivision of Urology, Department of Surgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0002-0534-6006
Brock B O'NeilDivision of Urology, Department of Surgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.
Jonathan D TwardDepartment of Radiation Oncology, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0001-7765-4473
University of Utah · US

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Jared P Rutter · 1986 to 2026
$72.6M
Competition, Bundled Care Payment, and Low-Value Cancer CareK08CA234431 · NCI · UNIVERSITY OF UTAH · PI O'NEIL, BROCK · 2019 to 2023
$1.3M
NCI NIH HHS K08 CA234431NCI NIH HHS P30 CA042014
6 · The paper itself

Abstract

Germline likely pathogenic or pathogenic variants (PVs) have been identified in up to 17% of men with prostate cancer (PC) and may drive disease severity or be targetable by novel therapies. National Comprehensive Cancer Network (NCCN) guidelines encouraging germline testing in metastatic PC were recently expanded to include all men with high-risk, very high-risk, or regional PC. Our aim was to assess the impact of expanded NCCN guidelines on the detection rate of germline PVs and to determine patient-level factors associated with a PV germline testing result. PATIENTS AND

methodsMen with PC underwent multigene germline genetic testing for PVs from June 2016 to December 2018, and trends were compared. The association of patient-level factors with a PV germline testing result, where ≥ 1 PV was identified, was assessed using analysis of variance and univariate logistic regression. Sensitivity analyses were limited to clinically actionable variants and those associated with disease severity or progression (

resultsOf 408 men undergoing germline testing, 42 (10.3%) men had PVs and 366 (89.7%) men did not have PVs identified. The proportion of men identified with a germline PV remained stable following testing criteria expansion (9.4%

conclusionThis study demonstrated a stable PV detection rate in men with PC using expanded criteria aligned to the updated NCCN testing guidelines. However, we did not find strong evidence to suggest that patient-level factors are associated with PV germline testing results. These findings support the recent expansion of NCCN germline testing guidelines in PC.

Indexed as

Germ CellsAgedGenetic TestingGenetic VariationHumansMaleMiddle AgedPractice Guidelines as TopicProstatic Neoplasms

Identifiers

PMID34250421
PMCPMC8232879
OpenAlexW3137010416

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.