Evidence map›Paper›PMID 27561086›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2017

Eliciting preferences on secondary findings: the Preferences Instrument for Genomic Secondary Results.

Kyle B Brothers, Kelly M East, Whitley V Kelley, M Frances Wright, Matthew J Westbrook, Carla A Rich, Kevin M Bowling, Edward J Lose, E Martina Bebin, Shirley Simmons and 7 more

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Participant choices for return of genomic results in the eMERGE Network.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  10. The Impact of Incidental Findings Detected During Brain Imaging on Research Participants of the Rotterdam Study: An Interview Study.Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees · 2020
    Article
  11. Educating military primary health-care providers in genomic medicine: lessons learned from the MilSeq Project.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  12. Article
  13. Article
  14. Clinical utility of genomic sequencing.Current opinion in pediatrics · 2019
    Review
  15. Article
  16. Review
  17. Genomic Contextualism: Shifting the Rhetoric of Genetic Exceptionalism.The American journal of bioethics : AJOB · 2019
    Article
  18. Genomic sequencing identifies secondary findings in a cohort of parent study participants.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
  19. Article
  20. Review
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

17 authors.

Kyle B BrothersDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky, USA.ORCID 0000-0002-8550-9724
Kelly M EastHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
Whitley V KelleyHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
M Frances WrightVanderbilt University School of Medicine, Nashville, Tennessee, USA.ORCID 0000-0002-5087-9768
Matthew J WestbrookSaint Louis University School of Law and College for Public Health & Social Justice, St. Louis, Missouri, USA.ORCID 0000-0001-8509-6678
Carla A RichDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Kevin M BowlingHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
Edward J LoseDepartment of Genetics, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-9212-4101
E Martina BebinDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0003-1264-3428
Shirley SimmonsDepartment of Neurology, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0003-1545-7268
John A MyersDepartment of Pediatrics, University of Louisville School of Medicine, Louisville, Kentucky, USA.
Greg BarshHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
Richard M MyersHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
Greg M CooperHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
Jill M PulleyResearch Support Services, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Mark A RothsteinInstitute for Bioethics, Health Policy, and Law, University of Louisville, Louisville, Kentucky, USA.
Ellen Wright ClaytonCenter for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0002-0308-4110

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Genomic Diagnosis in Children with Developmental DelayUM1HG007301 · NHGRI · HUDSON-ALPHA INSTITUTE FOR BIOTECHNOLOGY · PI COOPER, GREGORY MICHAEL, MYERS, RICHARD M · 2013 to 2016
$7.5M
Returning Research Results of Pediatric Genomic Research to ParticipantsR21HG006612 · NHGRI · VANDERBILT UNIVERSITY · PI CLAYTON, ELLEN WRIGHT · 2011 to 2012
$389k
NCATS NIH HHS UL1 TR000445NHGRI NIH HHS R21 HG006612NHGRI NIH HHS UM1 HG007301
6 · The paper itself

Abstract

purposeEliciting and understanding patient and research participant preferences regarding return of secondary test results are key aspects of genomic medicine. A valid instrument should be easily understood without extensive pretest counseling while still faithfully eliciting patients' preferences.

methodsWe conducted focus groups with 110 adults to understand patient perspectives on secondary genomic findings and the role that preferences should play. We then developed and refined a draft instrument and used it to elicit preferences from parents participating in a genomic sequencing study in children with intellectual disabilities.

resultsPatients preferred filtering of secondary genomic results to avoid information overload and to avoid learning what the future holds, among other reasons. Patients preferred to make autonomous choices about which categories of results to receive and to have their choices applied automatically before results are returned to them and their clinicians. The Preferences Instrument for Genomic Secondary Results (PIGSR) is designed to be completed by patients or research participants without assistance and to guide bioinformatic analysis of genomic raw data. Most participants wanted to receive all secondary results, but a significant minority indicated other preferences.

conclusionsOur novel instrument-PIGSR-should be useful in a wide variety of clinical and research settings.Genet Med 19 3, 337-344.

Indexed as

AdultAgedChoice BehaviorComprehensionFemaleFocus GroupsGenetic TestingGenomeGenomicsHealth Knowledge, Attitudes, PracticeHumansIncidental FindingsIntellectual DisabilityMaleMiddle AgedParents

Identifiers

PMID27561086
PMCPMC5326612

What OpenQuestion holds

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Registered trials

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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.