Psychosocial impact of undergoing prostate cancer screening for men with BRCA1 or BRCA2 mutations


Por: Bancroft, EK, Saya, S, Page, EC, Myhill, K, Thomas, S, Pope, J, Chamberlain, A, Hart, R, Glover, W, Cook, J, Rosario, DJ, Helfand, BT, Selkirk, CH, Davidson, R, Longmuir, M, Eccles, DM, Gadea, N, Brewer, C, Barwell, J, Salinas, M, Greenhalgh, L, Tischkowitz, M, Henderson, A, Evans, DG, Buys, SS, Eeles, RA, Aaronson, NK, Eeles, R, Bancroft, E, Page, E, Kote-Jarai, Z, Ardern-Jones, A, Bangma, C, Castro, E, Dearnaley, D, Falconer, A, Foster, C, Gronberg, H, Hamdy, FC, Johannsson, OT, Khoo, V, Eccles, D, Lilja, H, Evans, G, Eyfjord, J, Lubinski, J, Maehle, L, Mikropoulos, C, Millner, A, Mitra, A, Offman, J, Moynihan, C, Rennert, G, Suri, M, Dias, A, Taylor, N, D'Mello, L, Pope, J, James, P, Mitchell, G, Shanley, S, Richardson, K, McKinley, J, Petelin, L, Murphy, M, Mascarenhas, L, Murphy, D, Lam, J, Taylor, L, Miller, C, Stapleton, A, Chong, M, Suthers, G, Poplawski, N, Tucker, K, Andrews, L, Duffy, J, Millard, R, Ward, R, Williams, R, Stricker, P, Kirk, J, Bowman, M, Patel, M, Harris, M, O'Connell, S, Hunt, C, Smyth, C, Frydenberg, M, Lindeman, G, Shackleton, K, Morton, C, Susman, R, McGaughran, J, Boon, M, Pachter, N, Townshend, S, Schofield, L, Nicholls, C, Spigelman, A, Gleeson, M, Amor, D, Burke, J, Patterson, B, Swindle, P, Scott, R, Foulkes, W, Boshari, T, Aprikian, A, Jensen, T, Bojeson, A, Osther, P, Skytte, AB, Cruger, D, Tondering, MK, Gerdes, AM, Schmutzler, R, Rhiem, K, Wihler, P, Kast, K, Griebsch, C, Johannsson, O, Stefansdottir, V, Murthy, V, Sarin, R, Awatagiri, K, Ghonge, S, Kowtal, P, Mulgund, G, Gallagher, D, Bambury, R, Farrell, M, Gallagher, F, Kiernan, I, Friedman, E, Chen-Shtoyerman, R, Basevitch, A, Leibovici, D, Melzer, E, Ben-Yehoshua, SJ, Nicolai, N, Radice, P, Valdagni, R, Magnani, T, Gay, S, Teo, SH, Tan, HM, Yoon, SY, Thong, MK, Vasen, H, Ringleberg, J, van Asperen, C, Kiemeney, B, van Zelst-Stams, W, Ausems, MGEM, van der Luijt, RB, van Os, T, Ruijs, MWG, Adank, MA, Oldenburg, RA, Helderman-van den Enden, APTJM, Caanen, BAH, Oosterwijk, JC, Moller, P, Brennhovd, B, Medvik, H, Hanslien, E, Grindedal, EM, Cybulski, C, Wokolorczyk, D, Teixeira, M, Maia, S, Peixoto, A, Henrique, R, Oliveira, J, Goncalves, N, Araujo, L, Seixas, M, Souto, JP, Nogueira, P, Copakova, L, Zgajnar, J, Krajc, M, Vrecar, A, Capella, G, Cajal, TRY, Fisas, D, Mora, J, Esquena, S, Balmana, J, Morote, J, Liljegren, A, Hjalm-Eriksson, M, Ekdahl, KJ, Carlsson, S, George, A, Kemp, Z, Wiggins, J, Moss, C, Van As, N, Thompson, A, Ogden, C, Woodhouse, C, Kumar, P, Evans, DG, Bulman, B, Rothwell, J, Tricker, K, Wise, G, Mercer, C, McBride, D, Costello, P, Pearce, A, Torokwa, A, Paterson, J, Clowes, V, Taylor, A, Newcombe, B, Walker, L, Halliday, D, Stayner, B, Fleming-Brown, D, Snape, K, Hanson, H, Hodgson, S, Brice, G, Homfray, T, Hammond, C, Kohut, K, Anjum, U, Dearing, A, Mencias, M, Potter, A, Renton, C, Searle, A, Hill, K, Goodman, S, Garcia, L, Devlin, G, Everest, S, Nadolski, M, Douglas, F, Jobson, I, Paez, E, Donaldson, A, Tomkins, S, Langman, C, Jacobs, C, Pichert, G, Shaw, A, Kulkarni, A, Tripathi, V, Rose, S, Compton, C, Watson, M, Reinholtz, C, Brady, A, Dorkins, H, Melville, A, Kosicka-Slawinska, M, Cummings, C, Kiesel, V, Bartlett, M, Randhawa, K, Ellery, N, Side, L, Male, A, Simon, K, Rees, K, Tidey, L, Gurasashvili, J, Nevitt, L, Ingram, S, Howell, A, Rosario, D, Catto, J, Howson, J, Ong, KR, Chapman, C, Cole, T, Heaton, T, Hoffman, J, Burgess, L, Huber, C, Islam, F, Watt, C, Duncan, A, Kockelbergh, R, Mzazi, S, Dineen, A, Sattar, A, Kaemba, B, Sidat, Z, Patel, N, Siguake, K, Birt, A, Poultney, U, Umez-Eronini, N, Mom, J, Sutton, V, Cornford, P, Bermingham, N, Yesildag, P, Treherne, K, Griffiths, J, Cogley, L, Gott, H, Rubinstein, WS, Hulick, P, McGuire, M, Shevrin, D, Kaul, K, Weissman, S, Newlin, A, Vogel, K, Weiss, S, Hook, N, Buys, S, Goldgar, D, Conner, T, Venne, V, Stephenson, R, Dechet, C, Domchek, S, Powers, J, Rustgi, N, Strom, S, Arun, B, Davis, JW, Yamamura, Y, Obeid, E, Giri, V, Gross, L, Bealin, L, Cooney, K, Stoffel, E, Okoth, L

