Evidence map›Paper›PMID 39639158›Full record

ArticleProstate cancer and prostatic diseases2025

Experience of urologists, oncologists and nurse practitioners with mainstream genetic testing in metastatic prostate cancer.

Michiel Vlaming, Margreet G E M Ausems, Lambertus A L M Kiemeney, Gina Schijven, Harm H E van Melick, M Arjen Noordzij, Diederik M Somford, Henk G van der Poel, Carl J Wijburg, Bart P Wijsman and 10 more

Abstract read
In one paragraph

Article in Prostate cancer and prostatic diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

20 authors.

Michiel VlamingDepartment of Genetics, Division Laboratories, Pharmacy and Biomedical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0001-7384-8043
Margreet G E M AusemsDepartment of Genetics, Division Laboratories, Pharmacy and Biomedical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Lambertus A L M KiemeneyDepartment for Health Evidence, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0002-2368-1326
Gina SchijvenDepartment of Genetics, Division Laboratories, Pharmacy and Biomedical Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Harm H E van MelickDepartment of Urology, St. Antonius Hospital, Utrecht-Nieuwegein, The Netherlands.
M Arjen NoordzijDepartment of Urology, Spaarne Gasthuis, Hoofddorp, The Netherlands.
Diederik M SomfordDepartment of Urology, Canisius Wilhelmina Ziekenhuis, Nijmegen, The Netherlands.ORCID 0000-0002-5277-6586
Henk G van der PoelDepartment of Urology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Carl J WijburgDepartment of Urology, Rijnstate Hospital, Arnhem, The Netherlands.
Bart P WijsmanDepartment of Urology, Elisabeth-TweeSteden Hospital, Tilburg, The Netherlands.
Robert J HoekstraDepartment of Urology, Catharina Hospital, Eindhoven, The Netherlands.
Reindert J A van MoorselaarDepartment of Urology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Bart P J van BezooijenDepartment of Urology, Meander Medical Center, Amersfoort, The Netherlands.
Richard P MeijerDepartment of Oncological Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
Martijn B BusstraDepartment of Urology, Franciscus Gasthuis, Rotterdam, The Netherlands.
H Pieter van den BergDepartment of Internal Medicine, Tergooi Medical Center, Hilversum, The Netherlands.
Debbie G J RobbrechtDepartment of Medical Oncology, Erasmus Medical Center, Rotterdam, The Netherlands.
Benjamin H J DoornweerdDepartment of Urology, University Medical Center Groningen, Groningen, The Netherlands.
Eveline M A BleikerDivision of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Inge M van OortDepartment of Urology, Radboud university medical center, Nijmegen, The Netherlands. inge.vanoort@radboudumc.nl.ORCID 0000-0002-8002-1869

Funding

KWF Kankerbestrijding (Dutch Cancer Society) 12601
6 · The paper itself

Abstract

backgroundInternational guidelines recommend germline genetic testing for men with metastatic prostate cancer. If offered to all patients by genetic healthcare professionals, there will be insufficient capacity to cope with the high patient numbers. In a mainstreaming pathway, non-genetic healthcare professionals (ngHCPs) discuss and order germline genetic testing instead of referring patients to genetic healthcare professionals. We aimed to evaluate the experience of ngHCPs with pre-test genetic counselling and to explore the feasibility from the ngHCPs' perspective.

methodsWe carried out a prospective cohort study in 15 hospitals in the Netherlands. All participating ngHCPs (i.e. urologists, medical oncologists, specialist nurses and nurse practitioners) completed an online training module of 45 min. The ngHCPs completed a questionnaire both before the training and at three and nine months after it. Paired analyses were used to compare the first with the last questionnaires on attitude, confidence in the ability to discuss and order germline genetic testing, and perceived and actual knowledge of genetics and genetic testing.

results167 ngHCPs were invited to participate of whom 69 completed the first questionnaire and started or completed the last one. They had a positive attitude towards offering genetic testing themselves. After nine months of providing pre-test genetic counselling, significantly more ngHCPs considered mainstreaming helpful (94% after versus 81% before, p = 0.01). Both perceived and actual knowledge increased significantly. Pre-test genetic counselling took less than 10 minutes for 82% of ngHCPs and the majority (88%) were in favour of continuing the mainstream pathway. Only six participating ngHCPs considered mainstreaming possible without completing a training module beforehand.

conclusionsAfter completing a short online training module, ngHCPs feel well-prepared to discuss germline genetic testing with metastatic prostate cancer patients.

Indexed as

Genetic TestingNurse PractitionersOncologistsProstatic NeoplasmsUrologistsAgedAttitude of Health PersonnelGenetic CounselingHumansMaleMiddle AgedNeoplasm MetastasisNetherlandsProspective StudiesSurveys and Questionnaires

Identifiers

PMID39639158
PMCPMC12399427

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.