Evidence map›Paper›PMID 39061202›Full record

ArticleCancers2024

Genetic Testing Uptake among Ovarian Cancer Survivors in the Genetic Risk Analysis in Ovarian Cancer (GRACE) Study.

Larissa L White, Jennifer K Sawyer, Jamilyn M Zepp, Yolanda K Prado, Ana A Reyes, Mahesh Maiyani, Elizabeth Shuster, Rachel Zucker, Nora B Henrikson, Alan F Rope and 3 more

Abstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

13 authors.

Larissa L WhiteInstitute for Health Research, Kaiser Permanente Colorado, 16601 East Centretech Parkway, Aurora, CO 80011, USA.ORCID 0000-0001-9364-2704
Jennifer K SawyerInstitute for Health Research, Kaiser Permanente Colorado, 16601 East Centretech Parkway, Aurora, CO 80011, USA.
Jamilyn M ZeppCenter for Health Research, Department of Translational and Applied Genomics, Kaiser Permanente Northwest, 3800 North Interstate Avenue, Portland, OR 97227, USA.ORCID 0000-0002-7240-2151
Yolanda K PradoCenter for Health Research, Department of Translational and Applied Genomics, Kaiser Permanente Northwest, 3800 North Interstate Avenue, Portland, OR 97227, USA.
Ana A ReyesCenter for Health Research, Department of Translational and Applied Genomics, Kaiser Permanente Northwest, 3800 North Interstate Avenue, Portland, OR 97227, USA.
Mahesh MaiyaniInstitute for Health Research, Kaiser Permanente Colorado, 16601 East Centretech Parkway, Aurora, CO 80011, USA.ORCID 0009-0007-6753-3732
Elizabeth ShusterCenter for Health Research, Department of Translational and Applied Genomics, Kaiser Permanente Northwest, 3800 North Interstate Avenue, Portland, OR 97227, USA.
Rachel ZuckerInstitute for Health Research, Kaiser Permanente Colorado, 16601 East Centretech Parkway, Aurora, CO 80011, USA.
Nora B HenriksonKaiser Permanente Washington Health Research Institute, 1730 Minor Avenue, Seattle, WA 98101, USA.ORCID 0000-0002-3459-7787
Alan F RopeCenter for Health Research, Department of Translational and Applied Genomics, Kaiser Permanente Northwest, 3800 North Interstate Avenue, Portland, OR 97227, USA.
Sheila WeinmannCenter for Health Research, Department of Translational and Applied Genomics, Kaiser Permanente Northwest, 3800 North Interstate Avenue, Portland, OR 97227, USA.
Heather S FeigelsonInstitute for Health Research, Kaiser Permanente Colorado, 16601 East Centretech Parkway, Aurora, CO 80011, USA.ORCID 0000-0001-6691-3740
Jessica Ezzell HunterCenter for Health Research, Department of Translational and Applied Genomics, Kaiser Permanente Northwest, 3800 North Interstate Avenue, Portland, OR 97227, USA.

Funding

Leveraging tumor registries and pathology specimens to facilitate genetic testing and traceback for ovarian cancerU01CA244323 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HUNTER, JESSICA EZZELL · 2020 to 2023
$2.7M
NCI NIH HHS U01 CA244323NIH HHS 1U01CA244323-00X1
6 · The paper itself

Abstract

backgroundRecommendations state all people with ovarian cancers (OCs) receive genetic counseling, but testing uptake is only between 15 and 31%. Those with a prior diagnosis of OC who have not received genetic testing represent a missed opportunity for life-saving genetic risk information. The Genetic Risk Analysis in ovarian CancEr (GRACE) study aimed to evaluate the feasibility of the retrospective identification ("Traceback") of individuals diagnosed with OC.

methodsThis nonrandomized intervention study within two integrated health care systems identified participants with a history of OC between 1998 and 2020 who did not have genetic testing or testing limited to BRCA1/2. Participants received clinical genomic sequencing via a custom 60 gene panel. This study measured the feasibility of the Traceback methodology in OC survivors.

resultsThe initial cohort included 929 individuals, of which 57% had no prior genetic testing. Of the 302 eligible for recruitment, 88 consented to participate. We were able to outreach 97% of the eligible population using contact information from medical records. The stage at diagnosis was the only factor associated with consent. Of the 78 who returned their saliva sample, 21% had pathogenic/likely pathogenic variants, and 79% had negative results.

conclusionThe GRACE study resulted in a 29% uptake of genetic testing in OC survivors. The time since diagnosis did not have an impact on consent or ability to contact. GRACE can inform the implementation of future Traceback programs, providing guidance on how to prevent and mitigate the burden of OC and other hereditary cancers.

Indexed as

cancer preventiongynecologic cancer risk reductionovarian cancer

Identifiers

PMID39061202
PMCPMC11274893

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.