Evidence map›Paper›PMID 34949660›Full record

Observational studyCancer genomics & proteomics

Revisiting the Implications of Positive Germline Testing Results Using Multi-gene Panels in Breast Cancer Patients.

Georgios N Tsaousis, Eirini Papadopoulou, Konstantinos Agiannitopoulos, Georgia Pepe, Nikolaos Tsoulos, Ioannis Boukovinas, Theofanis Floros, Rodoniki Iosifidou, Ourania Katopodi, Anna Koumarianou and 16 more

Abstract readObservational Study
In one paragraph

Observational study in Cancer genomics & proteomics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. A Pathogenic Variant Reclassified to the PseudogeneInternational journal of molecular sciences · 2023
    Article
  5. Article
  6. 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

26 authors.

Georgios N TsaousisGenekor Medical S.A., Athens, Greece; gtsaousis@genekor.com.
Eirini PapadopoulouGenekor Medical S.A., Athens, Greece.
Konstantinos AgiannitopoulosGenekor Medical S.A., Athens, Greece.
Georgia PepeGenekor Medical S.A., Athens, Greece.
Nikolaos TsoulosGenekor Medical S.A., Athens, Greece.
Ioannis BoukovinasBioclinic Thessaloniki, Thessaloniki, Greece.
Theofanis FlorosOncology Department, Athens Naval and Veterans Hospital, Athens, Greece.
Rodoniki IosifidouBioclinic Thessaloniki, Thessaloniki, Greece.
Ourania KatopodiEuroclinic Group, Athens, Greece.
Anna KoumarianouAttikon University Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Christos MarkopoulosMedical School, National and Kapodistrian University of Athens, Athens, Greece.
Konstantinos PapazisisEuromedica General Clinic of Thessaloniki, Thessaloniki, Greece.
Vasileios VenizelosBreast Unit, Metropolitan Hospital, Piraeus, Greece.
Achilleas KapsimalisGeneral Surgeon, Drama, Greece.
Grigorios XepapadakisIASO, General Maternity and Gynecology Clinic, Athens, Greece.
Amanda PsyrriDepartment of Internal Medicine, Section of Medical Oncology, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece.
Eugeniu BanuSpitalul Sfantul Constantin Brasov, Brasov, Romania.
Dan Tudor EniuDepartment of Surgery II, Iuliu Hațieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Alexandru BlidaruDepartment of Surgical Oncology, Oncological Institute "Al. Trestioneanu" of Bucharest, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania.
Dana Lucia StanculeanuDepartment of Oncology, Faculty of General Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Andrei UngureanuAmethyst Radiotherapy Cluj-Napoca, Cluj-Napoca, Romania.
Vahit OzmenDepartment of General Surgery, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.
Sualp TansanTansan Oncology, Istanbul, Turkey.
Mehmet TekinelPrivate Practice, Fulya Sisli, Turkey.
Suayib YalcinDepartment of Medical Oncology, Hacettepe University Cancer Institute, Ankara, Turkey.
George NasioulasGenekor Medical S.A., Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimThe use of multi-gene panels for germline testing in breast cancer enables the estimation of cancer risk and guides risk-reducing management options. The aim of this study was to present data that demonstrate the different levels of actionability for multi-gene panels used in genetic testing of breast cancer patients and their family members. MATERIALS AND

methodsWe performed an analysis in our clinical database to identify breast cancer patients undergoing genetic testing. We reviewed positive results in respect of risk estimation and management, cascade family testing, secondary findings and information for treatment decision-making.

resultsA total of 415 positive test reports were identified with 57.1%, 18.1%, 10.8% and 13.5% of individuals having pathogenic/likely pathogenic variants in high, moderate, low and with insufficient evidence for breast cancer risk genes, respectively. Six point seven percent of individuals were double heterozygotes.

conclusionGermline findings in 92% of individuals are linked to evidence-based treatment information and risk estimates for predisposition to breast and/or other cancer types. The use of germline findings for treatment decision making expands the indication of genetic testing to include individuals that could benefit from targeted treatments.

Indexed as

Germ-Line MutationAdultAgedAged, 80 and overAntineoplastic AgentsBiomarkers, TumorBreast NeoplasmsBreast Neoplasms, MaleClinical Decision-MakingDNA Mutational AnalysisFamilyFemaleGenetic Predisposition to DiseaseGenetic TestingHeterozygoteHumansAntineoplastic AgentsBiomarkers, Tumorbreast cancergenetic counsellingGermline testingNGSrisk assessment

Identifiers

PMID34949660
PMCPMC8717958

What OpenQuestion holds

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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.