Evidence map›Paper›PMID 25506378›Full record

ArticlePersonalized medicine2014

The unintended implications of blurring the line between research and clinical care in a genomic age.

Benjamin E Berkman, Sara Chandros Hull, Lisa Eckstein

Open access · greenAbstract read
In one paragraph

Article in Personalized medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Covering medical care costs for participants in the eMERGE Network: Challenges for equity and implementation.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Privacy and ethical challenges in next-generation sequencing.Expert review of precision medicine and drug development · 2019
    Article
  11. Article
  12. Review
  13. Navigating the research-clinical interface in genomic medicine: analysis from the CSER Consortium.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Mapping the Ethics of Translational Genomics: Situating Return of Results and Navigating the Research-Clinical Divide.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2015
    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

3 authors at 1 institution in 2 countries.

Benjamin E BerkmanOffice of the Clinical Director, National Human Genome Research Institute, Bethesda, MD, USA ; Department of Bioethics, Clinical Center, NIH, Bethesda, MD, USA.
Sara Chandros HullOffice of the Clinical Director, National Human Genome Research Institute, Bethesda, MD, USA ; Department of Bioethics, Clinical Center, NIH, Bethesda, MD, USA.
Lisa EcksteinDepartment of Bioethics, Clinical Center, NIH, Bethesda, MD, USA ; Faculty of Law, University of Tasmania, Australia.
National Institutes of Health Clinical Center · US

Funding

Intramural NIH HHS Z99 HG999999
6 · The paper itself

Abstract

While the development of next-generation sequencing technology has had a paradigm-changing impact on biomedical research, there is likely to be a gap between discovery of therapeutic benefits in research and actual adoption of the new technology into clinical practice. This gap can create pressure on the research enterprise to provide individualized care more typical of the clinic setting because it is uniquely accessible in research. This blurring of the line between research and clinical care is understandable, and perhaps even inevitable. But even if the gap is only transitory, such a blurring can have lasting implications, both by expanding obligations imposed on researchers, but also by challenging long-held ethical views. We explore this idea, focusing on how the dissolving distinction between research and clinical care has influenced the vigorous debate around how researchers should manage genetic findings (sometimes separated into primary and incidental or secondary findings) resulting from research.

Indexed as

ancillary careincidental findingslegal liabilityresearch ethicssecondary findingswhole-genome sequencing

Identifiers

PMID25506378
PMCPMC4262832
OpenAlexW2101644644

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.