Evidence map›Paper›PMID 24158054›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2014

Informed consent for return of incidental findings in genomic research.

Paul S Appelbaum, Cameron R Waldman, Abby Fyer, Robert Klitzman, Erik Parens, Josue Martinez, W Nicholson Price, Wendy K Chung

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03027401 (Clinical Sequencing of Cancer and Tissue Repository), which is not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
8.5field-weighted citation impact, top 2% of its field
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.

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
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Navigating the Intersection between Genomic Research and Clinical Practice.Cancer prevention research (Philadelphia, Pa.) · 2020
    Review
  12. Review
  13. Experiences and perspectives on the return of secondary findings among genetic epidemiologists.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  14. Article
  15. Informed Consent in Biomedical Research.Computational and structural biotechnology journal · 2019
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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 at 2 institutions in 1 country.

Paul S AppelbaumDepartment of Psychiatry, Columbia University Medical Center and NY State Psychiatric Institute, New York, New York, USA.
Cameron R WaldmanThe Hastings Center, Garrison, New York, USA.
Abby FyerDepartment of Psychiatry, Columbia University Medical Center and NY State Psychiatric Institute, New York, New York, USA.
Robert KlitzmanDepartment of Psychiatry, Columbia University Medical Center and NY State Psychiatric Institute, New York, New York, USA.
Erik ParensThe Hastings Center, Garrison, New York, USA.
Josue MartinezDepartment of Pediatrics, Columbia University Medical Center, New York, New York, USA.
W Nicholson PricePetrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics, Harvard Law School, Cambridge, Massachusetts, USA.
Wendy K Chung1] Department of Pediatrics, Columbia University Medical Center, New York, New York, USA [2] Department of Medicine, Columbia University Medical Center, New York, New York, USA.
Columbia University Irving Medical Center · USHastings Center · US

Funding

Center for Research on the Ethical, Legal and Social Implications of Psychiatric, Neurologic and Behavioral GeneticsP50HG007257 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI APPELBAUM, PAUL STUART · 2013 to 2017
$5.4M
Impact of return of incidental genetic test results to research participants in tR01HG006600 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHUNG, WENDY K, PHELAN, JO C · 2011 to 2013
$2.1M
Center for ELSI Research on Psychiatric Neurologic and Behavioral GeneticsP20HG005535 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI APPELBAUM, PAUL STUART · 2010 to 2012
$731k
Challenges of Informed Consent in Return of Data from Genomic ResearchR21HG006596 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI APPELBAUM, PAUL STUART · 2011 to 2012
$400k
NHGRI NIH HHS P20 HG005535NHGRI NIH HHS P20 HG005535-02NHGRI NIH HHS P50 HG007257NHGRI NIH HHS R01 HG006600NHGRI NIH HHS R21 HG006596
6 · The paper itself

Abstract

purposeResearchers face the dilemma of how to obtain consent for return of incidental findings from genomic research. We surveyed and interviewed investigators and study participants, with the goal of providing suggestions for how to shape the consent process.

methodsWe performed an online survey of 254 US genetic researchers identified through the NIH RePORTER database, abstracts from the 2011 American Society of Human Genetics meeting, and qualitative semi-structured interviews with 28 genomic researchers and 20 research participants.

resultsMost researchers and participants endorsed disclosure of a wide range of information about return of incidental findings, including risks, benefits, impact on family members, data security, and procedures, for return of results in the event of death or incapacity and for recontact. However, most researchers were willing to devote 30 min or less to this process and expressed concerns that disclosed information would overwhelm participants, a concern shared by many participants themselves.

conclusionThere is a disjunction between the views of investigators and participants about the amount of information that should be disclosed and the practical realities of the research setting, including the time available for consent discussions. This strongly suggests the need for innovative approaches to the informed consent process.

Indexed as

Access to InformationDisclosureIncidental FindingsInformed ConsentAdultBase SequenceData CollectionFemaleGenetic ResearchGenomeGenomicsHumansMaleSequence Analysis, DNA

Identifiers

PMID24158054
PMCPMC3999314
OpenAlexW2010984133

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.