Evidence map›Paper›PMID 34887416›Full record

ArticleNPJ breast cancer2021

Population-based estimates of breast cancer risk for carriers of pathogenic variants identified by gene-panel testing.

Melissa C Southey, James G Dowty, Moeen Riaz, Jason A Steen, Anne-Laure Renault, Katherine Tucker, Judy Kirk, Paul James, Ingrid Winship, Nicholas Pachter and 22 more

Open access · goldAbstract read
In one paragraph

Article in NPJ breast cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Guideline
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  3. Impact of germlineMolecular therapy. Oncology · 2026
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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

32 authors at 11 institutions in 2 countries.

Melissa C SoutheyPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia. melissa.southey@monash.edu.ORCID http://orcid.org/0000-0002-6313-9005
James G DowtyCentre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, Australia.
Moeen RiazDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Jason A SteenPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
Anne-Laure RenaultPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
Katherine TuckerHereditary Cancer Centre, Nelune Comprehensive Cancer Centre, Prince of Wales Hospital, Sydney, Australia.
Judy KirkFamilial Cancer Services, Westmead Hospital, Westmead, Australia.
Paul JamesPeter MacCallum Cancer Centre, Melbourne, Australia.ORCID http://orcid.org/0000-0002-4361-4657
Ingrid WinshipRoyal Melbourne Hospital, Melbourne, Australia.
Nicholas PachterKing Edward Memorial Hospital, Perth, Australia.
Nicola PoplawskiAdult Genetics Unit, Royal Adelaide Hospital, Adelaide, Australia.ORCID http://orcid.org/0000-0002-9372-3325
Scott GristSA Pathology, Flinders Medical Centre, Adelaide, Australia.
Daniel J ParkMelbourne Bioinformatics, The University of Melbourne, Melbourne, Australia.
Bernard J PopePrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.ORCID http://orcid.org/0000-0002-4840-1095
Khalid MahmoodMelbourne Bioinformatics, The University of Melbourne, Melbourne, Australia.
Fleur HammetPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
Maryam MahmoodiPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
Helen TsimiklisPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
Derrick TheysPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
Amanda RewsePrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
Amanda WillisHereditary Cancer Centre, Nelune Comprehensive Cancer Centre, Prince of Wales Hospital, Sydney, Australia.ORCID http://orcid.org/0000-0002-1529-3833
April MorrowHereditary Cancer Centre, Nelune Comprehensive Cancer Centre, Prince of Wales Hospital, Sydney, Australia.
Catherine SpeechlyHereditary Cancer Centre, Nelune Comprehensive Cancer Centre, Prince of Wales Hospital, Sydney, Australia.ORCID http://orcid.org/0000-0002-4555-6972
Rebecca HarrisFamilial Cancer Services, Westmead Hospital, Westmead, Australia.
Robert SebraDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Eric SchadtDepartment of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Paul LacazeDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
John J McNeilDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.
Graham G GilesPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.ORCID http://orcid.org/0000-0003-4946-9099
Roger L MilnePrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
John L HopperCentre for Epidemiology and Biostatistics, The University of Melbourne, Melbourne, Australia.
Tú Nguyen-DumontPrecision Medicine, School of Clinical Sciences at Monash Health, Monash University, Melbourne, Australia.
The University of Melbourne · AUMonash Health · AUPrince of Wales Hospital · AUMonash University · AUIcahn School of Medicine at Mount Sinai · USThe Royal Melbourne Hospital · AUWestmead Hospital · AUCancer Council Victoria · AUKing Edward Memorial Hospital · AURoyal Adelaide Hospital · AUSouth Australia Pathology · AU

Funding

Breast Cancer Family Registry CohortUM1CA164920 · NCI · CANCER PREVENTION INSTIT OF CALIFORNIA · PI ANDRULIS, IRENE, BUYS, SAUNDRA S · 2012 to 2017
$12.7M
Genes, environment and breast cancer risk: The 15 year follow-up of the Prof-SC (Diversity Supplement)R01CA159868 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HOPPER, JOHN L, TERRY, MARY BETH · 2011 to 2015
$9.0M
Department of Health | National Health and Medical Research Council (NHMRC) GNT1074383Department of Health | National Health and Medical Research Council (NHMRC) GNT1101400Department of Health | National Health and Medical Research Council (NHMRC) GNT1155163EPA EP-D-15-016National Breast Cancer Foundation (NBCF) NT-15-016NCI NIH HHS R01 CA159868NCI NIH HHS UM1 CA164920U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) RO1CA159868
6 · The paper itself

Abstract

Population-based estimates of breast cancer risk for carriers of pathogenic variants identified by gene-panel testing are urgently required. Most prior research has been based on women selected for high-risk features and more data is needed to make inference about breast cancer risk for women unselected for family history, an important consideration of population screening. We tested 1464 women diagnosed with breast cancer and 862 age-matched controls participating in the Australian Breast Cancer Family Study (ABCFS), and 6549 healthy, older Australian women enroled in the ASPirin in Reducing Events in the Elderly (ASPREE) study for rare germline variants using a 24-gene-panel. Odds ratios (ORs) were estimated using unconditional logistic regression adjusted for age and other potential confounders. We identified pathogenic variants in 11.1% of the ABCFS cases, 3.7% of the ABCFS controls and 2.2% of the ASPREE (control) participants. The estimated breast cancer OR [95% confidence interval] was 5.3 [2.1-16.2] for BRCA1, 4.0 [1.9-9.1] for BRCA2, 3.4 [1.4-8.4] for ATM and 4.3 [1.0-17.0] for PALB2. Our findings provide a population-based perspective to gene-panel testing for breast cancer predisposition and opportunities to improve predictors for identifying women who carry pathogenic variants in breast cancer predisposition genes.

Identifiers

PMID34887416
PMCPMC8660783
OpenAlexW4200489488

What OpenQuestion holds

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LicenceCC BY
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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.