Evidence map›Paper›PMID 42147175›Full record

ArticleResearch square2026

Familial Disclosure and Cascade Testing in High-Risk Families is Influenced by Gene Variant Penetrance: Implications for Family based Breast Cancer Prevention.

Achille V C Manirakiza, Jincong Q Freeman, Fangyuan Zhao, Emma Keel, Christine Drogan, Iris Romero, Dezheng Huo, Olufunmilayo I Olopade

Abstract readPreprint
In one paragraph

Article in Research square, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Achille V C ManirakizaCenter for Innovation in Global Health & MaCLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL.ORCID https://orcid.org/0000-0002-3829-2016
Jincong Q FreemanDepartment of Public Health Sciences, The University of Chicago, Chicago, IL.ORCID https://orcid.org/0000-0002-1119-2146
Fangyuan ZhaoDepartment of Public Health Sciences, The University of Chicago, Chicago, IL.ORCID https://orcid.org/0000-0001-9776-3677
Emma KeelCenter for Innovation in Global Health & MaCLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL.ORCID https://orcid.org/0000-0002-6163-4168
Christine DroganCenter for Innovation in Global Health & MaCLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL.ORCID https://orcid.org/0000-0002-9927-9739
Iris RomeroDepartment of Obstetrics and Gynecology, University of Chicago Medicine, Chicago, IL.ORCID https://orcid.org/0000-0001-5849-5024
Dezheng HuoCenter for Innovation in Global Health & MaCLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL.ORCID https://orcid.org/0000-0002-4041-1678
Olufunmilayo I OlopadeCenter for Innovation in Global Health & MaCLean Center for Clinical Medical Ethics, The University of Chicago, Chicago, IL.ORCID https://orcid.org/0000-0002-9936-1599

Funding

SPECIALIZED TRAINING PROGRAM IN THE DEMOGRAPHY &ECON.T32AG000243 · NIA · UNIVERSITY OF CHICAGO · PI DAVID O MELTZER · 1994 to 2026
$8.2M
UChicago Interdisciplinary Cancer Health Disparities SPOREP20CA233307 · NCI · UNIVERSITY OF CHICAGO · PI LINGEN, MARK W. · 2018 to 2020
$3.4M
NCI NIH HHS P20 CA233307NIA NIH HHS T32 AG000243
6 · The paper itself

Abstract

Background and Methods: Point of care genetic testing has grown but cascade testing of At-Risk Relatives (ARR) remains underutilized. Between July and September 2023, we surveyed 912 individuals enrolled in the Cancer Prone Study, a registry of diverse high-risk families who received genetic counseling from cancer genetic experts. We analyzed correlates of familial disclosure and cascade testing among carriers of pathogenic/likely pathogenic variants (PV). Data on carrier status of PV in cancer-predisposing genes, penetrance level of variants, receipt of a family letter, familial disclosure, and follow up cascade testing of ARRs were collected. Results: Of 912 respondents, 39.4% were carriers of PV. Among these carriers, 78% had highly penetrant PVs (most common genes were

Identifiers

PMID42147175
PMCPMC13174783

What OpenQuestion holds

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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.