Evidence map›Paper›PMID 37004303›Full record

ArticleGynecologic oncology2023

Outcomes of the "BRCA Quality Improvement Dissemination Program": An initiative to improve patient receipt of cancer genetics services at five health systems.

Erica M Bednar, Minxing Chen, Michael T Walsh, Amanda L Eppolito, Molly H Klein, Kelly Teed, Brittany Hodge, Jordan Hunter, Han Gill Chao, Dillon Davis and 46 more

Open access · greenAbstract read
In one paragraph

Article in Gynecologic oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

56 authors at 6 institutions in 1 country.

Erica M BednarThe University of Texas MD Anderson Cancer Center, Houston, TX, United States of America. Electronic address: embednar@mdanderson.org.
Minxing ChenThe University of Texas MD Anderson Cancer Center, Houston, TX, United States of America.
Michael T WalshThe University of Texas MD Anderson Cancer Center, Houston, TX, United States of America.
Amanda L EppolitoPiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Molly H KleinPiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Kelly TeedPiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Brittany HodgePiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Jordan HunterPiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Han Gill ChaoPiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Dillon DavisPiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Wilshauna SerchionPiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Cara YobbiCommunity Health Network, Indianapolis, IN, United States of America.
Rebekah KrukenbergCommunity Health Network, Indianapolis, IN, United States of America.
Sandra B JenkinsonCommunity Health Network, Indianapolis, IN, United States of America.
Jennifer J MooreCommunity Health Network, Indianapolis, IN, United States of America.
Cassandra GarciaCommunity Health Network, Indianapolis, IN, United States of America.
Fatimaeliza GonzalezCommunity Health Network, Indianapolis, IN, United States of America.
Towanna MurrayCommunity Health Network, Indianapolis, IN, United States of America.
Linda D NielsenCommunity Health Network, Indianapolis, IN, United States of America.
Brenda HoCommunity Health Network, Indianapolis, IN, United States of America.
Megan HaasCommunity Health Network, Indianapolis, IN, United States of America.
Sarah B GreenzweigCommunity Health Network, Indianapolis, IN, United States of America.
Abby AndersonCommunity Health Network, Indianapolis, IN, United States of America.
Christina JohnsonCommunity Health Network, Indianapolis, IN, United States of America.
Nichole A MormanOhioHealth, Columbus, OH, United States of America.
Elizabeth BowdishOhioHealth, Columbus, OH, United States of America.
Emaline WiseOhioHealth, Columbus, OH, United States of America.
Julia N CooperOhioHealth, Columbus, OH, United States of America.
Pauline Kefalas RussOhioHealth, Columbus, OH, United States of America.
Katelyn Tondo-SteeleOhioHealth, Columbus, OH, United States of America.
Buonarotti F de GraciaOhioHealth, Columbus, OH, United States of America.
Brooke LevinMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Kristin MattieMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Kathryn ZarnawskiMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Molly KalasinskiMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Jennifer StoneMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Caitlin O'BrienMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Alexa BreamMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Aidan M KennedyMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Rachel A PaulMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Michelle BilbaoMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Maureen RomeroMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Rebecca L CarrBanner MD Anderson Cancer Center, Gilbert, AZ, United States of America.
Jennifer M SiettmannBanner MD Anderson Cancer Center, Gilbert, AZ, United States of America.
Anna K VercruyssenBanner MD Anderson Cancer Center, Gilbert, AZ, United States of America.
Kaycee LeonBanner MD Anderson Cancer Center, Gilbert, AZ, United States of America.
Banu K ArunThe University of Texas MD Anderson Cancer Center, Houston, TX, United States of America.
Andrew V GraingerOhioHealth, Columbus, OH, United States of America.
David P WarshalMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Erin BowmanPiedmont Oncology at Piedmont Healthcare, Atlanta, GA, United States of America.
Timothy A GoeddeCommunity Health Network, Indianapolis, IN, United States of America.
Deepa HalaharviOhioHealth, Columbus, OH, United States of America.
Kellie RathOhioHealth, Columbus, OH, United States of America.
Generosa GranaMD Anderson Cancer Center at Cooper University Health Care, Camden, NJ, United States of America.
Lida MinaBanner MD Anderson Cancer Center, Gilbert, AZ, United States of America.
Karen H LuThe University of Texas MD Anderson Cancer Center, Houston, TX, United States of America.
Community Health Network · USCooper University Health Care · USOhioHealth · USPiedmont HealthCare · USThe University of Texas MD Anderson Cancer Center · USBanner MD Anderson Cancer Center

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

objectiveA quality improvement initiative (QII) was conducted with five community-based health systems' oncology care centers (sites A-E). The QII aimed to increase referrals, genetic counseling (GC), and germline genetic testing (GT) for patients with ovarian cancer (OC) and triple-negative breast cancer (TNBC).

methodsQII activities occurred at sites over several years, all concluding by December 2020. Medical records of patients with OC and TNBC were reviewed, and rates of referral, GC, and GT of patients diagnosed during the 2 years before the QII were compared to those diagnosed during the QII. Outcomes were analyzed using descriptive statistics, two-sample t-test, chi-squared/Fisher's exact test, and logistic regression.

resultsFor patients with OC, improvement was observed in the rate of referral (from 70% to 79%), GC (from 44% to 61%), GT (from 54% to 62%) and decreased time from diagnosis to GC and GT. For patients with TNBC, increased rates of referral (from 90% to 92%), GC (from 68% to 72%) and GT (81% to 86%) were observed. Effective interventions streamlined GC scheduling and standardized referral processes.

conclusionA multi-year QII increased patient referral and uptake of recommended genetics services across five unique community-based oncology care settings.

Indexed as

Ovarian NeoplasmsTriple Negative Breast NeoplasmsFemaleGenetic CounselingGenetic TestingHumansQuality ImprovementBreast cancerGenetic counselingGenetic testingHereditary cancerOvarian cancerQuality improvement

Identifiers

PMID37004303
PMCPMC10192022
OpenAlexW4362506964

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.