Publicada: 1 feb 2019
Resumen:
Objectives To report the baseline results of a longitudinal psychosocial study that forms part of the IMPACT study, a multi-national investigation of targeted prostate cancer (PCa) screening among men with a known pathogenic germline mutation in the BRCA1 or BRCA2 genes. Particpants and Methods Men enrolled in the IMPACT study were invited to complete a questionnaire at collaborating sites prior to each annual screening visit. The questionnaire included sociodemographic characteristics and the following measures: the Hospital Anxiety and Depression Scale (HADS), Impact of Event Scale (IES), 36-item short-form health survey (SF-36), Memorial Anxiety Scale for Prostate Cancer, Cancer Worry Scale-Revised, risk perception and knowledge. The results of the baseline questionnaire are presented. Results A total of 432 men completed questionnaires: 98 and 160 had mutations in BRCA1 and BRCA2 genes, respectively, and 174 were controls (familial mutation negative). Participants' perception of PCa risk was influenced by genetic status. Knowledge levels were high and unrelated to genetic status. Mean scores for the HADS and SF-36 were within reported general population norms and mean IES scores were within normal range. IES mean intrusion and avoidance scores were significantly higher in BRCA1/BRCA2 carriers than in controls and were higher in men with increased PCa risk perception. At the multivariate level, risk perception contributed more significantly to variance in IES scores than genetic status. Conclusion This is the first study to report the psychosocial profile of men with BRCA1/BRCA2 mutations undergoing PCa screening. No clinically concerning levels of general or cancer-specific distress or poor quality of life were detected in the cohort as a whole. A small subset of participants reported higher levels of distress, suggesting the need for healthcare professionals offering PCa screening to identify these risk factors and offer additional information and support to men seeking PCa screening.

Filiaciones:
Bancroft, EK:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, 123 Old Brompton Rd, London SW7 3RP, England

Saya, S:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, Coordinating Ctr, London, England

Page, EC:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

Myhill, K:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, Coordinating Ctr, London, England

Thomas, S:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, Coordinating Ctr, London, England

Pope, J:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, Coordinating Ctr, London, England

Chamberlain, A:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, Coordinating Ctr, London, England

Hart, R:
 Birmingham Womens Hosp, Clin Genet Unit, Birmingham, W Midlands, England

 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Glover, W:
 Birmingham Womens Hosp, Clin Genet Unit, Birmingham, W Midlands, England

 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Cook, J:
 Sheffield Childrens Hosp, Sheffield Clin Genet Serv, Sheffield, S Yorkshire, England

 North Trent Clin Genet Serv, Sheffield, S Yorkshire, England

Rosario, DJ:
 Royal Hallamshire Hosp, Dept Urol, Sheffield, S Yorkshire, England

Helfand, BT:
 NorthShore Univ HealthSyst, John & Carol Walter Ctr Urol Hlth, Evanston, IL USA

Selkirk, CH:
 NorthShore Univ HealthSyst, John & Carol Walter Ctr Urol Hlth, Evanston, IL USA

Davidson, R:
 Queen Elizabeth Univ Hosp, Clin Genet Dept, Glasgow, Lanark, Scotland

 West Scotland Genet Serv, Glasgow, Lanark, Scotland

Longmuir, M:
 Queen Elizabeth Univ Hosp, Clin Genet Dept, Glasgow, Lanark, Scotland

 West Scotland Genet Serv, Glasgow, Lanark, Scotland

Eccles, DM:
 Princess Anne Hosp, Wessex Clin Genet Serv, Southampton, Hants, England

 Univ Southampton, Fac Med, Univ Hosp Southampton NHS Fdn Trust, Southampton, Hants, England

Gadea, N:
 Vali dHebron Univ Hosp, High Risk & Canc Prevent Clin, Barcelona, Spain

