| Title |
Trends in utilization and costs of BRCA testing among women aged 18–64 years in the United States, 2003–2014
|
|---|---|
| Published in |
Genetics in Medicine, September 2017
|
| DOI | 10.1038/gim.2017.118 |
| Pubmed ID | |
| Authors |
Zhuo Chen, Katherine Kolor, Scott D Grosse, Juan L Rodriguez, Julie A Lynch, Ridgely Fisk Green, W David Dotson, M Scott Bowen, Muin J Khoury |
| Abstract |
PurposeWe examined 12-year trends in BRCA testing rates and costs in the context of clinical guidelines, national policies, and other factors.MethodsWe estimated trends in BRCA testing rates and costs from 2003 to 2014 for women aged 18-64 years using private claims data and publicly reported revenues from the primary BRCA testing provider.ResultsThe percentage of women with zero out-of-pocket payments for BRCA testing increased during 2013-2014, after 7 years of general decline, coinciding with a clarification of Affordable Care Act coverage of BRCA genetic testing. Beginning in 2007, family history accounted for an increasing proportion of women with BRCA tests compared with personal history, coinciding with BRCA testing guidelines for primary care settings and direct-to-consumer advertising campaigns. During 2013-2014, BRCA testing rates based on claims grew at a faster rate than revenues, following 3 years of similar growth, consistent with increased marketplace competition. In 2013, BRCA testing rates based on claims increased 57%, compared with 11% average annual increases over the preceding 3 years, coinciding with celebrity publicity.ConclusionThe observed trends in BRCA testing rates and costs are consistent with possible effects of several factors, including the Affordable Care Act, clinical guidelines and celebrity publicity.GENETICS in MEDICINE advance online publication, 21 September 2017; doi:10.1038/gim.2017.118. |
X Demographics
The data shown below were collected from the profiles of 39 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 20 | 51% |
| United Kingdom | 3 | 8% |
| Trinidad and Tobago | 1 | 3% |
| Mexico | 1 | 3% |
| Canada | 1 | 3% |
| Poland | 1 | 3% |
| Australia | 1 | 3% |
| Unknown | 11 | 28% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 20 | 51% |
| Scientists | 9 | 23% |
| Practitioners (doctors, other healthcare professionals) | 6 | 15% |
| Science communicators (journalists, bloggers, editors) | 4 | 10% |
Mendeley readers
The data shown below were compiled from readership statistics for 73 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 73 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 12 | 16% |
| Other | 10 | 14% |
| Student > Ph. D. Student | 5 | 7% |
| Librarian | 4 | 5% |
| Student > Postgraduate | 4 | 5% |
| Other | 16 | 22% |
| Unknown | 22 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 15 | 21% |
| Biochemistry, Genetics and Molecular Biology | 5 | 7% |
| Agricultural and Biological Sciences | 5 | 7% |
| Nursing and Health Professions | 5 | 7% |
| Social Sciences | 5 | 7% |
| Other | 12 | 16% |
| Unknown | 26 | 36% |
Attention Score in Context
This research output has an Altmetric Attention Score of 132. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 June 2023.
All research outputs
#315,567
of 25,382,440 outputs
Outputs from Genetics in Medicine
#52
of 2,945 outputs
Outputs of similar age
#6,637
of 325,640 outputs
Outputs of similar age from Genetics in Medicine
#2
of 58 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,945 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 19.0. This one has done particularly well, scoring higher than 98% of its peers.
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We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 96% of its contemporaries.