Evidence map›Paper›PMID 27811861›Full record

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

A survey of current practices for genomic sequencing test interpretation and reporting processes in US laboratories.

Julianne M O'Daniel, Heather M McLaughlin, Laura M Amendola, Sherri J Bale, Jonathan S Berg, David Bick, Kevin M Bowling, Elizabeth C Chao, Wendy K Chung, Laura K Conlin and 28 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 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing 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

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

  1. Pooled it
  2. Trial
  3. Review
  4. Article
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  9. Article
  10. Review
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  14. Genomic medicine for liver disease.Hepatology (Baltimore, Md.) · 2022
    Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Analysis of laboratory reporting practices using a quality assessment of a virtual patient.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    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

38 authors.

Julianne M O'DanielDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0001-5843-4432
Heather M McLaughlinLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts, USA.
Laura M AmendolaDivision of Medical Genetics, University of Washington, Seattle, Washington, USA.ORCID 0000-0002-5506-6168
Sherri J BaleGeneDx, Inc., Gaithersburg, Maryland, USA.
Jonathan S BergDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0003-2360-2664
David BickDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID 0000-0002-8750-306X
Kevin M BowlingHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
Elizabeth C ChaoAmbry Genetics, Aliso Viejo, California, USA.
Wendy K ChungDepartment of Pediatrics, Columbia University, New York, New York, USA.ORCID 0000-0003-3438-5685
Laura K ConlinDivision of Genomic Diagnostics, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia and Perelman School of Medicine at The University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-2330-8158
Gregory M CooperHudsonAlpha Institute for Biotechnology, Huntsville, Alabama, USA.
Soma DasDepartment of Human Genetics, University of Chicago, Chicago, Illinois, USA.
Joshua L DeignanDepartment of Pathology and Laboratory Medicine, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, USA.ORCID 0000-0003-3587-830X
Michael O DorschnerDepartment of Genome Sciences, University of Washington, Seattle, Washington, USA.
James P EvansDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Arezou A GhazaniDepartment of Medical Oncology, Dana Farber Cancer Institute, Boston, Massachusetts, USA.ORCID 0000-0002-4439-8554
Katrina A GoddardCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA.ORCID 0000-0001-9535-8993
Michele GornickDepartment of Internal Medicine, Center for Bioethics Social Science and Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID 0000-0002-3451-8858
Kelly D Farwell HagmanAmbry Genetics, Aliso Viejo, California, USA.ORCID 0000-0003-1173-052X
Tina HambuchIllumina, Inc., San Diego, California, USA.
Madhuri HegdeEmory Genetics Laboratory, Department of Human Genetics, Emory University, Atlanta, Georgia, USA.
Lucia A HindorffDivision of Genomic Medicine, National Human Genome Research Institute, Bethesda, Maryland, USA.
Ingrid A HolmDivision of Genetics and Genomics and Manton Center for Orphan Diseases Research, Boston Children's Hospital, Boston, Massachusetts, USA.
Gail P JarvikDivision of Medical Genetics, University of Washington, Seattle, Washington, USA.
Amy Knight JohnsonDepartment of Human Genetics, University of Chicago, Chicago, Illinois, USA.
Lindsey MighionEmory Genetics Laboratory, Department of Human Genetics, Emory University, Atlanta, Georgia, USA.
Massimo MorraPersonalis, Inc., Menlo Park, California, USA.
Sharon E PlonTexas Children's Cancer Center, Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA.ORCID 0000-0002-9626-0936
Sumit PunjDepartment of Molecular and Medical Genetics, Oregon Health &Science University, Portland, Oregon, USA.ORCID 0000-0002-2274-8218
C Sue RichardsDepartment of Molecular and Medical Genetics, Oregon Health &Science University, Portland, Oregon, USA.ORCID 0000-0003-1078-979X
Avni SantaniDivision of Genomic Diagnostics, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia and Perelman School of Medicine at The University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-2871-4307
Brian H ShirtsDepartment of Laboratory Medicine, University of Washington, Seattle, Washington, USA.
Nancy B SpinnerDivision of Genomic Diagnostics, Department of Pathology and Laboratory Medicine, The Children's Hospital of Philadelphia and Perelman School of Medicine at The University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8109-3648
Sha TangAmbry Genetics, Aliso Viejo, California, USA.ORCID 0000-0002-8304-2286
Karen E WeckDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Susan M WolfConsortium on Law and Values in Health, Environment &the Life Sciences, Law School, Medical School, University of Minnesota, Minneapolis, Minnesota, USA.
Yaping YangDepartment of Molecular and Human Genetics, Baylor College of Medicine and Baylor Miraca Genetics Laboratories, Houston, Texas, USA.ORCID 0000-0001-5608-8628
Heidi L RehmThe Broad Institute of MIT and Harvard, Cambridge, Massachusetts, USA.ORCID 0000-0002-6025-0015

