Evidence map›Paper›PMID 26973821›Full record

ArticleEpidemiology, biostatistics and public health2014

Conceptual issues for screening in the genomic era - time for an update?

Caroline F Wright, Ron L Zimmern

Open access · diamondAbstract read
In one paragraph

Article in Epidemiology, biostatistics and public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

2 authors at 2 institutions in 1 country.

Caroline F WrightWellcome Trust Sanger Institute, Wellcome Trust Genome Campus, Hinxton, Cambridge UK.
Ron L ZimmernPHG Foundation, Cambridge UK.
PHG Foundation · GBWellcome Sanger Institute · GB

Funding

Wellcome Trust 079643
6 · The paper itself

Abstract

backgroundScreening tests are ubiquitous in modern medicine; however a consensus view on the criteria that distinguish screening from clinical testing remains strangely elusive. although numerous definitions of screening have been suggested, there is considerable variation amongst them, leading to confusion and disagreement amongst clinicians and public health professionals alike. In light of developments in genomics, the question of what screening entails is becoming increasingly pressing.

methodsWe evaluated the concepts underlying definitions of screening versus clinical testing and investigated their ethical implications.

resultsWe suggest that just two key concepts underlie screening: first, screening tests are performed in

conclusionsWe emphasise the need to differentiate between opportunistic screening and clinical testing because of the differing prior probability of disease and thus the differing ethical burden of responsibility placed upon the physician in each scenario. Physicians need to appreciate the shifting moral burden placed upon them in relation to reactive clinical testing versus proactive screening, and the different legal obligations that may ensue.

Indexed as

clinical testsgenomic erascreening tests

Identifiers

PMID26973821
PMCPMC4783824
OpenAlexW25961361

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.