Evidence map›Paper›PMID 39395532›Full record

ArticleContemporary clinical trials2025

Family history and cancer risk study (FOREST): A clinical trial assessing electronic patient-directed family history input for identifying patients at risk of hereditary cancer.

Kathleen F Mittendorf, Harris T Bland, Justin Andujar, Natasha Celaya-Cobbs, Clasherrol Edwards, Meredith Gerhart, Gillian Hooker, Mryia Hubert, Sarah H Jones, Dana R Marshall and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05079334 (Improving Identification and Healthcare for Patients With Inherited Cancer Syndromes), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT05079334 completednot on this map

Improving Identification and Healthcare for Patients With Inherited Cancer Syndromes: Evidence-based EMR Implementation Using a Web-based Computer Platform

TypeobservationalSponsorVanderbilt University Medical CenterRan2022 to 2025Enrolled1,847ConditionsNeoplastic Syndromes, Hereditary, Comparative Effectiveness Research
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. 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

17 authors.

Kathleen F MittendorfDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: kf.mittendorf@vumc.org.
Harris T BlandDepartment of Biomedical Informatics, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Justin AndujarDivision of Genetic Medicine, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Natasha Celaya-CobbsDivision of Genetic Medicine, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Clasherrol EdwardsDepartment of Microbiology, Immunology and Physiology, Meharry Medical College, Nashville, TN 37208, USA.
Meredith GerhartDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Gillian HookerDivision of Genetic Medicine, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, USA; Concert Genetics, Nashville, TN, USA.
Mryia HubertDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Sarah H JonesInstitute for Medicine and Public Health, Vanderbilt University Medical Center, Nashville, TN, USA.
Dana R MarshallDepartment of Pathology, Anatomy and Cell Biology, Meharry Medical College, Nashville, TN, USA.
Rachel A MyersDepartment of Medicine Clinical Research Unit, Duke University School of Medicine, Durham, NC, 27705, USA.
Siddharth PratapDepartment of Microbiology, Immunology and Physiology, Meharry Medical College, Nashville, TN 37208, USA.
S Trent RosenbloomDepartment of Biomedical Informatics, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Azita SadeghpourDuke Precision Medicine Program, Department of Medicine, Duke University, Durham, NC, USA.
R Ryanne WuDuke Precision Medicine Program, Department of Medicine, Duke University, Durham, NC, USA; 23andMe, Sunnyvale, CA, USA.
Lori A OrlandoDuke Precision Medicine Program, Department of Medicine, Duke University, Durham, NC, USA.
Georgia L WiesnerDivision of Genetic Medicine, Department of Medicine, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, USA.

Funding

Improving identification and healthcare for patients with Inherited Cancer Syndromes: Evidence-based EMR implementation using a web-based computer platformU01CA232829 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ORLANDO, LORI ANN, WIESNER, GEORGIA L · 2019 to 2023
$5.4M
NCI NIH HHS U01 CA232829
6 · The paper itself

Abstract

backgroundHereditary cancer syndromes cause a high lifetime risk of early, aggressive cancers. Early recognition of individuals at risk can allow risk-reducing interventions that improve morbidity and mortality. Family health history applications that gather data directly from patients could alleviate barriers to risk assessment in the clinical appointment, such as lack of provider knowledge of genetics guidelines and limited time in the clinical appointment. New approaches allow linking these applications to patient health portals and their electronic health records (EHRs), offering an end-to-end solution for patient-input family history information and risk result clinical decision support for their provider.

methodsWe describe the design of the first large-scale evaluation of an EHR-integrable, patient-facing family history software platform based on the Substitutable Medical Applications and Reusable Technologies on Fast Healthcare Interoperability Resources (SMART on FHIR) standard. In our study, we leverage an established implementation science framework to evaluate the success of our model to facilitate scalable, systematic risk assessment for hereditary cancers in diverse clinical environments in a large pragmatic study at two sites. We will also evaluate the success of the approach to improve the efficiency of downstream genetic counseling resulting from pre-counseling pedigree generation.

conclusionsOur research study will provide evidence regarding a new care delivery model that is scalable and sustainable for a variety of medical centers and clinics.

trial registrationThis study was registered on ClinicalTrials.gov under NCT05079334 on 15 October 2021.

Indexed as

Electronic Health RecordsClinical Trials as TopicDecision Support Systems, ClinicalFemaleGenetic Predisposition to DiseaseHumansMaleMedical History TakingNeoplastic Syndromes, HereditaryPatient PortalsPragmatic Clinical Trials as TopicRisk AssessmentDigital healthGeneticsHereditary cancerRisk assessmentService delivery modelsSMART on FHIR

Identifiers

PMID39395532
PMCPMC12742953

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Registered trials

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.