Table 3.
Study | Patient demographic | Study design | Method of obtaining cancer status | Interval of follow-up | Sample size of cohort | RR | 95% CI | P-value |
---|---|---|---|---|---|---|---|---|
Breast Cancer Linkage Consortium 199923 | Europe and North America | Cohort: patients with breast cancer at < 60 years, ovarian cancer or male breast cancer and known carriers by typing and obligate carriers Control: compared with incidence in the general population |
ICD codes from medical records. 48% of diagnoses confirmed by pathology report, clinical records, or death certificate | 1960–1995 | 3728 | 2·58 | 1·28–5·17 | 0·01 |
van Asperen 200537 | Netherlands | Cohort: men and women from 139 BRCA2 families with 66 different pathogenic mutations. To avoid testing bias, chose not to estimate risk in typed carriers, but rather in male and female family members with a 50% probability of being a carrier Control: compared with incidence in the general population |
Mentioned by individual or family member during genetic counselling meeting. Cancer diagnoses were medically and/or pathologically confirmed by pathology reports and clinical records | 1960 to date of first cancer diagnosis, death, last contact, last DNA test in the family or age 80 | 1811 | 0·1 | 0·01–0·2 | NA |
Moran 201235 | North West and West Midlands of England | Cohort: patients who tested positive for a mutation or were obligate carriers based on pedigree analysis Control: compared with incidence in the general population |
Cancer diagnosis obtained from patient history. All cancers confirmed by regional cancer registry | 1975–2005 | 1526 | 2·6 | 1·0–5·7 | NA |
Johannsson 199930 | Southern Sweden | Cohort: pedigree analysis of large BRCA1/2 families in which index cases were confirmed to have BRCA1/2 mutations by genetic testing. Risk was assessed for the family as a whole, including mutation carriers and nonmutation carriers, though family branches that were proved or suspected of being noncarriers were excluded Control: compared with incidence in the general population |
ICD-7 codes from the population-based Census Registry and the Swedish Cancer Registries | 1958–1995 | 728 | 2·71 | 0·56–7·92 | 0·10 |