 Hosp Valle De Hebron, Barcelona, Spain

Brewer, C:
 Royal Devon & Exeter Hosp, Clin Genet Dept, Exeter, Devon, England

 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

 Derriford Hosp, Plymouth, Devon, England

Barwell, J:
 Univ Leicester, Dept Genet, Leicester, Leics, England

 Univ Hosp Leicester, Clin Genet, Leicester, Leics, England

 Leicester Royal Infirm, Leicester, Leics, England

Salinas, M:
 Catalan Inst Oncol ICO IDIBELL CIBERONC, Hereditary Canc Programme, Barcelona, Spain

 Catalonian Inst Oncol, Hereditary Canc Program, Barcelona, Spain

Greenhalgh, L:
 Liverpool Womens Hosp, Cheshire & Mersey Clin Genet Serv, Liverpool, Merseyside, England

Tischkowitz, M:
 Univ Cambridge, Acad Dept Med Genet, Cambridge, England

 East Anglian Reg Genet Serv, Cambridge, England

Henderson, A:
 Newcastle upon Tyne Hosp, Northern Genet Serv, Newcastle, NSW, Australia

 Northern Clin Genet Serv, Newcastle, NSW, Australia

 North Cumbria Univ Hosp Trust, Carlisle, England

Evans, DG:
 Cent Manchester Univ Hosp NHS Fdn Trust, Manchester Ctr Genom Med, Manchester, Lancs, England

Buys, SS:
 Univ Utah Hlth, Huntsman Canc Inst, Salt Lake City, UT USA

Eeles, RA:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

Aaronson, NK:
 Netherlands Canc Inst, Div Psychosocial Res & Epidemiol, Amsterdam, Netherlands

Eeles, R:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, 123 Old Brompton Rd, London SW7 3RP, England

 Inst Canc Res, Coordinating Ctr, London, England

Bancroft, E:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, 123 Old Brompton Rd, London SW7 3RP, England

 Royal Marsden NHS Fdn Trust, London, England

 Inst Canc Res, Coordinating Ctr, London, England

Page, E:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, 123 Old Brompton Rd, London SW7 3RP, England

 Inst Canc Res, Coordinating Ctr, London, England

Kote-Jarai, Z:
 Inst Canc Res, 123 Old Brompton Rd, London SW7 3RP, England

Ardern-Jones, A:
 Royal Marsden NHS Fdn Trust, London, England

Bangma, C:
 Erasmus Univ, Med Ctr, Rotterdam, Netherlands

Castro, E:
 CNIO, Madrid, Spain

Dearnaley, D:
 Inst Canc Res, 123 Old Brompton Rd, London SW7 3RP, England

Falconer, A:
 Imperial Coll Healthcare NHS Trust, London, England

Foster, C:
 HCA Pathol Labs, London, England

Gronberg, H:
 Univ Hosp, Umea, Sweden

Hamdy, FC:
 Univ Oxford, Oxford, England

Johannsson, OT:
 Landspitali Natl Univ Hosp Iceland, Reykjavik, Iceland

Khoo, V:
 Royal Marsden NHS Fdn Trust, London, England

 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Eccles, D:
 Princess Anne Hosp, Wessex Clin Genet Serv, Southampton, Hants, England

 Univ Southampton, Fac Med, Univ Hosp Southampton NHS Fdn Trust, Southampton, Hants, England

 Wessex Clin Genet Serv, Southampton, Hants, England

Lilja, H:
 New York & Univ Oxford, MSKCC, Oxford, England

Evans, G:
 St Marys Hosp, Manchester, Lancs, England

Eyfjord, J:
 Univ Iceland, Reykjavik, Iceland

Lubinski, J:
 Int Hereditary Canc Ctr, Szczecin, Poland

Maehle, L:
 Norwegian Radium Hosp, Oslo, Norway

Mikropoulos, C:
 Inst Canc Res, 123 Old Brompton Rd, London SW7 3RP, England

Millner, A:
 Royal Marsden NHS Fdn Trust, London, England

Mitra, A:
 Univ Coll London Hosp, London, England

Offman, J:
 Kings Coll London, London, England

Moynihan, C:
 Royal Marsden NHS Fdn Trust, London, England

Rennert, G:
 CHS Natl Canc Control Ctr, Carmel Med Ctr, Haifa, Israel

Suri, M:
 Nottingham City Hosp, Nottingham, England

Dias, A:
 Inst Canc Res, Coordinating Ctr, London, England

Taylor, N:
 Inst Canc Res, Coordinating Ctr, London, England

D'Mello, L:
 Inst Canc Res, Coordinating Ctr, London, England

Pope, J:
 Royal Marsden NHS Fdn Trust, Oncogenet Team, London, England

 Inst Canc Res, Oncogenet Team, London, England

 Inst Canc Res, Coordinating Ctr, London, England

James, P:
 Parkville Familial Canc Ctr, Peter MacCallum Canc Ctr, East Melbourne, Vic, Australia

