Evidence map›Paper›PMID 23788249›Full record

GuidelineGenetics in medicine : official journal of the American College of Medical Genetics2013

ACMG recommendations for reporting of incidental findings in clinical exome and genome sequencing.

Robert C Green, Jonathan S Berg, Wayne W Grody, Sarah S Kalia, Bruce R Korf, Christa L Martin, Amy L McGuire, Robert L Nussbaum, Julianne M O'Daniel, Kelly E Ormond and 5 more

Erratum issued 7 registry-linked trialsAbstract readGuideline
In one paragraph

Guideline in Genetics in medicine : official journal of the American College of Medical Genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 7 registered trials, which are not on this map. Cited by 1,369 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,369citing papers in PubMed, 8 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.

NCT01736566 nacompletednot on this map

The MedSeq Project Pilot Study: Integrating Whole Genome Sequencing Into the Practice of Clinical Medicine

TypeinterventionalSponsorBrigham and Women's HospitalRan2011 to 2021Enrolled213ConditionsHealthy Adults (Full Study and Extension Phase), Hypertrophic Cardiomyopathy or Dilated CardiomyopathyArmsFamily History + Whole Genome Sequencing, Family History Only
NCT02171286 completednot on this mapstarted 2014, after this paper: background citation

The Oncopanel Pilot (TOP) Study

TypeobservationalSponsorBritish Columbia Cancer AgencyRan2014 to 2017Enrolled432ConditionsColorectal Cancer Metastatic, Advanced Non-Small Cell Lung Carcinoma, Advanced Melanoma, Gastrointestinal Stromal Tumors
NCT02869802 recruitingnot on this mapstarted 2016, after this paper: background citation

Prospectively Defining Metastatic Pancreatic Ductal Adenocarcinoma Subtypes by Comprehensive Genomic Analysis

TypeobservationalSponsorBritish Columbia Cancer AgencyRan2016 to 2027Enrolled190ConditionsCancer, Pancreatic CancerArmsTumour Biopsy, Serial Collection of Plasma and Serum Samples
NCT03027401 withdrawnnot on this mapstarted 2017, after this paper: background citation

Clinical Sequencing of Cancer and Tissue Repository: ClinOmics

TypeobservationalSponsorNational Cancer Institute (NCI)Ran2017 to 2020Enrolled0ConditionsNeoplasms, Adenomatous Polyposis Coli, Neurofibroma, Plexiform, Myelodysplastic Syndromes
NCT03548779 nacompletednot on this mapstarted 2018, after this paper: background citation

North Carolina Genomic Evaluation by Next-generation Exome Sequencing, 2

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2018 to 2024Enrolled548ConditionsEpilepsy, Seizure, Neuromuscular Diseases, Brain MalformationArmsPre-visit prep, usual care + exome seq
NCT03829176 nacompletednot on this mapstarted 2018, after this paper: background citation

Investigating the Feasibility and Implementation of Whole Genome Sequencing in Patients With Suspected Genetic Disorder

TypeinterventionalSponsorMassachusetts General HospitalRan2018 to 2020Enrolled200ConditionsHereditary Disease, Genetic Predisposition to DiseaseArmsWhole Genome Sequencing
NCT04196374 nacompletednot on this mapstarted 2021, after this paper: background citation

Return of Genomic Results and Aggregate Penetrance in Population-Based Cohorts

TypeinterventionalSponsorBrigham and Women's HospitalRan2021 to 2025Enrolled7,603ConditionsSeemingly Healthy, Genetic Predisposition to DiseaseArmsGenomic Sequencing
3 · Its place in the literature

Who cites it

1,369 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Guideline
  7. Pooled it
  8. Guideline
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Tumor, germline, and paired testing in oncology: practical considerations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  19. Article
  20. Review

1,309 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Robert C GreenDivision of Genetics, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA. rcgreen@genetics.med.harvard.edu
Jonathan S Berg
Wayne W Grody
Sarah S Kalia
Bruce R Korf
Christa L Martin
Amy L McGuire
Robert L Nussbaum
Julianne M O'Daniel
Kelly E Ormond
Heidi L Rehm
Michael S Watson
Marc S Williams
Leslie G Biesecker
American College of Medical Genetics and Genomics

