Evidence map›Paper›PMID 36672340›Full record

ArticleCancers2023

MyLynch: A Patient-Facing Clinical Decision Support Tool for Genetically-Guided Personalized Medicine in Lynch Syndrome.

Stephen T Knapp, Anna Revette, Meghan Underhill-Blazey, Jill E Stopfer, Chinedu I Ukaegbu, Cole Poulin, Madison Parenteau, Sapna Syngal, Eunchan Bae, Timothy Bickmore and 5 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

0 citing papers in PubMed, 5 citations in OpenAlex.

No citing paper in PubMed yet.

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

15 authors at 6 institutions in 1 country.

Stephen T KnappDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Anna RevetteDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Meghan Underhill-BlazeyUniversity of Rochester School of Nursing, 601 Elmwood Avenue, Rochester, NY 14642, USA.ORCID 0000-0002-1433-5915
Jill E StopferDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Chinedu I UkaegbuDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Cole PoulinDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Madison ParenteauDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Sapna SyngalDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Eunchan BaeUniversity of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0003-2941-3717
Timothy BickmoreNortheastern University, 360 Huntington Ave, Boston, MA 02115, USA.
Heather HampelCity of Hope, 1500 E Duarte Rd, Duarte, CA 91010, USA.
Gregory E IdosCity of Hope, 1500 E Duarte Rd, Duarte, CA 91010, USA.
Giovanni ParmigianiDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.ORCID 0000-0002-8783-5961
Matthew B YurgelunDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Danielle BraunDana-Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA.
Dana-Farber Cancer Institute · USCity of Hope · USHarvard University · USNortheastern University · USUniversity of Pennsylvania · USUniversity of Rochester · US

Funding

Claudia Abrams Barr Program at Dana-Farber Cancer Institute NALesswitz Fund for Lynch Syndrome NATerry T. Sweet Fund for Lynch Syndrome NA
6 · The paper itself

Abstract

Lynch syndrome (LS) is a hereditary cancer susceptibility condition associated with varying cancer risks depending on which of the five causative genes harbors a pathogenic variant; however, lifestyle and medical interventions provide options to lower those risks. We developed MyLynch, a patient-facing clinical decision support (CDS) web application that applies genetically-guided personalized medicine (GPM) for individuals with LS. The tool was developed in R Shiny through a patient-focused iterative design process. The knowledge base used to estimate patient-specific risk leveraged a rigorously curated literature review. MyLynch informs LS patients of their personal cancer risks, educates patients on relevant interventions, and provides patients with adjusted risk estimates, depending on the interventions they choose to pursue. MyLynch can improve risk communication between patients and providers while also encouraging communication among relatives with the goal of increasing cascade testing. As genetic panel testing becomes more widely available, GPM will play an increasingly important role in patient care, and CDS tools offer patients and providers tailored information to inform decision-making. MyLynch provides personalized cancer risk estimates and interventions to lower these risks for patients with LS.

Indexed as

cancer penetrancecancer riskcascade testingclinical decision support (CDS) toolgenetically-guided personalized medicine (GPM)genetic counselinggermline genetic testinginterventionLynch Syndrome (LS)risk communication

Identifiers

PMID36672340
PMCPMC9856567
OpenAlexW4313827852

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.