 Univ Melbourne, Sir Peter MacCallum Dept Oncol, Melbourne, Vic, Australia

 Royal Melbourne Hosp, Genet Med, Melbourne, Vic, Australia

Mitchell, G:
 Parkville Familial Canc Ctr, Peter MacCallum Canc Ctr, East Melbourne, Vic, Australia

 Univ Melbourne, Sir Peter MacCallum Dept Oncol, Melbourne, Vic, Australia

Shanley, S:
 Parkville Familial Canc Ctr, Peter MacCallum Canc Ctr, East Melbourne, Vic, Australia

Richardson, K:
 Parkville Familial Canc Ctr, Peter MacCallum Canc Ctr, East Melbourne, Vic, Australia

McKinley, J:
 Parkville Familial Canc Ctr, Peter MacCallum Canc Ctr, East Melbourne, Vic, Australia

Petelin, L:
 Parkville Familial Canc Ctr, Peter MacCallum Canc Ctr, East Melbourne, Vic, Australia

Murphy, M:
 Parkville Familial Canc Ctr, Peter MacCallum Canc Ctr, East Melbourne, Vic, Australia

Mascarenhas, L:
 Parkville Familial Canc Ctr, Peter MacCallum Canc Ctr, East Melbourne, Vic, Australia

Murphy, D:
 Peter MacCallum Canc Ctr, Dept Urol, East Melbourne, Vic, Australia

Lam, J:
 Repatriat Gen Hosp, Dept Urol, Daw Pk, SA, Australia

Taylor, L:
 Repatriat Gen Hosp, Dept Urol, Daw Pk, SA, Australia

Miller, C:
 Repatriat Gen Hosp, Dept Urol, Daw Pk, SA, Australia

Stapleton, A:
 Repatriat Gen Hosp, Dept Urol, Daw Pk, SA, Australia

Chong, M:
 Repatriat Gen Hosp, Dept Urol, Daw Pk, SA, Australia

Suthers, G:
 SA Pathol Womens & Childrens Hosp, SA Clin Genet Serv, Adelaide, SA, Australia

Poplawski, N:
 SA Pathol Womens & Childrens Hosp, SA Clin Genet Serv, Adelaide, SA, Australia

Tucker, K:
 Prince Wales Hosp, Hereditary Canc Clin, Randwick, NSW, Australia

Andrews, L:
 Prince Wales Hosp, Hereditary Canc Clin, Randwick, NSW, Australia

Duffy, J:
 Prince Wales Hosp, Hereditary Canc Clin, Randwick, NSW, Australia

Millard, R:
 Prince Wales Hosp, Dept Urol, Randwick, NSW, Australia

Ward, R:
 UNSW, Prince Wales Clin Sch, Fac Med, Hereditary Canc Clin, Sydney, NSW, Australia

Williams, R:
 UNSW, Prince Wales Clin Sch, Fac Med, Hereditary Canc Clin, Sydney, NSW, Australia

Stricker, P:
 St Vincents Clin, Sydney, NSW, Australia

Kirk, J:
 Westmead Hosp, Familial Canc Serv, Wentworthville, NSW, Australia

 Westmead Inst Med Res, Ctr Canc Res, Westmead, NSW, Australia

Bowman, M:
 Westmead Hosp, Familial Canc Serv, Wentworthville, NSW, Australia

Patel, M:
 Westmead Hosp, Wentworthville, NSW, Australia

Harris, M:
 Monash Hlth, Familial Canc Ctr, Clayton, Vic, Australia

O'Connell, S:
 Monash Hlth, Familial Canc Ctr, Clayton, Vic, Australia

Hunt, C:
 Monash Hlth, Familial Canc Ctr, Clayton, Vic, Australia

Smyth, C:
 Monash Hlth, Familial Canc Ctr, Clayton, Vic, Australia

Frydenberg, M:
 Monash Med Ctr, Clayton, Vic, Australia

Lindeman, G:
 Royal Melbourne Hosp, Parkville Familial Canc Ctr, Grattan St, Parkville, Vic, Australia

 Walter & Eliza Hall Inst Med Res, Stem Cells & Canc Div, Parkville, Vic, Australia

 Univ Melbourne, Dept Med, Parkville, Vic, Australia

Shackleton, K:
 Royal Melbourne Hosp, Parkville Familial Canc Ctr, Grattan St, Parkville, Vic, Australia

Morton, C:
 Royal Melbourne Hosp, Parkville Familial Canc Ctr, Grattan St, Parkville, Vic, Australia

Susman, R:
 Royal Brisbane & Womens Hosp, Genet Hlth Queensland, Herston, Qld, Australia

McGaughran, J:
 Royal Brisbane & Womens Hosp, Genet Hlth Queensland, Herston, Qld, Australia

Boon, M:
 Royal Brisbane & Womens Hosp, Genet Hlth Queensland, Herston, Qld, Australia

