Evidence map›Paper›PMID 8630835›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne1996

A sociobehavioural perspective on genetic testing and counselling for heritable breast, ovarian and colon cancer.

K G Macdonald, B Doan, M Kelner, K M Taylor

Abstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1996. 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. Genetic susceptibility to cancer. Family physicians' experience.Canadian family physician Medecin de famille canadien · 2003
    Article
  2. Hereditary breast cancer. Psychosocial issues and family physicians' role.Canadian family physician Medecin de famille canadien · 1999
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

K G MacdonaldDepartment of Administrative Studies and Nursing, York University, Ont.
B Doan
M Kelner
K M Taylor

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Testing for susceptibility to heritable breast, ovarian and colon cancer has unique psychosocial costs. Negative test results may not be sufficient to relieve anxiety, and positive results can cause sufficient distress to compromise patient compliance with surveillance and risk reduction measures. More needs to be learned about how sociocultural factors affect the understanding of risk, how decisions to undergo testing are made and how information about increased risk affects family dynamics. As the demand for testing and counselling grows, health care providers will be faced with new challenges and dilemmas. A better understanding of genetics by the public is needed to mitigate deterministic attitudes that can lead to the neglect of health promotion. Also of concern are the socioeconomic implications of being identified as having a high risk for heritable cancer and the dangers inherent in using genetics to explain sociological phenomena. Health care providers must take the lead in ensuring that developments in genetics are used to the benefit of all.

Indexed as

AttitudeBreast NeoplasmsColonic NeoplasmsCultureDisease SusceptibilityFemaleGenetic CounselingGenetic TestingHumansOvarian NeoplasmsSocioeconomic FactorsGenetics and Reproduction

Identifiers

PMID8630835
PMCPMC1487608

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.