Evidence map›Paper›PMID 35938029›Full record

ArticleFrontiers in genetics2022

Precise, Genotype-First Breast Cancer Prevention: Experience With Transferring Monogenic Findings From a Population Biobank to the Clinical Setting.

Hannes Jürgens, Laura Roht, Liis Leitsalu, Margit Nõukas, Marili Palover, Tiit Nikopensius, Anu Reigo, Mart Kals, Kersti Kallak, Riina Kütner and 16 more

Abstract read
In one paragraph

Article in Frontiers in genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Opportunistic Screening of High-Risk Breast Cancer Variants in Hospital Biobank Setting.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 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

26 authors.

Hannes JürgensTartu University Hospital, Clinic of Hematology and Oncology, Tartu, Estonia.
Laura RohtDepartment of Clinical Genetics, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
Liis LeitsaluEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Margit NõukasEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Marili PaloverEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Tiit NikopensiusEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Anu ReigoEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Mart KalsEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Kersti KallakTartu University Hospital, Clinic of Hematology and Oncology, Tartu, Estonia.
Riina KütnerNorth-Estonian Medical Center, Oncology and Haematology Clinic, Tallinn, Estonia.
Kai BudrikasInstitute of Mathematics and Statistics, University of Tartu, Tartu, Estonia.
Saskia KuuskEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Vahur ValvereNorth-Estonian Medical Center, Oncology and Haematology Clinic, Tallinn, Estonia.
Piret LaidreGenetics and Personalized Medicine Clinic, Tartu University Hospital, Tartu, Estonia.
Kadri ToomeGenetics and Personalized Medicine Clinic, Tartu University Hospital, Tartu, Estonia.
Kadri RekkerGenetics and Personalized Medicine Clinic, Tartu University Hospital, Tartu, Estonia.
Mikk ToomingDepartment of Clinical Genetics, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
Ülle MurumetsGenetics and Personalized Medicine Clinic, Tartu University Hospital, Tartu, Estonia.
Tiina KahreDepartment of Clinical Genetics, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
Krista Kruuv-KäoEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Katrin ÕunapDepartment of Clinical Genetics, Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.
Peeter PadrikTartu University Hospital, Clinic of Hematology and Oncology, Tartu, Estonia.
Andres MetspaluEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Tõnu EskoEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Krista FischerEstonian Biobank, Institute of Genomics, University of Tartu, Tartu, Estonia.
Neeme TõnissonGenetics and Personalized Medicine Clinic, Tartu University Hospital, Tartu, Estonia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although hereditary breast cancer screening and management are well accepted and established in clinical settings, these efforts result in the detection of only a fraction of genetic predisposition at the population level. Here, we describe our experience from a national pilot study (2018-2021) in which 180 female participants of Estonian biobank (of >150,000 participants in total) were re-contacted to discuss personalized clinical prevention measures based on their genetic predisposition defined by 11 breast cancer-related genes. Our results show that genetic risk variants are relatively common in the average-risk Estonian population. Seventy-five percent of breast cancer cases in at-risk subjects occurred before the age of 50 years. Only one-third of subjects would have been eligible for clinical screening according to the current criteria. The participants perceived the receipt of genetic risk information as valuable. Fluent cooperation of project teams supported by state-of-art data management, quality control, and secure transfer can enable the integration of research results to everyday medical practice in a highly efficient, timely, and well-accepted manner. The positive experience in this genotype-first breast cancer study confirms the value of using existing basic genomic data from population biobanks for precise prevention.

Indexed as

clinical practice personalized medicinegenotype-first approachprecision screeningresearch findings/results in healthcarereturn of results to biobank participants

Identifiers

PMID35938029
PMCPMC9355130

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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.