Pachter, N:
 King Edward Mem Hosp, Genet Serv WA, Subiaco, WA, Australia

 Univ Western Australia, Dept Paediat, Perth, WA, Australia

Townshend, S:
 King Edward Mem Hosp, Genet Serv WA, Subiaco, WA, Australia

Schofield, L:
 King Edward Mem Hosp, Genet Serv WA, Subiaco, WA, Australia

Nicholls, C:
 King Edward Mem Hosp, Genet Serv WA, Subiaco, WA, Australia

Spigelman, A:
 Hunter Family Canc Serv, NSW Allan Spigelman, Waratah, NSW, Australia

 Univ New South Wales, St Vincents Clin Sch, Waratah, NSW, Australia

 St Vincents Hosp, Kinghorn Canc Ctr, Hereditary Canc Clin, Sydney, NSW, Australia

Gleeson, M:
 Hunter Family Canc Serv, NSW Allan Spigelman, Waratah, NSW, Australia

Amor, D:
 Tasmanian Clin Genet Serv, Hobart, Tas, Australia

 Murdoch Childrens Res Inst, Parkville, Vic, Australia

Burke, J:
 Tasmanian Clin Genet Serv, Hobart, Tas, Australia

Patterson, B:
 Tasmanian Clin Genet Serv, Hobart, Tas, Australia

Swindle, P:
 Mater Private Hosp, South Brisbane, Qld, Australia

Scott, R:
 Univ Newcastle, Sch Biomed Sci & Pharm, Callaghan, NSW, Australia

 Victorian Canc Biobank, Carlton, Vic, Australia

 Westmead Hosp, Ctr Canc Res, Dept Gynaecol Oncol Lab, Westmead, NSW, Australia

 PathWest Clin Trials Lab, Nedlands, WA, Australia

 Pathol Queensland Cent Lab Hlth Support Queenslan, QLD Dept Hlth, Herston, Qld, Australia

Foulkes, W:
 McGill Univ, Montreal, PQ, Canada

Boshari, T:
 McGill Univ, Montreal, PQ, Canada

Aprikian, A:
 McGill Univ, Montreal, PQ, Canada

Jensen, T:
 Vejle Hosp, Vejle, Denmark

Bojeson, A:
 Vejle Hosp, Vejle, Denmark

Osther, P:
 Vejle Hosp, Vejle, Denmark

Skytte, AB:
 Vejle Hosp, Vejle, Denmark

Cruger, D:
 Vejle Hosp, Vejle, Denmark

Tondering, MK:
 Vejle Hosp, Vejle, Denmark

Gerdes, AM:
 Odense Univ Hosp, Odense, Denmark

Schmutzler, R:
 Univ Hosp Cologne, Ctr Familial Breast & Ovarian Canc, Cologne, Germany

Rhiem, K:
 Univ Hosp Cologne, Ctr Familial Breast & Ovarian Canc, Cologne, Germany

Wihler, P:
 Univ Hosp Cologne, Ctr Familial Breast & Ovarian Canc, Cologne, Germany

Kast, K:
 Univ Hosp Dresden, Dresden, Germany

Griebsch, C:
 Univ Hosp Dresden, Dresden, Germany

Johannsson, O:
 Landspitali Natl Univ Hosp Iceland, Reykjavik, Iceland

 Univ Hosp Iceland, Reykjavik, Iceland

Stefansdottir, V:
 Univ Hosp Iceland, Reykjavik, Iceland

Murthy, V:
 Tata Mem Hosp, Bombay, Maharashtra, India

Sarin, R:
 Tata Mem Hosp, Bombay, Maharashtra, India

Awatagiri, K:
 Tata Mem Hosp, Bombay, Maharashtra, India

Ghonge, S:
 Tata Mem Hosp, Bombay, Maharashtra, India

Kowtal, P:
 Tata Mem Hosp, Bombay, Maharashtra, India

Mulgund, G:
 Tata Mem Hosp, Bombay, Maharashtra, India

Gallagher, D:
 Mater Private Hosp, Dublin, Ireland

Bambury, R:
 Mater Private Hosp, Dublin, Ireland

Farrell, M:
 Mater Private Hosp, Dublin, Ireland

Gallagher, F:
 Mater Private Hosp, Dublin, Ireland

Kiernan, I:
 Mater Private Hosp, Dublin, Ireland

Friedman, E:
 Cha Sheba Med Ctr, Tel Hashomer, Israel

 Tel Aviv Univ, Sackler Sch Med, Tel Aviv, Israel

Chen-Shtoyerman, R:
 Kaplan Med Ctr, Genet Inst, Gastroenterol Inst, Rehovot, Israel

 Kaplan Med Ctr, Urol Dept, Rehovot, Israel

Basevitch, A:
 Kaplan Med Ctr, Genet Inst, Gastroenterol Inst, Rehovot, Israel

 Kaplan Med Ctr, Urol Dept, Rehovot, Israel

Leibovici, D:
 Kaplan Med Ctr, Genet Inst, Gastroenterol Inst, Rehovot, Israel

 Kaplan Med Ctr, Urol Dept, Rehovot, Israel

Melzer, E:
 Kaplan Med Ctr, Genet Inst, Gastroenterol Inst, Rehovot, Israel

 Kaplan Med Ctr, Urol Dept, Rehovot, Israel

Ben-Yehoshua, SJ:
 Kaplan Med Ctr, Genet Inst, Gastroenterol Inst, Rehovot, Israel

