Evidence map›Paper›PMID 36974724›Full record

ArticleThe Journal of urology2023

Clinical Impact of a Rapid Genetic Testing Model for Advanced Prostate Cancer Patients.

Kelsey E Breen, Heather Symecko, Kelsey Spielman, Rebecca Gebert, Ibrahim H Shah, Stacy Pundock, Melissa Batson, Vivek K Narayan, Zsofia K Stadler, Karen A Autio and 8 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 2 countries.

Kelsey E BreenDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-7302-1564
Heather SymeckoBasser Center for BRCA, University of Pennsylvania, Philadelphia, Pennsylvania.
Kelsey SpielmanBasser Center for BRCA, University of Pennsylvania, Philadelphia, Pennsylvania.
Rebecca GebertDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York.
Ibrahim H ShahDepartment of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York.
Stacy PundockBasser Center for BRCA, University of Pennsylvania, Philadelphia, Pennsylvania.
Melissa BatsonBasser Center for BRCA, University of Pennsylvania, Philadelphia, Pennsylvania.
Vivek K NarayanDepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Zsofia K StadlerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Karen A AutioDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Wassim AbidaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Daniel C DanilaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Howard I ScherDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Michael J MorrisDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Jada G HamiltonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Mark E RobsonDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Susan M DomchekBasser Center for BRCA, University of Pennsylvania, Philadelphia, Pennsylvania.
Maria I CarloDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Memorial Sloan Kettering Cancer Center · USCalifornia University of Pennsylvania · USHospital of the University of Pennsylvania · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
SPORE In Prostate CancerP50CA092629 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI JAMES A EASTHAM · 2001 to 2026
$63.0M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016520NCI NIH HHS P50 CA092629
6 · The paper itself

Abstract

purposeGenetic testing may alter clinical management for individuals with metastatic prostate cancer by identifying additional therapies. Traditional counseling models are unlikely to enable time-sensitive therapeutic decision-making. This study aimed to determine the feasibility and clinical impact of an alternative hereditary genetic testing model. MATERIALS AND

methodsAs part of a multicenter, single-arm prospective trial, individuals with advanced prostate cancer were referred by their oncologist for testing of 14 genes associated with hereditary prostate cancer. Pretest education (brochure and video) was provided in the oncology clinic. Questionnaires assessing participant satisfaction with both pretest education and decision to undergo genetic testing were collected. A genetic counselor contacted participants by phone to obtain family history and discuss results. Medical records were queried to determine whether a change in clinical management was discussed.

resultsOf 501 participants consented to germline analysis, 51 (10.2%) had at least 1 pathogenic/likely pathogenic variant. Change in treatment was discussed with 22/48 (45.8%) of eligible participants who tested positive. Feasibility of this model was assessed by participant satisfaction and turnaround time. Average±SD satisfaction with the pretest education (15.5±2.2, 4-20 scale) and with the decision to undergo genetic testing (17.1±2.9, 4-20 scale) were both high. Results were returned 20 days (median) after sample collection.

conclusionsOncologist-initiated germline genetic testing in collaboration with a genetic counselor is a feasible approach to testing advanced prostate cancer patients with impactful clinical actionability. The testing model and educational material serve as resources to clinicians treating prostate cancer patients.

Indexed as

Genetic TestingProstatic NeoplasmsCounselingGenetic CounselingHumansMaleProspective Studiesdelivery of health caregenetic counselinggenetic testingpatient education as topicprostatic neoplasms

Identifiers

PMID36974724
PMCPMC10081955
OpenAlexW4361190286

What OpenQuestion holds

Textmetadata
LicenceTDM
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.