Evidence map›Paper›PMID 34657373›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2022

The detection of germline and somatic BRCA1/2 genetic variants through parallel testing of patients with high-grade serous ovarian cancer: a national retrospective audit.

B Frugtniet, S Morgan, A Murray, S Palmer-Smith, R White, R Jones, L Hanna, C Fuller, E Hudson, A Mullard and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. Is Reflex GermlineCancers · 2023
    Article
  7. Molecular Management of High-Grade Serous Ovarian Carcinoma.International journal of molecular sciences · 2022
    Review
  8. A commentary on the discrepancy between blood and tumour BRCA testing: An open question.BJOG : an international journal of obstetrics and gynaecology · 2022
    Article
  9. Review
  10. Review
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

B FrugtnietAll Wales Medical Genomics Laboratory, University Hospital of Wales, Cardiff, UK.
S MorganAll Wales Medical Genomics Laboratory, University Hospital of Wales, Cardiff, UK.
A MurrayAll Wales Medical Genomics Service, University Hospital of Wales, Cardiff, UK.
S Palmer-SmithAll Wales Medical Genomics Laboratory, University Hospital of Wales, Cardiff, UK.
R WhiteAll Wales Medical Genomics Laboratory, University Hospital of Wales, Cardiff, UK.
R JonesSouth West Wales Cancer Centre, Singleton Hospital, Swansea, UK.
L HannaVelindre Cancer Centre, Velindre University NHS Trust, Cardiff, UK.
C FullerBwrdd Iechyd Prifysgol Betsi Cadwaladr University Health Board, Bangor, UK.
E HudsonVelindre Cancer Centre, Velindre University NHS Trust, Cardiff, UK.
A MullardBwrdd Iechyd Prifysgol Betsi Cadwaladr University Health Board, Bangor, UK.
A E QuintonVelindre Cancer Centre, Velindre University NHS Trust, Cardiff, UK.
Genomics (United Kingdom) · GBBetsi Cadwaladr University Health Board · GBUniversity Hospital of Wales · GBVelindre NHS Trust · GBSingleton Hospital · GBVelindre Cancer Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the frequency of germline and somatic pathogenic BRCA1 and BRCA2 variants in patients with high-grade serous ovarian cancer tested by next-generation sequencing (NGS), with the aim of defining the best strategy to be implemented in future routine testing.

designNational retrospective audit.

settingThe All Wales Medical Genomics Service (AWMGS). POPULATION: Patients with high-grade serous ovarian/fallopian tube/peritoneal cancer referred by oncologists to the AWMGS between February 2015 and February 2021 for germline and/or tumour testing of the BRCA1 and BRCA2 genes by NGS.

methodsAnalysis of NGS data from germline and/or tumour testing.

main outcome measuresFrequency of BRCA1 and BRCA2 pathogenic variants.

resultsThe overall observed germline/somatic pathogenic variant detection rate was 11.6% in the 844 patients included in this study, with a 9.2% (73/791) germline pathogenic variant detection rate. Parallel tumour and germline testing was carried out for 169 patients and the overall pathogenic variant detection rate for this cohort was 14.8%, with 6.5% (11/169) shown to have a somatic pathogenic variant. Two BRCA1 dosage variants were found during germline screens, representing 2.0% (2/98) of patients with a pathogenic variant that would have been missed through tumour testing alone.

conclusionsParallel germline and tumour BRCA1 and BRCA2 testing maximises the detection of pathogenic variants in patients with high-grade serous ovarian cancer. TWEETABLE ABSTRACT: Parallel germline and tumour testing maximises BRCA pathogenic variant detection in ovarian cancer.

Indexed as

Genes, BRCA1Genes, BRCA2AdultAgedFemaleGenetic TestingGerm-Line MutationHigh-Throughput Nucleotide SequencingHumansMiddle AgedMutationNeoplasm GradingNeoplasms, Cystic, Mucinous, and SerousOvarian NeoplasmsRetrospective StudiesWalesBRCAgermlinemainstreamedoncology-ledovarian cancerpathogenic variantsomatic

Identifiers

PMID34657373
PMCPMC9298909
OpenAlexW3207690554

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.