Funding

Resource ProjectU41HG006834 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI REHM, HEIDI L · 2013 to 2020
$26.9M
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
Measuring Perceptions of Utility of Clinical Genome Sequencing: Instrument Testing and ValidationU01HG006485 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI MCGUIRE, AMY L, PARSONS, DONALD W. · 2012 to 2021
$22.1M
University of Washington Biomedical Informatics and Data Science Research Training ProgramT15LM007442 · NLM · UNIVERSITY OF WASHINGTON · PI JOHN H. GENNARI, Andrea L. Hartzler · 2002 to 2026
$19.6M
Exome sequencing in Diverse Populations in Colorado & OregonU01HG007292 · NHGRI · KAISER FOUNDATION RESEARCH INSTITUTE · PI LEO, MICHAEL C, WILFOND, BENJAMIN SIMON · 2017 to 2021
$15.7M
Variation, Function, and Disease Supplement ProgramU01HG008657 · NHGRI · UNIVERSITY OF WASHINGTON · PI David Russell Crosslin, Gail Pairitz Jarvik · 2015 to 2026
$13.4M
Integration of Whole Genome Sequencing into Clinical MedicineU01HG006500 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI GREEN, ROBERT C. · 2012 to 2016
$11.5M
Clinical sequencing in cancer: Clinical ethical and technological studiesU01HG006507 · NHGRI · UNIVERSITY OF WASHINGTON · PI JARVIK, GAIL PAIRITZ · 2012 to 2016
$10.6M
Applying Genomic Sequencing in PediatricsU01HG006546 · NHGRI · CHILDREN'S HOSP OF PHILADELPHIA · PI KRANTZ, IAN D. · 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
Sequencing, Analysis, and Interpretation of SequencingUM1HG006508 · NHGRI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHINNAIYAN, ARUL M, PIENTA, KENNETH J. · 2013 to 2016
$7.8M
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
NCATS NIH HHS KL2 TR001416NCI NIH HHS R01 CA154517NHGRI NIH HHS R01 HG006600NHGRI NIH HHS U01 HG006485NHGRI NIH HHS U01 HG006487NHGRI NIH HHS U01 HG006492NHGRI NIH HHS U01 HG006500NHGRI NIH HHS U01 HG006507NHGRI NIH HHS U01 HG006546NHGRI NIH HHS U01 HG007292NHGRI NIH HHS U01 HG007307NHGRI NIH HHS U01 HG008657NHGRI NIH HHS U41 HG006834NHGRI NIH HHS UM1 HG006508NHGRI NIH HHS UM1 HG007292NHGRI NIH HHS UM1 HG007301NLM NIH HHS T15 LM007442
6 · The paper itself

Abstract

purposeWhile the diagnostic success of genomic sequencing expands, the complexity of this testing should not be overlooked. Numerous laboratory processes are required to support the identification, interpretation, and reporting of clinically significant variants. This study aimed to examine the workflow and reporting procedures among US laboratories to highlight shared practices and identify areas in need of standardization.

methodsSurveys and follow-up interviews were conducted with laboratories offering exome and/or genome sequencing to support a research program or for routine clinical services. The 73-item survey elicited multiple choice and free-text responses that were later clarified with phone interviews.

resultsTwenty-one laboratories participated. Practices highly concordant across all groups included consent documentation, multiperson case review, and enabling patient opt-out of incidental or secondary findings analysis. Noted divergence included use of phenotypic data to inform case analysis and interpretation and reporting of case-specific quality metrics and methods. Few laboratory policies detailed procedures for data reanalysis, data sharing, or patient access to data.

conclusionThis study provides an overview of practices and policies of experienced exome and genome sequencing laboratories. The results enable broader consideration of which practices are becoming standard approaches, where divergence remains, and areas of development in best practice guidelines that may be helpful.Genet Med advance online publication 03 Novemeber 2016.

Indexed as

DisclosureGenetic TestingHumansIncidental FindingsInformation DisseminationLaboratoriesPractice Guidelines as TopicResearch ReportSample SizeSequence Analysis, DNASurveys and Questionnaires

Identifiers

PMID27811861
PMCPMC5415437

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.