Evidence map›Paper›PMID 37821757›Full record

ArticleEuropean journal of human genetics : EJHG2024

"I just wanted more": Hereditary cancer syndromes patients' perspectives on the utility of circulating tumour DNA testing for cancer screening.

Ella Adi-Wauran, Marc Clausen, Salma Shickh, Anna R Gagliardi, Avram Denburg, Leslie E Oldfield, Jordan Sam, Emma Reble, Suvetha Krishnapillai, Dean A Regier and 13 more

Open access · greenAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Review
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

23 authors at 13 institutions in 3 countries.

Ella Adi-WauranGenomics Health Services Research Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada.
Marc ClausenGenomics Health Services Research Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada.
Salma ShickhGenomics Health Services Research Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada.
Anna R GagliardiInstitute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Canada.
Avram DenburgInstitute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Canada.
Leslie E OldfieldPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.
Jordan SamGenomics Health Services Research Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada.
Emma RebleGenomics Health Services Research Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada.
Suvetha KrishnapillaiGenomics Health Services Research Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada.
Dean A RegierBC Cancer, Vancouver, Canada.ORCID 0000-0001-8876-0511
Nancy N BaxterInstitute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Canada.
Lesa DawsonMemorial University, St. John's, Canada.
Lynette S PenneyDalhousie University, Halifax, Canada.
William FoulkesMcGill University, Montréal, Canada.ORCID 0000-0001-7427-4651
Mark BasikMcGill University, Montréal, Canada.
Sophie SunBC Cancer, Vancouver, Canada.
Kasmintan A SchraderBC Cancer, Vancouver, Canada.ORCID 0000-0002-7413-4314
Aly KarsanBC Cancer, Vancouver, Canada.ORCID 0000-0001-6753-892X
Aaron PollettMount Sinai Hospital, Toronto, Canada.
Trevor J PughPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.
CHARM consortium
Raymond H KimDivision of Haematology/Oncology, The Hospital for Sick Children, Toronto, Canada. raymond.kim@uhn.ca.ORCID 0000-0002-2147-8674
Yvonne BombardGenomics Health Services Research Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Canada. yvonne.bombard@utoronto.ca.ORCID 0000-0002-9516-4539
University Health Network · CAJewish General Hospital · CAUniversity of British Columbia · CASinai Health System · CAOntario Institute for Cancer Research · CASt. Michael's Hospital · CAWomen's College Hospital · CADalhousie University · CAIzaak Walton Killam Health Centre · CAMemorial University of Newfoundland · CAMount Sinai Hospital · CAThe University of Melbourne · AUUniversity of Toronto · CA

Funding

Gouvernement du Canada | Canadian Institutes of Health Research (Instituts de Recherche en Santé du Canada) CIHR-159453Gouvernement du Canada | Canadian Institutes of Health Research (Instituts de Recherche en Santé du Canada) New Investigator Award
6 · The paper itself

Abstract

Hereditary cancer syndromes (HCS) predispose individuals to a higher risk of developing multiple cancers. However, current screening strategies have limited ability to screen for all cancer risks. Circulating tumour DNA (ctDNA) detects DNA fragments shed by tumour cells in the bloodstream and can potentially detect cancers early. This study aimed to explore patients' perspectives on ctDNA's utility to help inform its clinical adoption and implementation. We conducted a qualitative interpretive description study using semi-structured phone interviews. Participants were purposively sampled adult HCS patients recruited from a Canadian HCS research consortium. Thirty HCS patients were interviewed (n = 19 women, age range 20s-70s, n = 25 were white). Participants were highly concerned about developing cancers, particularly those without reliable screening options for early detection. They "just wanted more" than their current screening strategies. Participants were enthusiastic about ctDNA's potential to be comprehensive (detect multiple cancers), predictive (detect cancers early) and tailored (lead to personalized clinical management). Participants also acknowledged ctDNA's potential limitations, including false positives/negatives risks and experiencing additional anxiety. However, they saw ctDNA's potential benefits outweighing its limitations. In conclusion, participants' belief in ctDNA's potential to improve their care overshadowed its limitations, indicating patients' support for using ctDNA in HCS care.

Indexed as

Circulating Tumor DNANeoplastic Syndromes, HereditaryAdultCanadaEarly Detection of CancerFemaleHumansQualitative ResearchYoung AdultCirculating Tumor DNA

Identifiers

PMID37821757
PMCPMC10853540
OpenAlexW4387536738

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.