Evidence map›Paper›PMID 24688162›Full record

ArticleThe Hastings law journal2013

Seeking Genomic Knowledge: The Case for Clinical Restraint.

Wylie Burke, Susan Brown Trinidad, Ellen Wright Clayton

Open access · greenAbstract read
In one paragraph

Article in The Hastings law journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.8field-weighted citation impact, top 17% 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.

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

10 citing papers in PubMed, 21 citations in OpenAlex.

  1. Review
  2. Article
  3. Ethical, Legal, and Social Issues (ELSI) in Clinical Genetics Research.Methods in molecular biology (Clifton, N.J.) · 2021
    Article
  4. Article
  5. Article
  6. REFUTING THE RIGHT NOT TO KNOW.Journal of health care law & policy · 2017
    Article
  7. Article
  8. Experiences with obtaining informed consent for genomic sequencing.American journal of medical genetics. Part A · 2015
    Article
  9. Article
  10. Review
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

3 authors at 3 institutions in 2 countries.

Wylie BurkeProfessor and Chair of Bioethics and Humanities at the University of Washington. Dr. Burke received her doctorate in genetics and a medical degree from the University of Washington.
Susan Brown TrinidadResearch Scientist in the Department of Bioethics and Humanities at the University of Washington. Ms. Trinidad holds a master's degree from the Interdisciplinary Program in Health and Humanities at Michigan State University.
Ellen Wright ClaytonProfessor of Pediatrics, Professor of Law, and Co-Founder of the Center for Biomedical ethics and Society at Vanderbilt University. Dr. Clayton received her law degree from Yale Law School and her medical degree from Harvard Medical School.
American Society of Law, Medicine and Ethics · USCal Humanities · USUniversity of the Humanities · MN

Funding

Genomic Health Care and the Medically UnderservedP50HG003374 · NHGRI · UNIVERSITY OF WASHINGTON · PI BURKE, WYLIE G. · 2004 to 2014
$9.8M
Returning Research Results of Pediatric Genomic Research to ParticipantsR21HG006612 · NHGRI · VANDERBILT UNIVERSITY · PI CLAYTON, ELLEN WRIGHT · 2011 to 2012
$389k
NHGRI NIH HHS P50 HG003374NHGRI NIH HHS R21 HG006612
6 · The paper itself

Abstract

Genome sequencing technology provides new and promising tests for clinical practice, including whole genome sequencing, which measures an individual's complete DNA sequence, and whole exome sequencing, which measures the DNA for all genes coding for proteins. These technologies make it possible to test for multiple genes in a single test, which increases the efficiency of genetic testing. However, they can also produce large amounts of information that cannot be interpreted or is of limited clinical utility. This additional information could be distracting for patients and clinicians, and contribute to unnecessary healthcare costs. The potential for genomic sequencing to improve care will be context-dependent, varying for different patients and clinical settings. This Article argues that a disciplined approach is needed, incorporating research to assess when and how genomic information can improve clinical outcomes, practice guidelines that direct optimal uses of genomic sequencing, and efforts to limit the production of genomic information unrelated to the clinical needs of the patient. Without this approach, genomic testing could add to current unsustainable healthcare costs and prove unaffordable in the long run.

Identifiers

PMID24688162
PMCPMC3969739
OpenAlexW136604480

What OpenQuestion holds

Textmetadata
LicenceTDM
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.