Evidence map›Paper›PMID 23572417›Full record

ArticleJournal of community genetics2013

The disclosure of incidental genomic findings: an "ethically important moment" in pediatric research and practice.

Martha Driessnack, Sandra Daack-Hirsch, Nancy Downing, Alyson Hanish, Lisa L Shah, Mohammed Alasagheirin, Christian M Simon, Janet K Williams

Abstract read
In one paragraph

Article in Journal of community genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Genomic sequencing identifies secondary findings in a cohort of parent study participants.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A Systematic Review of the Management of Incidental Findings in Genomic Research.BEOnline : journal of the West African bioethics training program · 2016
    Article
  10. Article
  11. Article
  12. Single-nucleotide polymorphism arrays and unexpected consanguinity: considerations for clinicians when returning results to families.Genetics in medicine : official journal of the American College of Medical Genetics · 2015
    Article
  13. Article
  14. The importance of patient engagement.Genetic testing and molecular biomarkers · 2013
    Article
  15. Article
  16. 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

8 authors.

Martha DriessnackOregon Health & Science University, School of Nursing, 3455 SW US Veterans Hospital Road, Portland, OR, USA, driessna@ohsu.edu.
Sandra Daack-Hirsch
Nancy Downing
Alyson Hanish
Lisa L Shah
Mohammed Alasagheirin
Christian M Simon
Janet K Williams

Funding

Managing Incidental Findings in the Genomic EraRC1HG005786 · NHGRI · UNIVERSITY OF IOWA · PI SIMON, CHRISTIAN MICHAEL, WILLIAMS, JANET K. · 2009 to 2010
$848k
NHGRI NIH HHS RC1 HG005786
6 · The paper itself

Abstract

Although there are numerous position papers on the issues and challenges surrounding disclosure of incidental genomic findings involving children, there is very little research. To fill this gap, the purpose of this study was to explore the perspectives of multiple professional (N = 103) and public (N = 63) stakeholders using both interviews and focus groups. Using qualitative analysis, we identified one overarching theme, "It's hard for us; it's hard for them," and three subthemes/questions: "What to disclose?," "Who gets the information?," and "What happens later?" Perspectives differed between professional (Institutional Review Board chairs, clinicians, and researchers) and public stakeholders. While professionals focused on the complexities of what to disclose, the lay public stated that parents should have all information laid out for them. Professionals pondered multiple parent and child situations, while the public identified parents as informational gatekeepers who know their children best. Professionals described the potential requirement for follow-up over time as a logistical "nightmare," while the public believed that parents have the responsibility for managing their children's health information over time. However, the parent role as gatekeeper was seen as time limited and in need of professional support and backup. Our findings present a case for needed dialogue around what we propose as an "ethically important moment," with the goal of protecting and respecting the viewpoints of all stakeholders when policies regarding children are developed.

Identifiers

PMID23572417
PMCPMC3773311

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.