 Kaplan Med Ctr, Urol Dept, Rehovot, Israel

Nicolai, N:
 Ist Nazl Tumori, Milan, Italy

Radice, P:
 Ist Nazl Tumori, Milan, Italy

Valdagni, R:
 Ist Nazl Tumori, Milan, Italy

Magnani, T:
 Ist Nazl Tumori, Milan, Italy

Gay, S:
 Ist Nazl Tumori, Milan, Italy

Teo, SH:
 Subang Jaya Med Ctr, Canc Res Initiat Fdn, Selangor, Darul Ehsan, Malaysia

 Univ Malaya, Kuala Lumpur, Malaysia

Tan, HM:
 Subang Jaya Med Ctr, Canc Res Initiat Fdn, Selangor, Darul Ehsan, Malaysia

Yoon, SY:
 Subang Jaya Med Ctr, Canc Res Initiat Fdn, Selangor, Darul Ehsan, Malaysia

Thong, MK:
 Univ Malaya, Kuala Lumpur, Malaysia

Vasen, H:
 STOET Stichting Opsporing Erfelijke Tumoren, Leiden, Netherlands

Ringleberg, J:
 STOET Stichting Opsporing Erfelijke Tumoren, Leiden, Netherlands

van Asperen, C:
 Leiden Univ, Med Ctr, Leiden, Netherlands

Kiemeney, B:
 Radboud Univ Nijmegen, Med Ctr, Nijmegen, Netherlands

van Zelst-Stams, W:
 Radboud Univ Nijmegen, Med Ctr, Nijmegen, Netherlands

Ausems, MGEM:
 Univ Med Ctr Utrecht, Utrecht, Netherlands

van der Luijt, RB:
 Univ Med Ctr Utrecht, Utrecht, Netherlands

van Os, T:
 Acad Med Ctr, Amsterdam, Netherlands

Ruijs, MWG:
 Netherlands Canc Inst, Amsterdam, Netherlands

Adank, MA:
 Vrije Univ Amsterdam Med Ctr, Amsterdam, Netherlands

Oldenburg, RA:
 Erasmus MC, Rotterdam, Netherlands

Helderman-van den Enden, APTJM:
 Univ Hosp Maastricht, Maastricht, Netherlands

Caanen, BAH:
 Univ Hosp Maastricht, Maastricht, Netherlands

Oosterwijk, JC:
 Univ Med Ctr Groningen, Groningen, Netherlands

Moller, P:
 Norwegian Radium Hosp, Oslo, Norway

Brennhovd, B:
 Norwegian Radium Hosp, Oslo, Norway

Medvik, H:
 Norwegian Radium Hosp, Oslo, Norway

Hanslien, E:
 Norwegian Radium Hosp, Oslo, Norway

Grindedal, EM:
 Norwegian Radium Hosp, Oslo, Norway

Cybulski, C:
 Int Hereditary Canc Ctr, Szczecin, Poland

Wokolorczyk, D:
 Int Hereditary Canc Ctr, Szczecin, Poland

Teixeira, M:
 Portuguese Oncol Inst, Lisbon, Portugal

Maia, S:
 Portuguese Oncol Inst, Lisbon, Portugal

Peixoto, A:
 Portuguese Oncol Inst, Lisbon, Portugal

Henrique, R:
 Portuguese Oncol Inst, Lisbon, Portugal

Oliveira, J:
 Portuguese Oncol Inst, Lisbon, Portugal

Goncalves, N:
 Portuguese Oncol Inst, Lisbon, Portugal

Araujo, L:
 Portuguese Oncol Inst, Lisbon, Portugal

Seixas, M:
 Portuguese Oncol Inst, Lisbon, Portugal

Souto, JP:
 Portuguese Oncol Inst, Lisbon, Portugal

Nogueira, P:
 Portuguese Oncol Inst, Lisbon, Portugal

Copakova, L:
 Natl Canc Inst, Bratislava Lucia Copakova, Bratislava, Slovakia

Zgajnar, J:
 Inst Oncol, Ljubljana, Slovenia

Krajc, M:
 Inst Oncol, Ljubljana, Slovenia

Vrecar, A:
 Inst Oncol, Ljubljana, Slovenia

Capella, G:
 Catalonian Inst Oncol, Hereditary Canc Program, Barcelona, Spain

Cajal, TRY:
 Hosp Santa Creu & Sant Pau, Barcelona, Spain

Fisas, D:
 Hosp Santa Creu & Sant Pau, Barcelona, Spain

Mora, J:
 Hosp Santa Creu & Sant Pau, Barcelona, Spain

Esquena, S:
 Hosp Santa Creu & Sant Pau, Barcelona, Spain

Balmana, J:
 Hosp Valle De Hebron, Barcelona, Spain

Morote, J:
 Hosp Valle De Hebron, Barcelona, Spain

Liljegren, A:
 Karolinska Univ Hosp, Karolinska Inst, Stockholm, Sweden

Hjalm-Eriksson, M:
 Karolinska Univ Hosp, Karolinska Inst, Stockholm, Sweden

Ekdahl, KJ:
 Karolinska Univ Hosp, Karolinska Inst, Stockholm, Sweden

Carlsson, S:
 Karolinska Univ Hosp, Karolinska Inst, Stockholm, Sweden

George, A:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Kemp, Z:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Wiggins, J:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Moss, C:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Van As, N:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Thompson, A:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Ogden, C:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Woodhouse, C:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Kumar, P:
 Royal Marsden NHS Fdn Trust, Stockholm, Sweden

