Evidence map›Paper›PMID 35702492›Full record

ReviewBreast care (Basel, Switzerland)2022

Risk-Adjusted Cancer Screening and Prevention (RiskAP): Complementing Screening for Early Disease Detection by a Learning Screening Based on Risk Factors.

Rita K Schmutzler, Björn Schmitz-Luhn, Bettina Borisch, Peter Devilee, Diana Eccles, Per Hall, Judith Balmaña, Stefania Boccia, Peter Dabrock, Günter Emons and 15 more

Open access · hybridAbstract readReview
In one paragraph

Review in Breast care (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  7. Current oncology (Toronto, Ont.) · 2022
    Article
  8. Review
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

25 authors at 18 institutions in 9 countries.

Rita K SchmutzlerCenter Familial Breast and Ovarian Cancer and Center of Integrated Oncology (CIO), University Hospital Cologne, Cologne, Germany.
Björn Schmitz-LuhnCologne Center for Ethics, Rights, Economics, and Social Sciences of Health (ceres), University of Cologne, and Research Unit Ethics, University Hospital of Cologne, Cologne, Germany.
Bettina BorischInstitute of Global Health, University of Geneva, Geneva, Switzerland.
Peter DevileeLeids Universitair Medisch Zentrum, Universiteit Leiden, Leiden, The Netherlands.
Diana EcclesClinical Trials Unit, University of Southampton, Southampton, United Kingdom.
Per HallKarolinska Institutet, Stockholm, Sweden.
Judith BalmañaVall d'Hebron Instituto de Oncologia (VHIO), Barcelona, Spain.
Stefania BocciaSezione di Igiene, Instituto di Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.
Peter DabrockFriedrich-Alexander-Universität, Erlangen, Germany.
Günter EmonsUniklinik Göttingen, Georg-August-Universität Göttingen, Göttingen, Germany.
Wolfgang GaissmaierMax-Planck-Institut für Bildungsforschung, Universität Konstanz, Konstanz, Germany.
Jacek GronwaldInternational Hereditary Cancer Center, Department of Genetics and Pathology, Pomeranian Medical University, Szczecin, Poland.
Stefanie HouwaartBRCA-Netzwerk, Bonn, Germany.
Stefan HusterLehrstuhl für Öffentliches Recht, Sozial- und Gesundheitsrecht und Rechtsphilosophie, Ruhr-Universität Bochum, Bochum, Germany.
Karin KastCenter Familial Breast and Ovarian Cancer and Center of Integrated Oncology (CIO), University Hospital Cologne, Cologne, Germany.
Alexander KatalinicInstitut für Krebsepidemiologie, Universität Lübeck, Lübeck, Germany.
Sabine C LinnDepartments of Medical Oncology and Molecular Pathology - Netherlands Cancer Institute, Amsterdam, The Netherlands.
Sowmiya MoorthiePHG Foundation, University of Cambridge, Cambridge, United Kingdom.
Paul PharoahDepartment of Oncology, University of Cambridge, Cambridge, United Kingdom.
Kerstin RhiemCenter Familial Breast and Ovarian Cancer and Center of Integrated Oncology (CIO), University Hospital Cologne, Cologne, Germany.
Tade SprangerCenter for Life Science & Law, Universität Bonn, Bonn, Germany.
Dominique Stoppa-LyonnetInstitut Curie, Paris, France.
Johannes Jozef Marten van DeldenUM Utrecht - Julius Center for Health Sciences and Primary Care, Universiteit Utrecht, Utrecht, The Netherlands.
Marc van den BulckeBelgium Cancer Center (BCC), Brussels, Belgium.
Christiane WoopenCologne Center for Ethics, Rights, Economics, and Social Sciences of Health (ceres), University of Cologne, and Research Unit Ethics, University Hospital of Cologne, Cologne, Germany.
University Hospital Cologne · DEUniversity of Cambridge · GBUniversity of Cologne · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEInstitut Curie · FRInternational Hereditary Cancer Center · PLKarolinska Institutet · SELeiden University · NLRuhr University Bochum · DEThe Netherlands Cancer Institute · NLUniversità Cattolica del Sacro Cuore · ITUniversitätsmedizin Göttingen · DEUniversity of Geneva · CHUniversity of Konstanz · DEUniversity of Lübeck · DEUniversity of Southampton · GBUtrecht University · NLVall d'Hebron Institut de Recerca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Risk-adjusted cancer screening and prevention is a promising and continuously emerging option for improving cancer prevention. It is driven by increasing knowledge of risk factors and the ability to determine them for individual risk prediction. However, there is a knowledge gap between evidence of increased risk and evidence of the effectiveness and efficiency of clinical preventive interventions based on increased risk. This gap is, in particular, aggravated by the extensive availability of genetic risk factor diagnostics, since the question of appropriate preventive measures immediately arises when an increased risk is identified. However, collecting proof of effective preventive measures, ideally by prospective randomized preventive studies, typically requires very long periods of time, while the knowledge about an increased risk immediately creates a high demand for action. Summary: Therefore, we propose a risk-adjusted prevention concept that is based on the best current evidence making needed and appropriate preventive measures available, and which is constantly evaluated through outcome evaluation, and continuously improved based on these results. We further discuss the structural and procedural requirements as well as legal and socioeconomical aspects relevant for the implementation of this concept.

Indexed as

Breast cancerELSI ethical, legal, social implicationsEvidence-generating careRisk-adjusted prevention

Identifiers

PMID35702492
PMCPMC9149472
OpenAlexW3193837969

What OpenQuestion holds

Textmetadata
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.