Evidence map›Paper›PMID 40544640›Full record

ArticleAmerican journal of surgery2025

The association of race and ethnicity with risk-reducing mastectomies in patients with non-BRCA mutations.

Koumani W Ntowe, Samantha M Thomas, Juliet C Dalton, Ebunoluwa Olunuga, Ton Wang, Akiko Chiba, Jennifer K Plichta

Abstract read
In one paragraph

Article in American journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Koumani W NtoweDepartment of Surgery, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, 27707, USA. Electronic address: koumani.ntowe@duke.edu.
Samantha M ThomasDuke Cancer Institute, Duke University, 10 Bryan Searle Drive, Durham, NC, 27710, USA; Department of Biostatistics and Bioinformatics, Duke University, 40 Duke Medicine Circle, Durham, NC, 27710, USA. Electronic address: samantha.thomas@duke.edu.
Juliet C DaltonDepartment of Surgery, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, 27707, USA. Electronic address: juliet.dalton@duke.edu.
Ebunoluwa OlunugaDepartment of Surgery, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, 27707, USA. Electronic address: ebun.olunuga@duke.edu.
Ton WangDepartment of Surgery, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, 27707, USA; Duke Cancer Institute, Duke University, 10 Bryan Searle Drive, Durham, NC, 27710, USA. Electronic address: ton.wang@duke.edu.
Akiko ChibaDepartment of Surgery, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, 27707, USA; Duke Cancer Institute, Duke University, 10 Bryan Searle Drive, Durham, NC, 27710, USA. Electronic address: akiko.chiba@duke.edu.
Jennifer K PlichtaDepartment of Surgery, Duke University Medical Center, 2301 Erwin Rd, Durham, NC, 27707, USA; Duke Cancer Institute, Duke University, 10 Bryan Searle Drive, Durham, NC, 27710, USA; Department of Population Health Sciences, Duke University Medical Center, 215 Morris St, Durham, NC, 27701, USA. Electronic address: jennifer.plichta@duke.edu.

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI Lee Zou · 1985 to 2026
$174.8M
Building Interdisciplinary Research Careers in Women's Health (K12) - Administrative SupplementK12AR084231 · NIAMS · DUKE UNIVERSITY · PI Cindy Amundsen · 2023 to 2026
$2.5M
NCI NIH HHS P30 CA014236NIAMS NIH HHS K12 AR084231
6 · The paper itself

Abstract

introductionWe compared rates of risk reducing mastectomies (RRM) in patients with breast cancer (BC)-related pathogenic variants.

methodsFemale patients ages ≥18 with a BC-related pathogenic variant, without a concurrent or prior BC diagnosis, were identified from a single academic center's database. Patients were stratified by BRCA mutations, high penetrance mutations (HPM), and moderate penetrance mutations (MPM). Race and ethnicity were classified as non-Hispanic White (NHW), non-Hispanic Black (NHB), non-Hispanic other (NHO), and Hispanic.

resultsOur study included 528 patients, which included 79.2 ​% (n ​= ​418) NHW, 7.0 ​% (n ​= ​37) NHB, 3.6 ​% (n = ​19) NHO, and 3.4 ​% (n ​= ​18) Hispanic patients. Overall, 16.5 ​% of patients underwent RRM: 18.4 ​% of NHW, 10.8 ​% of NHB, 5.6 ​% of Hispanic (p ​= ​0.45). For NHB and Hispanic patients, no individuals with HPMs (NHB 0/6, Hispanic 0/5) or MPMs (NHB 0/11, Hispanic 0/4) underwent RRM.

conclusionsOur findings suggest that race and ethnicity may be associated with the decision to undergo RRM.

Indexed as

Breast NeoplasmsProphylactic MastectomyAdultAgedEthnicityFemaleHispanic or LatinoHumansMiddle AgedMutationRetrospective StudiesWhiteBRCABreast cancerDisparitiesGenetic testingProphylactic mastectomyRisk reducing mastectomy

Identifiers

PMID40544640
PMCPMC12350064

What Socratic holds

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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 Socratic graph.