Evidence map›Paper›PMID 34341522›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

Breast cancer polygenic risk scores: a 12-month prospective study of patient reported outcomes and risk management behavior.

Tatiane Yanes, Bettina Meiser, Rajneesh Kaur, Mary-Anne Young, Philip B Mitchell, Maatje Scheepers-Joynt, Simone McInerny, Shelby Taylor, Kristine Barlow-Stewart, Yoland Antill and 4 more

Open access · bronzeAbstract read
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In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Can polygenic risk scores contribute to cost-effective cancer screening? A systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Pooled it
  3. Article
  4. Article
  5. Awareness, knowledge, and attitudes toward polygenic risk scores for breast cancer in multiethnic high-risk cohorts of women.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  6. Article
  7. Article
  8. Attitudes regarding polygenic risk testing for lung cancer: a mixed-methods study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Perspectives of diverse Spanish- and English-speaking patients on the clinical use of polygenic risk scores.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Article
  17. 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

14 authors at 8 institutions in 1 country.

Tatiane YanesPrince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia. t.yanes@uq.edu.au.ORCID 0000-0002-3905-3025
Bettina MeiserPrince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Rajneesh KaurPrince of Wales Clinical School, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
Mary-Anne YoungParkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia.
Philip B MitchellSchool of Psychiatry, University of New South Wales, Sydney, NSW, Australia.
Maatje Scheepers-JoyntParkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia.
Simone McInernyParkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia.
Shelby TaylorParkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia.
Kristine Barlow-StewartNorthern Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Yoland AntillFamilial Cancer Clinic, Cabrini Health, Melbourne, VIC, Australia.
Lucinda SalmonClinical Genetics Service, Austin Hospital, Melbourne, VIC, Australia.
Courtney SmythFamilial Cancer Clinic, Monash Medical Centre, Melbourne, VIC, Australia.
Brigid Betz-StableinThe University of Queensland Diamantina Institute, Dermatology Research Centre, University of Queensland, Brisbane, QLD, Australia.
Paul A JamesParkville Familial Cancer Centre, Peter MacCallum Cancer Centre and the Royal Melbourne Hospital, Melbourne, VIC, Australia.
The Royal Melbourne Hospital · AUThe University of Queensland · AUUNSW Sydney · AUAustin Hospital · AUBlack Dog Institute · AUCancer Australia · AUMonash Medical Centre · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo prospectively assess patient reported outcomes and risk management behavior of women choosing to receive (receivers) or decline (decliners) their breast cancer polygenic risk score (PRS).

methodsWomen either unaffected or affected by breast cancer and from families with no identified pathogenic variant in a breast cancer risk gene were invited to receive their PRS. All participants completed a questionnaire at study enrollment. Receivers completed questionnaires at two weeks and 12 months after receiving their PRS, and decliners a second questionnaire at 12 months post study enrollment.

resultsOf the 208 participants, 165 (79%) received their PRS. Among receivers, there were no changes in anxiety or distress following testing. However, compared to women with a low PRS, those with a high PRS reported greater genetic testing-specific distress, perceived risk, decisional regret, and less genetic testing-positive response. At 12 months, breast screening and uptake of risk-reducing strategies were consistent with current Australian guidelines of breast cancer risk management. Reasons for declining PRS included being unable to attend the appointment in person and concerns over potential emotional response.

conclusionThe outcomes of the study provide insight into women's responses to receiving PRS and highlight the issues that need to be addressed in the associated model of genetic counseling.

Indexed as

Breast NeoplasmsAustraliaFemaleGenetic Predisposition to DiseaseHumansPatient Reported Outcome MeasuresProspective StudiesRisk FactorsRisk Management

Identifiers

PMID34341522
OpenAlexW3160500044

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.