Evans, DG:
 Manchester Reg Genet Serv, Manchester, Lancs, England

Bulman, B:
 Manchester Reg Genet Serv, Manchester, Lancs, England

Rothwell, J:
 Manchester Reg Genet Serv, Manchester, Lancs, England

Tricker, K:
 Manchester Reg Genet Serv, Manchester, Lancs, England

Wise, G:
 Wessex Clin Genet Serv, Southampton, Hants, England

Mercer, C:
 Wessex Clin Genet Serv, Southampton, Hants, England

McBride, D:
 Wessex Clin Genet Serv, Southampton, Hants, England

Costello, P:
 Wessex Clin Genet Serv, Southampton, Hants, England

Pearce, A:
 Wessex Clin Genet Serv, Southampton, Hants, England

Torokwa, A:
 Wessex Clin Genet Serv, Southampton, Hants, England

Paterson, J:
 East Anglian Reg Genet Serv, Cambridge, England

Clowes, V:
 East Anglian Reg Genet Serv, Cambridge, England

 North West Thames Reg Genet Serv, Harrow, Middx, England

Taylor, A:
 East Anglian Reg Genet Serv, Cambridge, England

Newcombe, B:
 East Anglian Reg Genet Serv, Cambridge, England

Walker, L:
 Oxford Reg Genet Serv, Oxford, England

Halliday, D:
 Oxford Reg Genet Serv, Oxford, England

Stayner, B:
 Oxford Reg Genet Serv, Oxford, England

Fleming-Brown, D:
 Oxford Reg Genet Serv, Oxford, England

Snape, K:
 South West Thames Reg Genet Serv, London, England

Hanson, H:
 South West Thames Reg Genet Serv, London, England

Hodgson, S:
 South West Thames Reg Genet Serv, London, England

Brice, G:
 South West Thames Reg Genet Serv, London, England

Homfray, T:
 South West Thames Reg Genet Serv, London, England

Hammond, C:
 South West Thames Reg Genet Serv, London, England

Kohut, K:
 South West Thames Reg Genet Serv, London, England

Anjum, U:
 South West Thames Reg Genet Serv, London, England

Dearing, A:
 South West Thames Reg Genet Serv, London, England

Mencias, M:
 South West Thames Reg Genet Serv, London, England

Potter, A:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Renton, C:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Searle, A:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Hill, K:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Goodman, S:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Garcia, L:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Devlin, G:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Everest, S:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Nadolski, M:
 Peninsula Clin Genet Serv Exeter, Exeter, Devon, England

Douglas, F:
 Northern Clin Genet Serv, Newcastle, NSW, Australia

Jobson, I:
 Northern Clin Genet Serv, Newcastle, NSW, Australia

Paez, E:
 Northern Clin Genet Serv, Newcastle, NSW, Australia

Donaldson, A:
 South West Reg Genet Serv, Bristol, Avon, England

Tomkins, S:
 South West Reg Genet Serv, Bristol, Avon, England

Langman, C:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Jacobs, C:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Pichert, G:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Shaw, A:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Kulkarni, A:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Tripathi, V:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Rose, S:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Compton, C:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

 North East Thames Reg Genet Serv, Ne Thames, England

Watson, M:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Reinholtz, C:
 Guys Hosp London, South East Thames Reg Genet Serv, London, England

Brady, A:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Dorkins, H:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Melville, A:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Kosicka-Slawinska, M:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Cummings, C:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Kiesel, V:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Bartlett, M:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Randhawa, K:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Ellery, N:
 North West Thames Reg Genet Serv, Harrow, Middx, England

Side, L:
 North East Thames Reg Genet Serv, Ne Thames, England

Male, A:
 North East Thames Reg Genet Serv, Ne Thames, England

Simon, K:
 North East Thames Reg Genet Serv, Ne Thames, England

Rees, K:
 North East Thames Reg Genet Serv, Ne Thames, England

Tidey, L:
 North East Thames Reg Genet Serv, Ne Thames, England

Gurasashvili, J:
 North East Thames Reg Genet Serv, Ne Thames, England

Nevitt, L:
 North Trent Clin Genet Serv, Sheffield, S Yorkshire, England

Ingram, S:
 North Trent Clin Genet Serv, Sheffield, S Yorkshire, England

Howell, A:
 North Trent Clin Genet Serv, Sheffield, S Yorkshire, England

Rosario, D:
 Royal Hallamshire Hosp, Dept Urol, Sheffield, S Yorkshire, England

 Acad Urol Unit, Sheffield, S Yorkshire, England

Catto, J:
 Acad Urol Unit, Sheffield, S Yorkshire, England

Howson, J:
 Acad Urol Unit, Sheffield, S Yorkshire, England

Ong, KR:
 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Chapman, C:
 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Cole, T:
 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Heaton, T:
 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Hoffman, J:
 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Burgess, L:
 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Huber, C:
 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Islam, F:
 West Midlands Reg Clin Genet Serv, Birmingham, W Midlands, England

