Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis

<p>To systematically assess the prevalence of BRCA1 and BRCA2 gene mutations in women with Hereditary Breast and/or Ovarian Cancer (HBOC) in Arab countries and to describe the variability in the BRCA gene mutations in different regions of the Arab world. Observational studies reporting prevale...

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Main Author: Khadiga Abdulrashid (14153097) (author)
Other Authors: Nour AlHussaini (14153100) (author), Wifag Ahmed (14153103) (author), Lukman Thalib (5712299) (author)
Published: 2019
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author Khadiga Abdulrashid (14153097)
author2 Nour AlHussaini (14153100)
Wifag Ahmed (14153103)
Lukman Thalib (5712299)
author2_role author
author
author
author_facet Khadiga Abdulrashid (14153097)
Nour AlHussaini (14153100)
Wifag Ahmed (14153103)
Lukman Thalib (5712299)
author_role author
dc.creator.none.fl_str_mv Khadiga Abdulrashid (14153097)
Nour AlHussaini (14153100)
Wifag Ahmed (14153103)
Lukman Thalib (5712299)
dc.date.none.fl_str_mv 2019-03-21T00:00:00Z
dc.identifier.none.fl_str_mv 10.1186/s12885-019-5463-1
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Prevalence_of_BRCA_mutations_among_hereditary_breast_and_or_ovarian_cancer_patients_in_Arab_countries_systematic_review_and_meta-analysis/21598320
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biological sciences
Genetics
Biomedical and clinical sciences
Oncology and carcinogenesis
BRCA mutations
Familial breast cancer
Familial ovarian cancer
Arab countries Systematic review
meta-analysis
dc.title.none.fl_str_mv Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>To systematically assess the prevalence of BRCA1 and BRCA2 gene mutations in women with Hereditary Breast and/or Ovarian Cancer (HBOC) in Arab countries and to describe the variability in the BRCA gene mutations in different regions of the Arab world. Observational studies reporting prevalence of BRCA mutations from 22 Arab countries were systematically searched in databases including PUBMED, EMBASE, Web of Science, and Google Scholar. Two reviewers independently screened the studies and extracted data and assessed the risk of bias. Hoy’s risk of Bias tool was used to assess the biases in individual studies. Due to substantial heterogeneity, pooled weighted estimates were calculated using Quality Effect Models (QEM) that adjust for bias, while the Random Effect Models (REM) estimates served as the sensitivity estimates. Fourteen studies reporting prevalence of BRCA were included. The pooled estimate of BRCA among HBOC was 20% (95% CI: 7–36%). Subgroup analysis including only those with low risk of bias provided an estimate of 11% (95% CI: 1–27%). Levant region had higher prevalence 28% (95% CI: 11–49%) compared to Arabian Gulf region and North Africa but differences are not statistically significant, when tested using Z-test for proportions. Given the pooled estimates vary widely with substantial heterogeneity, larger, well-designed studies are warranted to better understand the frequency and the impact of BRCA gene mutations among Arab women. International Prospective Register of Systematic Reviews (PROSPERO) registration number: CRD42018095905 .</p><h2>Other Information</h2> <p> Published in: BMC Cancer<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s12885-019-5463-1" target="_blank">http://dx.doi.org/10.1186/s12885-019-5463-1</a></p>
eu_rights_str_mv openAccess
id Manara2_a73d2656acdbfb406f0434703a4698d8
identifier_str_mv 10.1186/s12885-019-5463-1
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/21598320
publishDate 2019
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rights_invalid_str_mv CC BY 4.0
spelling Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysisKhadiga Abdulrashid (14153097)Nour AlHussaini (14153100)Wifag Ahmed (14153103)Lukman Thalib (5712299)Biological sciencesGeneticsBiomedical and clinical sciencesOncology and carcinogenesisBRCA mutationsFamilial breast cancerFamilial ovarian cancerArab countries Systematic reviewmeta-analysis<p>To systematically assess the prevalence of BRCA1 and BRCA2 gene mutations in women with Hereditary Breast and/or Ovarian Cancer (HBOC) in Arab countries and to describe the variability in the BRCA gene mutations in different regions of the Arab world. Observational studies reporting prevalence of BRCA mutations from 22 Arab countries were systematically searched in databases including PUBMED, EMBASE, Web of Science, and Google Scholar. Two reviewers independently screened the studies and extracted data and assessed the risk of bias. Hoy’s risk of Bias tool was used to assess the biases in individual studies. Due to substantial heterogeneity, pooled weighted estimates were calculated using Quality Effect Models (QEM) that adjust for bias, while the Random Effect Models (REM) estimates served as the sensitivity estimates. Fourteen studies reporting prevalence of BRCA were included. The pooled estimate of BRCA among HBOC was 20% (95% CI: 7–36%). Subgroup analysis including only those with low risk of bias provided an estimate of 11% (95% CI: 1–27%). Levant region had higher prevalence 28% (95% CI: 11–49%) compared to Arabian Gulf region and North Africa but differences are not statistically significant, when tested using Z-test for proportions. Given the pooled estimates vary widely with substantial heterogeneity, larger, well-designed studies are warranted to better understand the frequency and the impact of BRCA gene mutations among Arab women. International Prospective Register of Systematic Reviews (PROSPERO) registration number: CRD42018095905 .</p><h2>Other Information</h2> <p> Published in: BMC Cancer<br> License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1186/s12885-019-5463-1" target="_blank">http://dx.doi.org/10.1186/s12885-019-5463-1</a></p>2019-03-21T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1186/s12885-019-5463-1https://figshare.com/articles/journal_contribution/Prevalence_of_BRCA_mutations_among_hereditary_breast_and_or_ovarian_cancer_patients_in_Arab_countries_systematic_review_and_meta-analysis/21598320CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215983202019-03-21T00:00:00Z
spellingShingle Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis
Khadiga Abdulrashid (14153097)
Biological sciences
Genetics
Biomedical and clinical sciences
Oncology and carcinogenesis
BRCA mutations
Familial breast cancer
Familial ovarian cancer
Arab countries Systematic review
meta-analysis
status_str publishedVersion
title Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis
title_full Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis
title_fullStr Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis
title_full_unstemmed Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis
title_short Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis
title_sort Prevalence of BRCA mutations among hereditary breast and/or ovarian cancer patients in Arab countries: systematic review and meta-analysis
topic Biological sciences
Genetics
Biomedical and clinical sciences
Oncology and carcinogenesis
BRCA mutations
Familial breast cancer
Familial ovarian cancer
Arab countries Systematic review
meta-analysis