Evidence map›Paper›PMID 26889673›Full record

ArticleAmerican journal of medical genetics. Part A2016

Generating a taxonomy for genetic conditions relevant to reproductive planning.

Diane M Korngiebel, Carmit K McMullen, Laura M Amendola, Jonathan S Berg, James V Davis, Marian J Gilmore, Cary O Harding, Patricia Himes, Gail P Jarvik, Tia L Kauffman and 11 more

Open access · greenAbstract 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
11.1field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Article
  3. Towards a patient-centred classification of genetic disease severity.European journal of human genetics : EJHG · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. The evolving landscape of expanded carrier screening: challenges and opportunities.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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
  20. 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

21 authors at 6 institutions in 1 country.

Diane M KorngiebelDepartment of Biomedical Informatics and Medical Education, University of Washington, Seattle, Washington.
Carmit K McMullenKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Laura M AmendolaDivision of Medical Genetics, Department of Medicine, University of Washington, Seattle, Washington.
Jonathan S BergDepartment of Genetics, University of North Carolina Chapel Hill, Chapel Hill, North Carolina.
James V DavisKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Marian J GilmoreDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Cary O HardingMolecular and Medical Genetics, Oregon Health and Science University, Portland, Oregon.
Patricia HimesDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Gail P JarvikDivision of Medical Genetics, Department of Medicine, University of Washington, Seattle, Washington.
Tia L KauffmanKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Kathleen A KennedyDepartment of Perinatal Services, Kaiser Permanente Northwest, Portland, Oregon.
Dana Kostiner SimpsonDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Michael C LeoKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Frances L LynchKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Denise I QuigleyKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Jacob A ReissKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
C Sue RichardsMolecular and Medical Genetics, Oregon Health and Science University, Portland, Oregon.
Alan F RopeDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, Oregon.
Jennifer L SchneiderKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Katrina A B GoddardKaiser Permanente Northwest Center for Health Research, Portland, Oregon.
Benjamin S WilfondTreuman Katz Center for Pediatrics Bioethics, Seattle Children's Research Institute, Seattle, Washington.
Kaiser Permanente Center for Health Research · USKaiser Permanente · USUniversity of Washington Medical Center · USOregon Health & Science University · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · 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
Variation, Function, and Disease Supplement ProgramU01HG008657 · NHGRI · UNIVERSITY OF WASHINGTON · PI David Russell Crosslin, Gail Pairitz Jarvik · 2015 to 2026
$13.4M
Clinical sequencing in cancer: Clinical ethical and technological studiesU01HG006507 · NHGRI · UNIVERSITY OF WASHINGTON · PI JARVIK, GAIL PAIRITZ · 2012 to 2016
$10.6M
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
Ethically responsible clinical decision support for Lynch Syndrome screeningK01HG008180 · NHGRI · UNIVERSITY OF WASHINGTON · PI KORNGIEBEL, DIANE M · 2014 to 2018
$611k
NHGRI NIH HHS K01 HG008180NHGRI NIH HHS K01HG008180NHGRI NIH HHS U01 HG006375NHGRI NIH HHS U01HG006375NHGRI NIH HHS U01 HG006487NHGRI NIH HHS U01 HG006507NHGRI NIH HHS U01HG006507NHGRI NIH HHS U01 HG007307NHGRI NIH HHS U01HG007307NHGRI NIH HHS U01 HG008657NHGRI NIH HHS UM1 HG007292NHGRI NIH HHS UM1HG007292
6 · The paper itself

Abstract

As genome or exome sequencing (hereafter genome-scale sequencing) becomes more integrated into standard care, carrier testing is an important possible application. Carrier testing using genome-scale sequencing can identify a large number of conditions, but choosing which conditions/genes to evaluate as well as which results to disclose can be complicated. Carrier testing generally occurs in the context of reproductive decision-making and involves patient values in a way that other types of genetic testing may not. The Kaiser Permanente Clinical Sequencing Exploratory Research program is conducting a randomized clinical trial of preconception carrier testing that allows participants to select their preferences for results from among broad descriptive categories rather than selecting individual conditions. This paper describes (1) the criteria developed by the research team, the return of results committee (RORC), and stakeholders for defining the categories; (2) the process of refining the categories based on input from patient focus groups and validation through a patient survey; and (3) how the RORC then assigned specific gene-condition pairs to taxonomy categories being piloted in the trial. The development of four categories (serious, moderate/mild, unpredictable, late onset) for sharing results allows patients to select results based on their values without separately deciding their interest in knowing their carrier status for hundreds of conditions. A fifth category, lifespan limiting, was always shared. The lessons learned may be applicable in other results disclosure situations, such as incidental findings.

Indexed as

Genome, HumanDecision MakingExomeFamily Planning ServicesFemaleFocus GroupsGenetic Carrier ScreeningGenetic CounselingGenetic Diseases, InbornGenetic TestingHeterozygoteHumansIncidental FindingsMaleRandomized Controlled Trials as TopicSequence Analysis, DNAcarrier testinggenome sequencingreturn of results

Identifiers

PMID26889673
PMCPMC4860293
OpenAlexW2414917291

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.