Evidence map›Paper›PMID 35877161›Full record

Trial reportJournal of genetic counseling2022

A qualitative study of unaffected ATM and CHEK2 carriers: How participants make meaning of 'moderate risk' genetic results in a population breast cancer screening trial.

Jennifer Elyse James, Leslie Riddle, Mikaella Caruncho, Barbara Ann Koenig, Galen Joseph

Abstract readClinical Trial
In one paragraph

Trial report in Journal of genetic counseling, 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
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

5 authors.

Jennifer Elyse JamesInstitute for Health and Aging, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0001-6240-3487
Leslie RiddleDepartment of Humanities and Social Sciences, University of California, San Francisco, San Francisco, California, USA.
Mikaella CarunchoDepartment of Humanities and Social Sciences, University of California, San Francisco, San Francisco, California, USA.
Barbara Ann KoenigInstitute for Health and Aging, University of California, San Francisco, San Francisco, California, USA.
Galen JosephDepartment of Humanities and Social Sciences, University of California, San Francisco, San Francisco, California, USA.

Funding

Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Deborah F. Tate · 1985 to 2026
$201.5M
Precision Genomics in the WISDOM Pragmatic Clinical Trial: An "Embedded" ELSI Study of Risk-based Breast Cancer ScreeningR01CA211999 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOSEPH, GALEN · 2017 to 2021
$3.5M
NCI NIH HHS P30 CA016086NCI NIH HHS R01 CA211999
6 · The paper itself

Abstract

Relatively little is known about experiences of individuals with a pathogenic variant in a moderately penetrant breast cancer gene, particularly those without a personal history of cancer. The WISDOM trial is testing a model of risk-based breast cancer screening that integrates genomic (nine genes and polygenic risk) and other risk factors. In the context of an embedded Ethical, Legal, and Social Implications (ELSI) study of WISDOM, we conducted qualitative interviews at two timepoints post-result disclosure with 22 ATM and CHEK2 carriers. Results disclosure and interview recordings were transcribed and analyzed using a grounded theory analysis framework. We found that participants minimized the significance of their results in comparison to BRCA; were surprised but not alarmed by the results in the absence of family history; did not fundamentally change their perception of their breast cancer risk despite the new genomic information; exhibited variable responses to WISDOM's screening and risk reduction recommendations; and shared test results with family but did not strongly encourage cascade testing. Participants viewed the results as having limited utility and responded accordingly. Our study offers important insights into how genetic test results for moderate-risk genes are received, understood, and acted upon in population screening context.

Indexed as

Breast NeoplasmsAtaxia Telangiectasia Mutated ProteinsCheckpoint Kinase 2Early Detection of CancerFemaleGenetic Predisposition to DiseaseGenetic TestingHumansRisk FactorsAtaxia Telangiectasia Mutated ProteinsATM protein, humanCheckpoint Kinase 2CHEK2 protein, humanATMbreast cancerCHEK2ELSIgenetic testingmoderate-risk genespopulation screeningrisk perception

Identifiers

PMID35877161
PMCPMC9722572

What OpenQuestion holds

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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.