Evidence map›Paper›PMID 35575786›Full record

SynthesisGenetics in medicine : official journal of the American College of Medical Genetics2022

Can polygenic risk scores contribute to cost-effective cancer screening? A systematic review.

Padraig Dixon, Edna Keeney, Jenny C Taylor, Sarah Wordsworth, Richard M Martin

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Genetics in medicine : official journal of the American College of Medical Genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
7.1field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  6. Genomics in Health and Biomedicine.Advances in experimental medicine and biology · 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

5 authors at 3 institutions in 1 country.

Padraig DixonNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom; MRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom. Electronic address: padraig.dixon@phc.ox.ac.uk.
Edna KeeneyPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Jenny C TaylorWellcome Centre for Human Genetics, University of Oxford, Oxford, United Kingdom; National Institute for Health and Care Research Biomedical Research Centre, Oxford, United Kingdom.
Sarah WordsworthThe Health Economics Research Centre (HERC), Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom; National Institute for Health Research (NIHR) Health Research Protection Unit in Healthcare Associated Infections and Antimicrobial Resistance, Oxford, United Kingdom.
Richard M MartinMRC Integrative Epidemiology Unit, University of Bristol, Bristol, United Kingdom; Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
University of Bristol · GBCentre for Human Genetics · GBNational Institute for Health Research · GB

Funding

Cancer Research UK A29019Cancer Research UK C18281/A29019Medical Research Council MC_UU_00011/1Medical Research Council MC_UU_12013/1Medical Research Council MC_UU_12013/9Wellcome Trust
6 · The paper itself

Abstract

purposePolygenic risk influences susceptibility to cancer. We assessed whether polygenic risk scores could be used in conjunction with other predictors of future disease status in cost-effective risk-stratified screening for cancer.

methodsWe undertook a systematic review of papers that evaluated the cost-effectiveness of screening interventions informed by polygenic risk scores compared with more conventional screening modalities. We included papers reporting cost-effectiveness outcomes with no restriction on type of cancer or form of polygenic risk modeled. We evaluated studies using the Quality of Health Economic Studies checklist.

resultsA total of 10 studies were included in the review, which investigated 3 cancers: prostate (n = 5), colorectal (n = 3), and breast (n = 2). Of the 10 papers, 9 scored highly (score >75 on a 0-100 scale) when assessed using the quality checklist. Of the 10 studies, 8 concluded that polygenic risk-informed cancer screening was likely to be more cost-effective than alternatives.

conclusionDespite the positive conclusions of the included studies, it is unclear if polygenic risk stratification will contribute to cost-effective cancer screening given the absence of robust evidence on the costs of polygenic risk stratification, the effects of differential ancestry, potential downstream economic sequalae, and how large volumes of polygenic risk data would be collected and used.

Indexed as

Early Detection of CancerNeoplasmsCost-Benefit AnalysisHumansMaleMass ScreeningRisk FactorsCancerCost-effectivenessPolygenic risk scoresScreeningSystematic review

Identifiers

PMID35575786
PMCPMC7614235
OpenAlexW4280520796

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.