Evidence map›Paper›PMID 36240332›Full record

ArticleCanadian Urological Association journal = Journal de l'Association des urologues du Canada2022

Recommendations for the implementation of genetic testing for metastatic prostate cancer patients in Canada.

Shamini Selvarajah, Kasmintan A Schrader, Michael P Kolinsky, Ricardo A Rendon, Soufiane El Hallani, Neil E Fleshner, Sebastien J Hotte, Justin Lorentz, Karen Panabaker, Renée Perrier and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

11 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Guidelines for genetic testing in prostate cancer: a scoping review.Prostate cancer and prostatic diseases · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Genetic testing practices among specialist physicians who treat prostate cancer A Canadian, cross-sectional survey.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  10. 2023 Canadian Urological Association guideline: Genetic testing in prostate cancer.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2023
    Article
  11. Metastatic prostate cancer gets into the biomarker era.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    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

14 authors at 11 institutions in 1 country.

Shamini SelvarajahDepartment of Clinical Laboratory Genetics, Laboratory Medicine Program, University Health Network (UHN), Toronto, ON, Canada.
Kasmintan A SchraderDepartment of Medical Genetics, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Michael P KolinskyCross Cancer Institute and Department of Oncology, University of Alberta, Edmonton, AB, Canada.
Ricardo A RendonDepartment of Urology, Dalhousie University and Queen Elizabeth II Health Sciences Centre, Halifax, NS, Canada.
Soufiane El HallaniDepartment of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada.
Neil E FleshnerDivision of Urology, Departments of Surgery and Surgical Oncology, University Health Network, Toronto, ON, Canada.
Sebastien J HotteDepartment of Oncology, McMaster University, Hamilton, ON, Canada.
Justin LorentzGenetics and High Risk Program, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Karen PanabakerMedical Genetics Program of Southwestern Ontario, London Health Sciences Centre, London, ON, Canada.
Renée PerrierDepartment of Medical Genetics, Alberta Children's Hospital and Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
Frédéric PouliotDivison of Urology, Department of Surgery, CHU de Québec and Laval University, Quebec, QC, Canada.
Alan SpatzDepartment of Laboratory Medicine, McGill University Health Centre, Department of Pathology, McGill University, Research Molecular Pathology Center, Lady Davis Institute, Montreal, QC, Canada.
Stephen YipDepartment of Pathology & Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Kim N ChiBC Cancer, Vancouver, BC, Canada.
University Health Network · CAUniversity of Alberta · CABC Cancer Agency · CADalhousie University · CAHealth Sciences Centre · CALondon Health Sciences Centre · CAMcGill University Health Centre · CAMcMaster University · CAUniversité Laval · CAUniversity of British Columbia · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGenetic testing in advanced prostate cancer is rapidly moving to become standard of care. Testing for genetic alterations in genes involved in DNA repair pathways, particularly those implicated in the homologous recombination repair (HRR) pathway, in patients with metastatic prostate cancer (mPCa) can inform selection of optimal therapies, as well as provide information about familial cancer risks; however, there are currently no consistent Canadian guidelines in place for genetic testing in mPCa.

methodsA multidisciplinary steering committee guided the process of an environmental scan to define the current landscape, as well as the perceived challenges, through interviews with specialists from 14 sites across Canada. The challenges most commonly identified include limited testing guidelines and protocols, inadequate education and awareness, and insufficient resources. Following the environmental scan, an expert multidisciplinary working group with pan-Canadian representation from medical oncologists, urologists, medical geneticists, genetic counsellors, pathologists, and clinical laboratory scientists convened in virtual meetings to discuss the challenges in implementation of genetic testing in mPCa across Canada.

resultsKey recommendations from the working group include implementation of germline and tumor HRR testing for all patients with mPCa, with a mainstreaming model in which non-geneticist clinicians can initiate germline testing. The working group defined the roles and responsibilities of the various healthcare providers (HCPs) involved in the genetic testing pathway for mPCa patients. In addition, the educational needs for all HCPs involved in the genetic testing pathway for mPCa were defined.

conclusionsAs genetic testing for mPCa becomes standard of care, additional resources and investments will be required to implement the changes that will be needed to support the necessary volume of genetic testing, to ensure equitable access, and to provide education to all stakeholders.

Identifiers

PMID36240332
PMCPMC9565071
OpenAlexW4281963646

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.