Evidence map›Paper›PMID 34705516›Full record

ArticleJCO oncology practice2022

Association Between Genetic Testing for Hereditary Breast Cancer and Contralateral Prophylactic Mastectomy Among Multiethnic Women Diagnosed With Early-Stage Breast Cancer.

Vicky Ro, Julia E McGuinness, Boya Guo, Meghna S Trivedi, Tarsha Jones, Wendy K Chung, Roshni Rao, Elana Levinson, Carrie Koval, Donna Russo and 3 more

Open access · greenAbstract read
In one paragraph

Article in JCO oncology practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 23% 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, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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.

Vicky RoDepartment of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.ORCID 0000-0002-3502-2707
Julia E McGuinnessDepartment of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.ORCID 0000-0001-5292-1440
Boya GuoDepartment of Epidemiology, University of Washington, Seattle, WA.
Meghna S TrivediDepartment of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.ORCID 0000-0002-4831-0492
Tarsha JonesChristine E Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL.ORCID 0000-0003-2118-5780
Wendy K ChungDepartment of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.
Roshni RaoHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Elana LevinsonHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Carrie KovalHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Donna RussoHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Ilana ChiltonHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Rita KukafkaHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Katherine D CrewDepartment of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, NY.ORCID 0000-0002-9637-2962
Columbia University Irving Medical Center · USColumbia University · USFlorida Atlantic University · USUniversity of Washington · US

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Parisa Tehranifar · 1985 to 2026
$115.3M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
OMOP information model for eMERGE phenotypingU01HG008680 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Wendy K Chung, GEORGE M HRIPCSAK · 2015 to 2026
$13.3M
Increasing breast cancer chemoprevention in the primary care settingR01CA177995 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CREW, KATHERINE D, KUKAFKA, RITA · 2014 to 2018
$3.5M
Multicenter trial of decision support for breast cancer chemopreventionR01CA226060 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CREW, KATHERINE D, KUKAFKA, RITA · 2019 to 2023
$3.3M
Decision Support for Multigene Panel Testing and Family Risk Communication among Racially/Ethnically Diverse Young Breast Cancer SurvivorsK01CA241393 · NCI · FLORIDA ATLANTIC UNIVERSITY · PI JONES, TARSHA · 2021 to 2025
$773k
NCATS NIH HHS UL1 TR000040NCI NIH HHS K01 CA241393NCI NIH HHS P30 CA013696NCI NIH HHS R01 CA177995NCI NIH HHS R01 CA226060NHGRI NIH HHS U01 HG008680
6 · The paper itself

Abstract

purposeIncreasing usage of multigene panel testing has identified more patients with pathogenic or likely pathogenic (P or LP) variants in low-moderate penetrance genes or variants of uncertain significance (VUS). Our study evaluates the association between genetic test results and contralateral prophylactic mastectomy (CPM) among patients with breast cancer.

methodsWe conducted a retrospective cohort study among women diagnosed with unilateral stage 0-III breast cancer between 2013 and 2020 who underwent genetic testing. We examined whether genetic test results were associated with CPM using multivariable logistic regression models.

resultsAmong 707 racially or ethnically diverse women, most had benign or likely benign (B or LB) variants, whereas 12.5% had P or LP and 17.9% had VUS. Racial or ethnic minorities were twice as likely to receive VUS. Patients with P or LP variants had higher CPM rates than VUS or B or LB (64.8%

conclusionWomen with P or LP variants on genetic testing were over four times more likely to undergo CPM than B or LB. Those with VUS had similar CPM rates as B or LB. Our findings suggest appropriate genetic counseling and communication of cancer risk to multiethnic breast cancer survivors.

Indexed as

Breast NeoplasmsProphylactic MastectomyFemaleGenetic TestingHumansMastectomyRetrospective Studies

Identifiers

PMID34705516
PMCPMC9014479
OpenAlexW3210943344

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.