Evidence map›Paper›PMID 37490054›Full record

GuidelineGenetics in medicine : official journal of the American College of Medical Genetics2023

Management of individuals with germline pathogenic/likely pathogenic variants in CHEK2: A clinical practice resource of the American College of Medical Genetics and Genomics (ACMG).

Helen Hanson, Esteban Astiazaran-Symonds, Laura M Amendola, Judith Balmaña, William D Foulkes, Paul James, Susan Klugman, Joanne Ngeow, Rita Schmutzler, Nicoleta Voian and 5 more

Open access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in Genetics in medicine : official journal of the American College of Medical Genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
22.9field-weighted citation impact, top 1% 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

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Guideline
  2. International journal of molecular sciences · 2026
    Article
  3. Review
  4. Review
  5. Genetics of familial acromegaly and pituitary gigantism.The Journal of clinical endocrinology and metabolism · 2026
    Review
  6. Article
  7. Article
  8. Impact of Germline CHEK2 Pathogenic Variants on the Risk of Acute Myeloid Leukemia and Myelodysplastic Syndrome.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Endocrine oncology (Bristol, England) · 2026
    Article
  17. Frontiers in oncology · 2026
    Article
  18. Case Report: A combination ofFrontiers in oncology · 2026
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 14 institutions in 7 countries.

Helen HansonSouthwest Thames Regional Genetics Service, St George's University Hospitals NHS Foundation Trust, London, United Kingdom.
Esteban Astiazaran-SymondsClinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD; Department of Medicine, College of Medicine-Tucson, University of Arizona, Tucson, AZ.
Laura M AmendolaMedical Genomics Research, Illumina, Inc., San Diego, CA.
Judith BalmañaHereditary Cancer Genetics Group, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain; Medical Oncology Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Hospital Campus, Barcelona, Spain.
William D FoulkesDepartments of Human Genetics, Oncology and Medicine, McGill University, Montréal, QC, Canada.
Paul JamesSir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, VIC, Australia; Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Susan KlugmanDivision of Reproductive & Medical Genetics, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY.
Joanne NgeowGenomic Medicine, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore; Cancer Genetics Service, Division of Medical Oncology, National Cancer Centre Singapore, Singapore.
Rita SchmutzlerCenter of Integrated Oncology (CIO), University of Cologne, Cologne, Germany; Center for Hereditary Breast and Ovarian Cancer, University Hospital of Cologne, Cologne, Germany.
Nicoleta VoianProvidence Genetic Risk Clinic, Providence Cancer Institute, Portland, OR.
Myra J WickDepartments of Obstetrics and Gynecology and Clinical Genomics, Mayo Clinic, Rochester, MN.
Tuya PalDepartment of Medicine, Vanderbilt University Medical Center/Vanderbilt-Ingram Cancer Center, Nashville, TN.
Marc TischkowitzDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, United Kingdom.
Douglas R StewartClinical Genetics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD.
ACMG Professional Practices and Guidelines Committee. Electronic address: documents@acmg.netAmerican College of Medical Genetics and Genomics, Bethesda, MD.
Division of Cancer Epidemiology and GeneticsIllumina (United States) · USMayo Clinic · USMcGill University · CAMontefiore Medical Center · USNational Cancer Centre Singapore · SGNational Cancer Institute · USProvidence Portland Medical Center · USSt George’s University Hospitals NHS Foundation Trust · GBUniversity of Cambridge · GBUniversity of Cologne · DEUniversity of Melbourne · AUVall d'Hebron Hospital Universitari · ESVanderbilt University Medical Center · US

Funding

Genetic Modifiers of Cancer RiskZIACP010142 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI MIRABELLO, LISA · 2009 to 2025
$17.1M
Cancer Research UK 27223Intramural NIH HHS ZIA CP010142
6 · The paper itself

Abstract

purposeAlthough the role of CHEK2 germline pathogenic variants in cancer predisposition is well known, resources for managing CHEK2 heterozygotes in clinical practice are limited.

methodsAn international workgroup developed guidance on clinical management of CHEK2 heterozygotes informed by peer-reviewed publications from PubMed.

resultsAlthough CHEK2 is considered a moderate penetrance gene, cancer risks may be considered as a continuous variable, which are influenced by family history and other modifiers. Consequently, early cancer detection and prevention for CHEK2 heterozygotes should be guided by personalized risk estimates. Such estimates may result in both downgrading lifetime breast cancer risks to those similar to the general population or upgrading lifetime risk to a level at which CHEK2 heterozygotes are offered high-risk breast surveillance according to country-specific guidelines. Risk-reducing mastectomy should be guided by personalized risk estimates and shared decision making. Colorectal and prostate cancer surveillance should be considered based on assessment of family history. For CHEK2 heterozygotes who develop cancer, no specific targeted medical treatment is recommended at this time.

conclusionSystematic prospective data collection is needed to establish the spectrum of CHEK2-associated cancer risks and to determine yet-unanswered questions, such as the outcomes of surveillance, response to cancer treatment, and survival after cancer diagnosis.

Indexed as

Breast NeoplasmsGenetics, MedicalCheckpoint Kinase 2Genetic Predisposition to DiseaseGenomicsGerm-Line MutationHumansMaleMastectomyUnited StatesCheckpoint Kinase 2CHEK2 protein, humanCancer predispositionCancer riskCancer surveillanceCHEK2Inherited cancer

Identifiers

PMID37490054
PMCPMC10623578
OpenAlexW4385230500

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.