Watt, C:
 West Scotland Genet Serv, Glasgow, Lanark, Scotland

Duncan, A:
 West Scotland Genet Serv, Glasgow, Lanark, Scotland

Kockelbergh, R:
 Leicester Royal Infirm, Leicester, Leics, England

Mzazi, S:
 Leicester Royal Infirm, Leicester, Leics, England

Dineen, A:
 Leicester Royal Infirm, Leicester, Leics, England

Sattar, A:
 Leicester Royal Infirm, Leicester, Leics, England

Kaemba, B:
 Leicester Royal Infirm, Leicester, Leics, England

Sidat, Z:
 Leicester Royal Infirm, Leicester, Leics, England

Patel, N:
 Leicester Royal Infirm, Leicester, Leics, England

Siguake, K:
 Leicester Royal Infirm, Leicester, Leics, England

Birt, A:
 North Cumbria Univ Hosp Trust, Carlisle, England

Poultney, U:
 North Cumbria Univ Hosp Trust, Carlisle, England

Umez-Eronini, N:
 North Cumbria Univ Hosp Trust, Carlisle, England

Mom, J:
 North Cumbria Univ Hosp Trust, Carlisle, England

Sutton, V:
 Liverpool Womens Hosp, Cheshire & Mersey Clin Genet Serv, Liverpool, Merseyside, England

Cornford, P:
 Royal Liverpool & Broadgreen Hosp NHS Trust, Liverpool, Merseyside, England

Bermingham, N:
 Royal Liverpool & Broadgreen Hosp NHS Trust, Liverpool, Merseyside, England

Yesildag, P:
 Royal Liverpool & Broadgreen Hosp NHS Trust, Liverpool, Merseyside, England

Treherne, K:
 Royal Liverpool & Broadgreen Hosp NHS Trust, Liverpool, Merseyside, England

Griffiths, J:
 Royal Liverpool & Broadgreen Hosp NHS Trust, Liverpool, Merseyside, England

Cogley, L:
 Derriford Hosp, Plymouth, Devon, England

Gott, H:
 Derriford Hosp, Plymouth, Devon, England

Rubinstein, WS:
 Northshore Univ Healthsyst, Evanston, IL USA

Hulick, P:
 Northshore Univ Healthsyst, Evanston, IL USA

McGuire, M:
 Northshore Univ Healthsyst, Evanston, IL USA

Shevrin, D:
 Northshore Univ Healthsyst, Evanston, IL USA

Kaul, K:
 Northshore Univ Healthsyst, Evanston, IL USA

Weissman, S:
 Northshore Univ Healthsyst, Evanston, IL USA

Newlin, A:
 Northshore Univ Healthsyst, Evanston, IL USA

Vogel, K:
 Northshore Univ Healthsyst, Evanston, IL USA

Weiss, S:
 Northshore Univ Healthsyst, Evanston, IL USA

Hook, N:
 Northshore Univ Healthsyst, Evanston, IL USA

Buys, S:
 Univ Utah Hlth, Huntsman Canc Inst, Salt Lake City, UT USA

Domchek, S:
 Univ Penn, Philadelphia, PA 19104 USA

Powers, J:
 Univ Penn, Philadelphia, PA 19104 USA

Rustgi, N:
 Univ Penn, Philadelphia, PA 19104 USA

Strom, S:
 MD Anderson, Houston, TX USA

Arun, B:
 MD Anderson, Houston, TX USA

Davis, JW:
 MD Anderson, Houston, TX USA

Yamamura, Y:
 MD Anderson, Houston, TX USA

Obeid, E:
 Fox Chase Canc Ctr, 7701 Burholme Ave, Philadelphia, PA 19111 USA

Giri, V:
 Fox Chase Canc Ctr, 7701 Burholme Ave, Philadelphia, PA 19111 USA

Gross, L:
 Fox Chase Canc Ctr, 7701 Burholme Ave, Philadelphia, PA 19111 USA

Bealin, L:
 Fox Chase Canc Ctr, 7701 Burholme Ave, Philadelphia, PA 19111 USA

Cooney, K:
 Univ Michigan, Ann Arbor, MI 48109 USA

Stoffel, E:
 Univ Michigan, Ann Arbor, MI 48109 USA

Okoth, L:
 Univ Michigan, Ann Arbor, MI 48109 USA
ISSN: 14644096





BJU INTERNATIONAL
Editorial
WILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJ USA, Reino Unido
Tipo de documento: Article
Volumen: 123 Número: 2
Páginas: 284-292
WOS Id: 000456215500016
ID de PubMed: 29802810
imagen Green Published, Green Accepted, hybrid

MÉTRICAS