Evidence map›Paper›PMID 24771842›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2014

Introducing genetic testing for cardiovascular disease in primary care: a qualitative study.

Jo B Middlemass, Momina F Yazdani, Joe Kai, Penelope J Standen, Nadeem Qureshi

Abstract readMulticenter Study
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Review
  7. Polygenic risk scores: improving the prediction of future disease or added complexity?The British journal of general practice : the journal of the Royal College of General Practitioners · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Chronic disease prevention in primary care: how and when will genomics impact?The British journal of general practice : the journal of the Royal College of General Practitioners · 2014
    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

5 authors.

Jo B MiddlemassSchool of Health and Social Care, University of Lincoln, Lincoln.
Momina F Yazdani
Joe Kai
Penelope J Standen
Nadeem Qureshi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile primary care systematically offers conventional cardiovascular risk assessment, genetic tests for coronary heart disease (CHD) are increasingly commercially available to patients. It is unclear how individuals may respond to these new sources of risk information.

aimTo explore how patients who have had a recent conventional cardiovascular risk assessment, perceive additional information from genetic testing for CHD. DESIGN AND

settingQualitative interview study in 12 practices in Nottinghamshire from both urban and rural settings.

methodInterviews were conducted with 29 adults, who consented to genetic testing after having had a conventional cardiovascular risk assessment.

resultsIndividuals' principal motivation for genetic testing was their family history of CHD and a desire to convey the results to their children. After testing, however, there was limited recall of genetic test results and scepticism about the value of informing their children. Participants dealt with conflicting findings from the genetic test, family history, and conventional assessment by either focusing on genetic risk or environmental lifestyle factors. In some participants, genetic test results appeared to reinforce healthy behaviour but others were falsely reassured, despite having an 'above-average' conventional cardiovascular risk score.

conclusionAlthough genetic testing was acceptable, participants were unclear how to interpret genetic risk results. To facilitate healthy behaviour, health professionals should explore patients' understanding of genetic test results in light of their family history and conventional risk assessment.

Indexed as

Patient Acceptance of Health CareAdultAge FactorsAttitude to HealthCoronary Artery DiseaseFemaleGenetic Predisposition to DiseaseGenetic TestingHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedPrimary Health CareQualitative ResearchRisk Assessmentcoronary heart diseasefamily practicegenetic testingprimary health care

Identifiers

PMID24771842
PMCPMC4001138

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.