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Genetic Testing in Young Adults With Cancer Study

NCT04533555

NAINTERVENTIONAL
University of Pennsylvania
749 participants
Started 2020-12-01 · Completed 2025-09-26
Status: Completed (as of 12-23-2025)

Conditions

Cancer

Linked Papers (from SciSciNet-V2)

Total Papers45
Background
29
Result
0
Derived
0
Unknown
16

Total Citations Per Year

Brief Summary

The overarching goal of our research is to define an evidence-based, sustainable approach to identifying and managing genetic risk among young adults with cancer and their relatives. Conventional practice leaves referral and testing decisions to mostly non-expert clinicians implementing complex guidelines at the point of care, leading to substantial under-utilization. The investigators hypothesize that panel-based universal screening coupled with electronic medical record- (EMR-) based algorithms can improve ascertainment of genetic risk by functioning as an automated, radically simplified default practice in place of repeated single decisions requiring clinician cognitive effort and action. A secondary goal is to explore differences in ascertainment of genetic risk among first-degree relatives of probands.

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Background Papers58

Prevalence and Spectrum of Germline Cancer Susceptibility Gene Mutations Among Patients With Early-Onset Colorectal Cancer
2016
560 citations
Prevalence and Spectrum of Germline Cancer Susceptibility Gene Mutations Among Patients With Early-Onset Colorectal Cancer
2016
560 citations
Mutation Detection in Patients With Advanced Cancer by Universal Sequencing of Cancer-Related Genes in Tumor and Normal DNA vs Guideline-Based Germline Testing
2017
429 citations
Mutation Detection in Patients With Advanced Cancer by Universal Sequencing of Cancer-Related Genes in Tumor and Normal DNA vs Guideline-Based Germline Testing
2017
429 citations
Biology of breast cancer in young women
2014
381 citations
Biology of breast cancer in young women
2014
381 citations
Germline BRCA mutation and outcome in young-onset breast cancer (POSH): a prospective cohort study
2018
364 citations
Germline BRCA mutation and outcome in young-onset breast cancer (POSH): a prospective cohort study
2018
364 citations
Germline Variants in Targeted Tumor Sequencing Using Matched Normal DNA
2015
304 citations
Germline Variants in Targeted Tumor Sequencing Using Matched Normal DNA
2015
304 citations
National Estimates of Genetic Testing in Women With a History of Breast or Ovarian Cancer
2017
303 citations
National Estimates of Genetic Testing in Women With a History of Breast or Ovarian Cancer
2017
303 citations
Underdiagnosis of Hereditary Breast Cancer: Are Genetic Testing Guidelines a Tool or an Obstacle?
2018
298 citations
Underdiagnosis of Hereditary Breast Cancer: Are Genetic Testing Guidelines a Tool or an Obstacle?
2018
298 citations
Germline Genetic Features of Young Individuals With Colorectal Cancer
2017
257 citations
Germline Genetic Features of Young Individuals With Colorectal Cancer
2017
257 citations
Gaps in Incorporating Germline Genetic Testing Into Treatment Decision-Making for Early-Stage Breast Cancer
2017
238 citations
Gaps in Incorporating Germline Genetic Testing Into Treatment Decision-Making for Early-Stage Breast Cancer
2017
238 citations
Next steps for adolescent and young adult oncology workshop: An update on progress and recommendations for the future
2016
185 citations
Next steps for adolescent and young adult oncology workshop: An update on progress and recommendations for the future
2016
185 citations
Health Care Segregation, Physician Recommendation, and Racial Disparities inBRCA1/2Testing Among Women With Breast Cancer
2016
154 citations
Health Care Segregation, Physician Recommendation, and Racial Disparities inBRCA1/2Testing Among Women With Breast Cancer
2016
154 citations
Prevalence of mutations in a panel of breast cancer susceptibility genes in BRCA1/2-negative patients with early-onset breast cancer
2014
152 citations
Prevalence of mutations in a panel of breast cancer susceptibility genes in BRCA1/2-negative patients with early-onset breast cancer
2014
152 citations
Factors Determining Dissemination of Results and Uptake of Genetic Testing in Families with Known BRCA1/2 Mutations
2008
148 citations
Factors Determining Dissemination of Results and Uptake of Genetic Testing in Families with Known BRCA1/2 Mutations
2008
148 citations
Germline TP53 Variants and Susceptibility to Osteosarcoma
2015
126 citations
Germline TP53 Variants and Susceptibility to Osteosarcoma
2015
126 citations
Multigene Panel Testing Provides a New Perspective on Lynch Syndrome
2017
124 citations
Multigene Panel Testing Provides a New Perspective on Lynch Syndrome
2017
124 citations
Biologic and clinical characteristics of adolescent and young adult cancers: Acute lymphoblastic leukemia, colorectal cancer, breast cancer, melanoma, and sarcoma
2016
118 citations
Biologic and clinical characteristics of adolescent and young adult cancers: Acute lymphoblastic leukemia, colorectal cancer, breast cancer, melanoma, and sarcoma
2016
118 citations
Second Primary Malignant Neoplasms and Survival in Adolescent and Young Adult Cancer Survivors
2017
113 citations
Second Primary Malignant Neoplasms and Survival in Adolescent and Young Adult Cancer Survivors
2017
113 citations
Cascade Genetic Testing of Relatives for Hereditary Cancer Risk: Results of an Online Initiative
2018
99 citations
Cascade Genetic Testing of Relatives for Hereditary Cancer Risk: Results of an Online Initiative
2018
99 citations
Communication of BRCA Results and Family Testing in 1,103 High-Risk Women
2010
89 citations
Communication of BRCA Results and Family Testing in 1,103 High-Risk Women
2010
89 citations
Increased yield of actionable mutations using multi-gene panels to assess hereditary cancer susceptibility in an ethnically diverse clinical cohort
2016
74 citations
Increased yield of actionable mutations using multi-gene panels to assess hereditary cancer susceptibility in an ethnically diverse clinical cohort
2016
74 citations
Underdiagnosis of Lynch Syndrome Involves More Than Family History Criteria
2010
73 citations
Underdiagnosis of Lynch Syndrome Involves More Than Family History Criteria
2010
73 citations
Prevalence and predictors of germline CDKN2A mutations for melanoma cases from Australia, Spain and the United Kingdom
2014
55 citations
The impact of an interventional counselling procedure in families with a BRCA1/2 gene mutation: efficacy and safety
2016
55 citations
The impact of an interventional counselling procedure in families with a BRCA1/2 gene mutation: efficacy and safety
2016
55 citations
Prevalence and predictors of germline CDKN2A mutations for melanoma cases from Australia, Spain and the United Kingdom
2014
55 citations
A mutational comparison of adult and adolescent and young adult (AYA) colon cancer
2017
51 citations
A mutational comparison of adult and adolescent and young adult (AYA) colon cancer
2017
51 citations
Underutilization of Lynch syndrome screening in a multisite study of patients with colorectal cancer
2013
47 citations
Underutilization of Lynch syndrome screening in a multisite study of patients with colorectal cancer
2013
47 citations
Impact of a genetic counseling requirement prior to genetic testing
2018
29 citations
Impact of a genetic counseling requirement prior to genetic testing
2018
29 citations
Are physician recommendations for BRCA1/2 testing in patients with breast cancer appropriate? A population‐based study
2013
23 citations
Are physician recommendations for BRCA1/2 testing in patients with breast cancer appropriate? A population‐based study
2013
23 citations
Cancer incidence in English children, adolescents and young people: past trends and projections to 2030
2017
17 citations
Cancer incidence in English children, adolescents and young people: past trends and projections to 2030
2017
17 citations
Gatekeeper role of gastroenterologists and surgeons in recognising and discussing familial colorectal cancer
2015
7 citations
Gatekeeper role of gastroenterologists and surgeons in recognising and discussing familial colorectal cancer
2015
7 citations