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
North Carolina Clinical Genomic Evaluation by Next-gen Exome Sequencing 2U01HG006487 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S, POWELL, BRADFORD C. · 2012 to 2021
$22.7M
Measuring Perceptions of Utility of Clinical Genome Sequencing: Instrument Testing and ValidationU01HG006485 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI MCGUIRE, AMY L, PARSONS, DONALD W. · 2012 to 2021
$22.1M
Genomic Ascertainment - Molecular and Genetic AspectsZIAHG200359 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2009 to 2025
$19.7M
Genomic Ascertainment - Clinical and Behavioral AspectsZIAHG200387 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2013 to 2025
$15.5M
Center for Genomics and SocietyP50HG004488 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HENDERSON, GAIL E · 2007 to 2017
$12.6M
TRAINING GRANT IN GENETICST32GM007748 · NIGMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Anne O'Donnell-Luria, Louise Wilkins-Haug · 1985 to 2026
$12.0M
Integration of Whole Genome Sequencing into Clinical MedicineU01HG006500 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI GREEN, ROBERT C. · 2012 to 2016
$11.5M
Molecular and Genomic Imaging CenterP50HG003170 · NHGRI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI CHURCH, GEORGE M · 2004 to 2009
$11.5M
Center for Integration of Research on Genetics and EthicsP50HG003389 · NHGRI · STANFORD UNIVERSITY · PI CHO, MILDRED K. · 2004 to 2014
$9.9M
UNC Clinical Translation Science Award-K12 Scholars Program (KL2)KL2RR025746 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$9.0M
Geisinger eGenonic Medicine (GeM) ProgramU01HG006382 · NHGRI · GEISINGER CLINIC · PI CAREY, DAVID J., WILLIAMS, MARC S. · 2011 to 2014
$4.3M
Intramural NIH HHSNCI NIH HHS CA154517NCI NIH HHS R01 CA154517NCRR NIH HHS KL2 RR025746NCRR NIH HHS RR025745NCRR NIH HHS RR025746NCRR NIH HHS RR025747NCRR NIH HHS TL1 RR025745NCRR NIH HHS UL1 RR025747NHGRI NIH HHS HG003170NHGRI NIH HHS HG003178NHGRI NIH HHS HG003389NHGRI NIH HHS HG004488NHGRI NIH HHS HG005092NHGRI NIH HHS HG00603NHGRI NIH HHS HG006382NHGRI NIH HHS HG006485NHGRI NIH HHS HG006487NHGRI NIH HHS HG006500NHGRI NIH HHS HG006612NHGRI NIH HHS HG006615NHGRI NIH HHS P50 HG003170NHGRI NIH HHS P50 HG003389NHGRI NIH HHS P50 HG004488NHGRI NIH HHS R01 HG003178NHGRI NIH HHS R01 HG005092NHGRI NIH HHS R01 HG006615NHGRI NIH HHS R21 HG006612NHGRI NIH HHS U01 HG006382NHGRI NIH HHS U01 HG006485NHGRI NIH HHS U01 HG006487NHGRI NIH HHS U01 HG006500NIA NIH HHS AG027841NIA NIH HHS K24 AG027841NIDDK NIH HHS DK087728NIDDK NIH HHS R01 DK087728NIDDK NIH HHS R56 DK087728NIEHS NIH HHS ES017793NIEHS NIH HHS R01 ES017793NIGMS NIH HHS GM007748NIGMS NIH HHS T32 GM007748
6 · The paper itself

Abstract

In clinical exome and genome sequencing, there is a potential for the recognition and reporting of incidental or secondary findings unrelated to the indication for ordering the sequencing but of medical value for patient care. The American College of Medical Genetics and Genomics (ACMG) recently published a policy statement on clinical sequencing that emphasized the importance of alerting the patient to the possibility of such results in pretest patient discussions, clinical testing, and reporting of results. The ACMG appointed a Working Group on Incidental Findings in Clinical Exome and Genome Sequencing to make recommendations about responsible management of incidental findings when patients undergo exome or genome sequencing. This Working Group conducted a year-long consensus process, including an open forum at the 2012 Annual Meeting and review by outside experts, and produced recommendations that have been approved by the ACMG Board. Specific and detailed recommendations, and the background and rationale for these recommendations, are described herein. The ACMG recommends that laboratories performing clinical sequencing seek and report mutations of the specified classes or types in the genes listed here. This evaluation and reporting should be performed for all clinical germline (constitutional) exome and genome sequencing, including the "normal" of tumor-normal subtractive analyses in all subjects, irrespective of age but excluding fetal samples. We recognize that there are insufficient data on penetrance and clinical utility to fully support these recommendations, and we encourage the creation of an ongoing process for updating these recommendations at least annually as further data are collected.

Indexed as

Genetics, MedicalIncidental FindingsExomeGenome, HumanHumansPatient PreferencePenetrance

Identifiers

PMID23788249
PMCPMC3727274

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 1 more above

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.