Evidence map›Paper›PMID 34994648›Full record

ArticleJCO precision oncology2021

Up-Front Multigene Panel Testing for Cancer Susceptibility in Patients With Newly Diagnosed Endometrial Cancer: A Multicenter Prospective Study.

Monica D Levine, Rachel Pearlman, Heather Hampel, Casey Cosgrove, David Cohn, Alexis Chassen, Adrian Suarez, David A Barrington, Joseph P McElroy, Steven Waggoner and 10 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.8field-weighted citation impact, top 6% 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, 27 citations in OpenAlex.

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  12. Comprehensive analysis of germline drivers in endometrial cancer.Journal of the National Cancer Institute · 2023
    Article
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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

20 authors at 8 institutions in 1 country.

Monica D LevineDivision of Gynecologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
Rachel PearlmanDivision of Human Genetics, The Ohio State University Comprehensive Cancer Center, Columbus, OH.ORCID 0000-0002-9293-5860
Heather HampelDivision of Human Genetics, The Ohio State University Comprehensive Cancer Center, Columbus, OH.ORCID 0000-0001-7558-9794
Casey CosgroveDivision of Gynecologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
David CohnDivision of Gynecologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH.ORCID 0000-0002-3036-6172
Alexis ChassenDivision of Gynecologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
Adrian SuarezDepartment of Pathology, The Ohio State University Comprehensive Cancer Center, Columbus, OH.
David A BarringtonDivision of Gynecologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH.ORCID 0000-0002-5958-2792
Joseph P McElroyCenter for Biostatistics, Department of Biomedical Informatics, The Ohio State University College of Medicine, Columbus, OH.ORCID 0000-0003-0366-1210
Steven WaggonerDivision of Gynecologic Oncology, University Hospitals Seidman Cancer Center, Cleveland, OH.
John NakayamaDivision of Gynecologic Oncology, University Hospitals Seidman Cancer Center, Cleveland, OH.
Caroline BillingsleyDivision of Gynecologic Oncology, University of Cincinnati, Cincinnati, OH.
Kim ResnickDivision of Gynecologic Oncology, MetroHealth, Cleveland, OH.
Stephen AndrewsDivision of Gynecologic Oncology, Summa Health, Akron, OH.
Sareena SinghDivision of Gynecologic Oncology, Aultman Hospital, Canton, OH.
Eric JenisonDivision of Gynecologic Oncology, Mercy Toledo, Toledo, OH.
Aine ClementsDivision of Gynecologic Oncology, OhioHealth, Columbus, OH.
Robert NeffDivision of Gynecologic Oncology, TriHealth, Cincinnati, OH.
Paul J GoodfellowDivision of Gynecologic Oncology, The Ohio State University Comprehensive Cancer Center, Columbus, OH.ORCID 0000-0002-0260-4583
Ohio Prevention and Treatment of Endometrial Cancer Initiative Study Group
The Ohio State University · USUniversity Hospitals Seidman Cancer Center · USAultman Hospital · USMetroHealth · USOhioHealth · USSumma Health System · USTriHealth · USUniversity of Cincinnati · US

Funding

Combined NGS tumor-based detection of germline Lynch syndrome mutations and prognostic classification of endometrial cancersR01CA223219 · NCI · OHIO STATE UNIVERSITY · PI COSGROVE, CASEY, GOODFELLOW, PAUL JOSEPH · 2018 to 2022
$2.5M
NCI NIH HHS R01 CA223219
6 · The paper itself

Abstract

purposeClinical utility of up-front multigene panel testing (MGPT) is directly related to the frequency of pathogenic variants (PVs) in the population screened and how genetic findings can be used to guide treatment decision making and cancer prevention efforts. The benefit of MGPT for many common malignancies remains to be determined. In this study, we evaluated up-front MGPT in unselected patients with endometrial cancer (EC) to determine the frequency of PVs in cancer susceptibility genes.

methodsPatients with EC were prospectively enrolled at nine Ohio institutions from October 1, 2017, to December 31, 2020. Nine hundred and sixty-one patients with newly diagnosed EC underwent clinical germline MGPT for 47 cancer susceptibility genes. In addition to estimating the prevalence of germline PVs, the number of individuals identified with Lynch syndrome (LS) was compared between MGPT and tumor-based screening.

resultsLikely pathogenic variants or PVs were identified in 97 of 961 women (10.1%). LS was diagnosed in 29 of 961 patients (3%; 95% CI, 2.1 to 4.3), with PVs in

conclusionThis prospective, multicenter study revealed potentially actionable germline variants in 10% of unselected women with newly diagnosed EC, supporting the use of up-front MGPT for all EC patients. The discovery that

Indexed as

Genetic Predisposition to DiseaseAdultAgedAged, 80 and overEndometrial NeoplasmsFemaleGenes, BRCA1Genes, BRCA2Genetic TestingHumansMiddle AgedProspective Studies

Identifiers

PMID34994648
PMCPMC9848552
OpenAlexW3206154517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.