Result Papers0

No result papers linked

Derived Papers0

No derived papers linked

Unknown Papers16

Colorectal cancer statistics, 2017
2017
3,601 citations
The distinctive biology of cancer in adolescents and young adults
2008
614 citations
Racial Differences in the Use of <EMPH>BRCA1/2</EMPH> Testing Among Women With a Family History of Breast or Ovarian Cancer
2005
408 citations
Family History of Breast and Ovarian Cancers and BRCA1 and BRCA2 Mutations in a Population-Based Series of Early-Onset Breast Cancer
2001
246 citations
Sharing BRCA1/2 Test Results With First-Degree Relatives: Factors Predicting Who Women Tell
2006
168 citations
Increased risk of second malignant neoplasms in adolescents and young adults with cancer
2015
144 citations
Uptake of Genetic Testing by Relatives of Lynch Syndrome Probands: A Systematic Review
2013
127 citations
Toward New Strategies to Select Young Endometrial Cancer Patients for Mismatch Repair Gene Mutation Analysis
2003
127 citations
Genetic counseling and cascade genetic testing in Lynch syndrome
2016
93 citations
Comprehensive analysis of BRCA1 and BRCA2 germline mutations in a large cohort of 5931 Chinese women with breast cancer
2016
69 citations
Adolescent and Young Adult Cancer Biology
2018
50 citations
Impact of Delay in Diagnosis in Outcomes in MEN1: Results From the Dutch MEN1 Study Group
2016
47 citations
Whole genome sequencing of melanomas in adolescent and young adults reveals distinct mutation landscapes and the potential role of germline variants in disease susceptibility
2018
45 citations
Impact of Payer Constraints on Access to Genetic Testing
2017
44 citations
Evaluating the utilization of educational materials in communicating about Lynch syndrome to at-risk relatives
2014
37 citations
Impact of latency time on survival for adolescents and young adults with a second primary malignancy
2017
17 citations