Evidence map›Paper›PMID 17473962›Full record

ArticleJournal of genetic counseling2007

Decision-making about reproductive choices among individuals at-risk for Huntington's disease.

Robert Klitzman, Deborah Thorne, Jennifer Williamson, Wendy Chung, Karen Marder

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of genetic counseling, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Ethics in genetic counselling.Journal of community genetics · 2019
    Review
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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

5 authors.

Robert KlitzmanCollege of Physicians and Surgeons and Mailman School of Public Health, Columbia University, New York, NY, USA. rlk2@columbia.edu
Deborah Thorne
Jennifer Williamson
Wendy Chung
Karen Marder

Funding

Views of Privacy of Genetic InformationR01HG002431 · NHGRI · NEW YORK STATE PSYCHIATRIC INSTITUTE · PI KLITZMAN, ROBERT L · 2002 to 2005
$1.5M
NHGRI NIH HHS 5-R01-HG002431-01
6 · The paper itself

Abstract

We explored how individuals at-risk for HD who have or have not been tested make reproductive decisions and what factors are involved. We interviewed 21 individuals (8 with and 4 without the mutation, and 9 un-tested) in-depth for 2 hours each. At-risk individuals faced a difficult series of dilemmas of whether to: get pregnant and deliver, have fetal testing, have pre-implantation genetic diagnosis, adopt, or have no children. These individuals weighed competing desires and concerns: their own desires vs. those of spouses vs. broader moral concerns (e.g., to end the disease; and/or follow dictates against abortion) vs. perceptions of the interests of current or future offspring. Quandaries arose of how much and to whom to feel responsible. Some changed their perspectives over time (e.g., first "gambling," then being more cautious). These data have critical implications for genetic counselors and other health care workers and future research, particularly as more genetic tests become available.

Indexed as

Decision MakingAbortion, EugenicAdaptation, PsychologicalAmniocentesisChorionic Villi SamplingDNA Mutational AnalysisFemaleGenetic CounselingGenetic TestingGuiltHumansHuntington DiseaseMaleMoralsPregnancyPreimplantation Diagnosis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.