Evidence map›Paper›PMID 26792268›Full record

ArticleAmerican journal of medical genetics. Part A2016

Patients' ratings of genetic conditions validate a taxonomy to simplify decisions about preconception carrier screening via genome sequencing.

Michael C Leo, Carmit McMullen, Benjamin S Wilfond, Frances L Lynch, Jacob A Reiss, Marian J Gilmore, Patricia Himes, Tia L Kauffman, James V Davis, Gail P Jarvik and 8 more

Abstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Trial
  2. Review
  3. Towards a patient-centred classification of genetic disease severity.European journal of human genetics : EJHG · 2025
    Article
  4. Article
  5. Article
  6. The evolving landscape of expanded carrier screening: challenges and opportunities.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. The role of experiential knowledge within attitudes towards genetic carrier screening: A comparison of people with and without experience of spinal muscular atrophy.Health expectations : an international journal of public participation in health care and health policy · 2018
    Article
  12. Article
  13. Article
  14. Genome sequencing and carrier testing: decisions on categorization and whether to disclose results of carrier testing.Genetics in medicine : official journal of the American College of Medical Genetics · 2017
    Article
  15. Article
  16. 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

18 authors.

Michael C LeoKaiser Permanente Center for Health Research, Portland, Oregon.
Carmit McMullenKaiser Permanente Center for Health Research, Portland, Oregon.
Benjamin S WilfondSeattle Children's Hospital, Seattle, Washington.
Frances L LynchKaiser Permanente Center for Health Research, Portland, Oregon.
Jacob A ReissKaiser Permanente Center for Health Research, Portland, Oregon.
Marian J GilmoreDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Patricia HimesDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Tia L KauffmanKaiser Permanente Center for Health Research, Portland, Oregon.
James V DavisKaiser Permanente Center for Health Research, Portland, Oregon.
Gail P JarvikUniversity of Washington, Seattle, Washington.
Jonathan S BergThe University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Cary HardingDepartment of Molecular and Medical Genetics, Oregon Health & Science University, Portland, Oregon.
Kathleen A KennedyDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Dana Kostiner SimpsonDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Denise I QuigleyDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
C Sue RichardsDepartment of Molecular and Medical Genetics, Oregon Health & Science University, Portland, Oregon.
Alan F RopeDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Katrina A B GoddardKaiser Permanente Center for Health Research, Portland, Oregon.

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
Clinical Implementation of Carrier Testing using NGSUM1HG007292 · NHGRI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GODDARD, KATRINA A., WILFOND, BENJAMIN SIMON · 2013 to 2016
$8.2M
Genetic Discovery and Application in a Clinical Setting Continuing a PartnershipU01HG006375 · NHGRI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI JARVIK, GAIL PAIRITZ, LARSON, ERIC B · 2011 to 2014
$4.1M
CSER RoRC Centralized Support Coordinating CenterU01HG007307 · NHGRI · UNIVERSITY OF WASHINGTON · PI BURKE, WYLIE G., JARVIK, GAIL PAIRITZ · 2013 to 2016
$3.6M
NHGRI NIH HHS U01 HG006375NHGRI NIH HHS U01HG006375NHGRI NIH HHS U01 HG006487NHGRI NIH HHS U01 HG007307NHGRI NIH HHS U01HG007307NHGRI NIH HHS UM1 HG007292NHGRI NIH HHS UM1HG007292
6 · The paper itself

Abstract

Advances in genome sequencing and gene discovery have created opportunities to efficiently assess more genetic conditions than ever before. Given the large number of conditions that can be screened, the implementation of expanded carrier screening using genome sequencing will require practical methods of simplifying decisions about the conditions for which patients want to be screened. One method to simplify decision making is to generate a taxonomy based on expert judgment. However, expert perceptions of condition attributes used to classify these conditions may differ from those used by patients. To understand whether expert and patient perceptions differ, we asked women who had received preconception genetic carrier screening in the last 3 years to fill out a survey to rate the attributes (predictability, controllability, visibility, and severity) of several autosomal recessive or X-linked genetic conditions. These conditions were classified into one of five taxonomy categories developed by subject experts (significantly shortened lifespan, serious medical problems, mild medical problems, unpredictable medical outcomes, and adult-onset conditions). A total of 193 women provided 739 usable ratings across 20 conditions. The mean ratings and correlations demonstrated that participants made distinctions across both attributes and categories. Aggregated mean attribute ratings across categories demonstrated logical consistency between the key features of each attribute and category, although participants perceived little difference between the mild and serious categories. This study provides empirical evidence for the validity of our proposed taxonomy, which will simplify patient decisions for results they would like to receive from preconception carrier screening via genome sequencing.

Indexed as

Genetic Carrier ScreeningGenome, HumanAdultDecision MakingExomeFamily Planning ServicesFemaleGenetic CounselingGenetic Diseases, InbornGenetic TestingHeterozygoteHumansIncidental FindingsMalePreconception CarePregnancygene carrier testinggenetic condition taxonomygeneticsgenome sequencingpatient perceptions

Identifiers

PMID26792268
PMCPMC4824299

What OpenQuestion holds

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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.