Evidence map›Paper›PMID 26147254›Full record

ArticleThe American journal of bioethics : AJOB2015

Looking for Trouble: Preventive Genomic Sequencing in the General Population and the Role of Patient Choice.

Gabriel Lázaro-Muñoz, John M Conley, Arlene M Davis, Marcia Van Riper, Rebecca L Walker, Eric T Juengst

Open access · greenAbstract read
In one paragraph

Article in The American journal of bioethics : AJOB, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
6.7field-weighted citation impact, top 3% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Age and perceived risks and benefits of preventive genomic screening.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
  4. Renewing Medicine's basic concepts: on ambiguity.Philosophy, ethics, and humanities in medicine : PEHM · 2018
    Article
  5. Article
  6. Article
  7. The Continuing Evolution of Ethical Standards for Genomic Sequencing in Clinical Care: Restoring Patient Choice.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2017
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Preventive Genomic Sequencing in the General Population: Do PGS Fly?The American journal of bioethics : AJOB · 2015
    Article
  14. Scrutinizing the Right Not to Know.The American journal of bioethics : AJOB · 2015
    Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Gabriel Lázaro-Muñoza University of North Carolina School of Medicine.
John M Conley
Arlene M Davis
Marcia Van Riper
Rebecca L Walker
Eric T Juengst
University of North Carolina at Charlotte · US

Funding

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
Center for Genomics and SocietyP50HG004488 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HENDERSON, GAIL E · 2007 to 2017
$12.6M
NHGRI NIH HHS 1U01HG006487NHGRI NIH HHS 2P50HG004488NHGRI NIH HHS P50 HG004488NHGRI NIH HHS U01 HG006487
6 · The paper itself

Abstract

Advances in genomics have led to calls for developing population-based preventive genomic sequencing (PGS) programs with the goal of identifying genetic health risks in adults without known risk factors. One critical issue for minimizing the harms and maximizing the benefits of PGS is determining the kind and degree of control individuals should have over the generation, use, and handling of their genomic information. In this article we examine whether PGS programs should offer individuals the opportunity to selectively opt out of the sequencing or analysis of specific genomic conditions (the menu approach) or whether PGS should be implemented using an all-or-nothing panel approach. We conclude that any responsible scale-up of PGS will require a menu approach that may seem impractical to some, but that draws its justification from a rich mix of normative, legal, and practical considerations.

Indexed as

Genetic Predisposition to DiseaseGenetic TestingPersonal AutonomyPrimary PreventionSequence Analysis, DNAChoice BehaviorGenetic Diseases, InbornGenetic PrivacyGenomicsHumansMetagenomicsPaternalismPublic Healthdecision makinggenetics (clinical)informed consentlawmedical humanitiespublic health

Identifiers

PMID26147254
PMCPMC4493927
OpenAlexW2145156452

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.