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Article: International trends in the uptake of cancer risk reduction strategies in women with a BRCA1 or BRCA2 mutation

TitleInternational trends in the uptake of cancer risk reduction strategies in women with a BRCA1 or BRCA2 mutation
Authors
Issue Date2019
PublisherSpringer Nature, published in association with Cancer Research UK. The Journal's web site is located at http://www.nature.com/bjc
Citation
British Journal of Cancer, 2019, v. 121 n. 1, p. 15-21 How to Cite?
AbstractBACKGROUND: Women with a BRCA1 or BRCA2 mutation face high risks of breast and ovarian cancer. In the current study, we report on uptake of cancer screening and risk-reduction options in a cohort of BRCA mutation carriers from ten countries over two time periods (1995 to 2008 and 2009 to 2017). METHODS: Eligible subjects were identified from an international database of female BRCA mutation carriers and included women from 59 centres from ten countries. Subjects completed a questionnaire at the time of genetic testing, which included past use of cancer prevention options and screening tests. Biennial follow-up questionnaires were administered. RESULTS: Six-thousand two-hundred and twenty-three women were followed for a mean of 7.5 years. The mean age at last follow-up was 52.1 years (27-96 years) and 42.3% of the women had a prior diagnosis of breast cancer. In all, 27.8% had a prophylactic bilateral mastectomy and 64.7% had a BSO. Screening with breast MRI increased from 70% before 2009 to 81% at or after 2009. There were significant differences in uptake of all options by country. CONCLUSION: For women who received genetic testing more recently, uptake of prophylactic mastectomy and breast MRI is significantly higher than those who received genetic testing more than 10 years ago. However, uptake of both BSO and breast MRI is not optimal, and interventions to increase uptake are needed.
Persistent Identifierhttp://hdl.handle.net/10722/272348
ISSN
2019 Impact Factor: 5.791
2015 SCImago Journal Rankings: 2.939
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorMetcalfe, K-
dc.contributor.authorEisen, A-
dc.contributor.authorSenter, L-
dc.contributor.authorArmel, S-
dc.contributor.authorBordeleau, L-
dc.contributor.authorMeschino, WS-
dc.contributor.authorPal, T-
dc.contributor.authorLynch, HT-
dc.contributor.authorTung, NM-
dc.contributor.authorKwong, A-
dc.contributor.authorAinsworth, P-
dc.contributor.authorKarlan, B-
dc.contributor.authorMoller, P-
dc.contributor.authorEng, C-
dc.contributor.authorWeitzel, JN-
dc.contributor.authorSun, P-
dc.contributor.authorLubinski, J-
dc.contributor.authorNarod, SA-
dc.contributor.authorThe Hereditary Breast Cancer Clinical Study Group-
dc.date.accessioned2019-07-20T10:40:33Z-
dc.date.available2019-07-20T10:40:33Z-
dc.date.issued2019-
dc.identifier.citationBritish Journal of Cancer, 2019, v. 121 n. 1, p. 15-21-
dc.identifier.issn0007-0920-
dc.identifier.urihttp://hdl.handle.net/10722/272348-
dc.description.abstractBACKGROUND: Women with a BRCA1 or BRCA2 mutation face high risks of breast and ovarian cancer. In the current study, we report on uptake of cancer screening and risk-reduction options in a cohort of BRCA mutation carriers from ten countries over two time periods (1995 to 2008 and 2009 to 2017). METHODS: Eligible subjects were identified from an international database of female BRCA mutation carriers and included women from 59 centres from ten countries. Subjects completed a questionnaire at the time of genetic testing, which included past use of cancer prevention options and screening tests. Biennial follow-up questionnaires were administered. RESULTS: Six-thousand two-hundred and twenty-three women were followed for a mean of 7.5 years. The mean age at last follow-up was 52.1 years (27-96 years) and 42.3% of the women had a prior diagnosis of breast cancer. In all, 27.8% had a prophylactic bilateral mastectomy and 64.7% had a BSO. Screening with breast MRI increased from 70% before 2009 to 81% at or after 2009. There were significant differences in uptake of all options by country. CONCLUSION: For women who received genetic testing more recently, uptake of prophylactic mastectomy and breast MRI is significantly higher than those who received genetic testing more than 10 years ago. However, uptake of both BSO and breast MRI is not optimal, and interventions to increase uptake are needed.-
dc.languageeng-
dc.publisherSpringer Nature, published in association with Cancer Research UK. The Journal's web site is located at http://www.nature.com/bjc-
dc.relation.ispartofBritish Journal of Cancer-
dc.titleInternational trends in the uptake of cancer risk reduction strategies in women with a BRCA1 or BRCA2 mutation-
dc.typeArticle-
dc.identifier.emailKwong, A: avakwong@hku.hk-
dc.identifier.authorityKwong, A=rp01734-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1038/s41416-019-0446-1-
dc.identifier.pmid30971774-
dc.identifier.scopuseid_2-s2.0-85064232519-
dc.identifier.hkuros298525-
dc.identifier.hkuros301057-
dc.identifier.volume121-
dc.identifier.issue1-
dc.identifier.spage15-
dc.identifier.epage21-
dc.identifier.isiWOS:000473525700004-
dc.publisher.placeUnited Kingdom-

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