Evidence map›Paper›PMID 27680566›Full record

ArticleJournal of genetic counseling2017

Predictive Genetic Testing of Children for Adult-Onset Conditions: Negotiating Requests with Parents.

Angela Fenwick, Mirjam Plantinga, Sandi Dheensa, Anneke Lucassen

Abstract read
In one paragraph

Article in Journal of genetic counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Rethinking the "open future" argument against predictive genetic testing of children.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  7. 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

4 authors.

Angela FenwickClinical Ethics and Law, Faculty of Medicine, University of Southampton, Southampton, SO165YA, UK. ajf3@soton.ac.uk.ORCID http://orcid.org/0000-0002-5536-5686
Mirjam PlantingaClinical Ethics and Law, Faculty of Medicine, University of Southampton, Southampton, SO165YA, UK.
Sandi DheensaClinical Ethics and Law, Faculty of Medicine, University of Southampton, Southampton, SO165YA, UK.
Anneke LucassenClinical Ethics and Law, Faculty of Medicine, University of Southampton, Southampton, SO165YA, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare professionals (HCPs) regularly face requests from parents for predictive genetic testing of children for adult-onset conditions. Little is known about how HCPs handle these test requests, given that guidelines recommend such testing is deferred to adulthood unless there is medical benefit to testing before that time. Our study explored the process of decision-making between HCPs and parents. Semi-structured interviews were conducted with 34 HCPs in 8 regional genetic services across the UK, and data were thematically analysed. We found that instead of saying 'yes' or 'no' to such requests, many HCPs framed the consultation as an opportunity to negotiate the optimal time of testing. This, they argued, facilitates parents' considered decision-making, since parents' eventual decisions after requesting a test was often to defer testing their child. In cases where parents' requests remained a sustained wish, most HCPs said they would agree to test, concluding that not testing would not serve the child's wider best interest. As a strategy for determining the child's best interest and for facilitating shared decision-making, we recommend that HCPs re-frame requests for testing from parents as a discussion about the optimal time of testing for adult-onset disease.

Indexed as

Decision MakingGenetic CounselingAdultChildFemaleGenetic Diseases, InbornGenetic TestingHealth PersonnelHumansMaleNegotiatingParentsChildrenClinical geneticsDecision-makingGenetic testingProfessional perspectives

Identifiers

PMID27680566
PMCPMC5382176

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.