Evidence map›Paper›PMID 35123550›Full record

ArticleHereditary cancer in clinical practice2022

"It was an important part of my treatment": a qualitative study of Norwegian breast Cancer patients' experiences with mainstreamed genetic testing.

Nina Strømsvik, Pernilla Olsson, Berit Gravdehaug, Hilde Lurås, Ellen Schlichting, Kjersti Jørgensen, Teresia Wangensteen, Tone Vamre, Cecilie Heramb, Lovise Mæhle and 1 more

Open access · goldAbstract read
In one paragraph

Article in Hereditary cancer in clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 12 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Nina StrømsvikDepartment of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway. nina@tbt.no.ORCID http://orcid.org/0000-0002-1578-1554
Pernilla OlssonDepartment of Surgery, Section of Breast and Endocrine Surgery, Innlandet Hospital, Hamar, Norway.
Berit GravdehaugDepartment of Breast and Endocrine Surgery, Akershus University Hospital, Lørenskog, Norway.
Hilde LuråsHealth Services Research Unit, Akershus University Hospital, Lørenskog, Norway.
Ellen SchlichtingSection for Breast and Endocrine Surgery, Department of Cancer, Oslo University Hospital, Oslo, Norway.
Kjersti JørgensenDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Teresia WangensteenDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Tone VamreDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Cecilie HerambDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Lovise MæhleDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Eli Marie GrindedalDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOAkershus University Hospital · NOUniversity Hospital of North Norway · NOUniversity of Oslo · NO

Funding

Kreftforeningen 194790-2017
6 · The paper itself

Abstract

backgroundIn South-Eastern Norway, genetic testing for BRCA1 and BRCA2 is offered to breast cancer patients by their treating surgeon or oncologist. Genetic counselling from a geneticist or a genetic counsellor is offered only to those who test positive for a pathogenic variant or have a family history of cancer. This practice is termed "mainstreamed genetic testing". The aim of this study was to learn about patients' experience of this healthcare service.

methodsQualitative in-depth interviews were conducted with 22 breast cancer patients who had been diagnosed during the first half of 2016 or 2017 at one regional and one university hospital and who had been offered testing by their treating physician. A six-phase thematic approach was used to analyse the data.

resultsThe participants had varied experiences of how and when testing was offered. Three main themes emerged from the analysis: 1. informational and communicational needs and challenges during a chaotic time, 2. the value of genetic testing and 3. the importance of standardised routines for mainstreamed genetic testing.

conclusionsDespite the shock of their diagnosis and the varying experiences they had in respect of how and when testing was offered, all of the participants emphasised that genetic testing had been an important part of their diagnosis and treatment. Our results indicate that there is a need for continuous collaboration between geneticists, surgeons, oncologists and laboratory specialists in order to establish simple and robust routines so as to ensure that all eligible breast cancer patients are offered testing at a point when the test result can have an impact on treatment.

Indexed as

BRCA1, BRCA2Breast cancerGenetic testing for breast cancerMainstreamed genetic testingQualitative study

Identifiers

PMID35123550
PMCPMC8818154
OpenAlexW4210659787

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.