Evidence map›Paper›PMID 29079892›Full record

ReviewJournal of genetic counseling2018

The Genetic Counselor in the Pediatric Arrhythmia Clinic: Review and Assessment of Services.

Benjamin M Helm, Samantha L Freeze, Katherine G Spoonamore, Stephanie M Ware, Mark D Ayers, Adam C Kean

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of genetic counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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  13. The composition and capacity of the clinical genetics workforce in high-income countries: a scoping review.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
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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

6 authors.

Benjamin M HelmDepartment of Medical & Molecular Genetics, Indiana University School of Medicine, Riley Hospital for Children & Indiana University Health, 550 N. University Blvd., AOC 5th Floor, Ste. 5051, Indianapolis, IN, 46202, USA. bmhelm@iu.edu.
Samantha L FreezeDepartment of Medical & Molecular Genetics, Indiana University School of Medicine, Riley Hospital for Children & Indiana University Health, 550 N. University Blvd., AOC 5th Floor, Ste. 5051, Indianapolis, IN, 46202, USA.
Katherine G SpoonamoreDepartment of Medical & Molecular Genetics, Indiana University School of Medicine, Riley Hospital for Children & Indiana University Health, 550 N. University Blvd., AOC 5th Floor, Ste. 5051, Indianapolis, IN, 46202, USA.
Stephanie M WareDepartment of Medical & Molecular Genetics, Indiana University School of Medicine, Riley Hospital for Children & Indiana University Health, 550 N. University Blvd., AOC 5th Floor, Ste. 5051, Indianapolis, IN, 46202, USA.
Mark D AyersDepartment of Medical & Molecular Genetics, Indiana University School of Medicine, Riley Hospital for Children & Indiana University Health, 550 N. University Blvd., AOC 5th Floor, Ste. 5051, Indianapolis, IN, 46202, USA.
Adam C KeanDepartment of Pediatrics, Division of Cardiology, Indiana University School of Medicine, Riley Hospital for Children & Indiana University Health, 705 Riley Hospital Dr., Indianapolis, IN, 46202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are minimal data on the impact of genetic counselors in subspecialty clinics, including the pediatric arrhythmia clinic. This study aimed to describe the clinical encounters of a genetic counselor integrated into a pediatric arrhythmia clinic. In the 20 months between July 2015 and February 2017, a total of 1914 scheduled patients were screened for indications relevant for assessment by a genetic counselor. Of these, the genetic counselor completed 276 patient encounters, seeing 14.4% of all patients in clinic. The most expected and common indications for genetic counselor involvement were related to suspicion for primary heritable arrhythmia conditions, though patients seen in this clinic display a wide range of cardiac problems and many additional indications for genetic evaluation were identified. Roughly 75% (211/276) of encounters were for personal history of confirmed/suspected heritable disease, including cardiac channelopathies, cardiomyopathies, ventricular arrhythmias, and congenital heart defects, and 25% (65/276) were for family history of disease, including long QT syndrome and sudden unexplained death. Overall, this study shows that about 1 in 7 patients seen in a pediatric arrhythmia clinic have indications that likely benefit from genetic counselor involvement and care. Similar service delivery models embedding genetic counselors in pediatric arrhythmia clinics should be encouraged, and this model could be emulated to increase patient access to genetic counseling services.

Indexed as

Arrhythmias, CardiacChildCounselorsFemaleGenetic CounselingGenetic Predisposition to DiseaseGenetic TestingHeart Defects, CongenitalHumansLong QT SyndromeMaleRisk AssessmentCardiomyopathyChannelopathyElectrophysiologyHeritable heart diseaseInherited arrhythmiasSudden death

Identifiers

What OpenQuestion holds

Textmetadata
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.