Evidence map›Paper›PMID 29234989›Full record

ArticleJournal of genetic counseling2018

Clinical Cardiovascular Genetic Counselors Take a Leading Role in Team-based Variant Classification.

Chloe Reuter, Megan E Grove, Kate Orland, Katherine Spoonamore, Colleen Caleshu

Abstract read
PubMed Publisher
In one paragraph

Article 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 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. Guideline
  2. Trial
  3. Article
  4. Review
  5. Article
  6. The Role of Genetics in the Management of Heart Failure Patients.International journal of molecular sciences · 2023
    Review
  7. Article
  8. Article
  9. Cardiovascular Genetics: The Role of Genetics in Predicting Risk.The Medical clinics of North America · 2022
    Review
  10. Challenges in genetic testing: clinician variant interpretation processes and the impact on clinical care.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Evolving Roles of Genetic Counselors in the Clinical Laboratory.Cold Spring Harbor perspectives in medicine · 2020
    Review
  17. A Person-Centered Approach to Cardiovascular Genetic Testing.Cold Spring Harbor perspectives in medicine · 2020
    Review
  18. Clinical and genetic evaluation after sudden cardiac arrest.Journal of cardiovascular electrophysiology · 2020
    Review
  19. Review
  20. 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

5 authors.

Chloe ReuterStanford Center for Inherited Cardiovascular Disease, Stanford University, Stanford, CA, USA.
Megan E GroveClinical Genomics Service, Stanford Health Care, Stanford, CA, USA.
Kate OrlandDivision of Cardiovascular Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Katherine SpoonamoreKrannert Institute of Cardiology, Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA.
Colleen CaleshuStanford Center for Inherited Cardiovascular Disease, Stanford University, Stanford, CA, USA. ccaleshu@stanfordhealthcare.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We sought to delineate the genetic test review and interpretation practices of clinical cardiovascular genetic counselors. A one-time anonymous online survey was taken by 46 clinical cardiovascular genetic counselors recruited through the National Society of Genetic Counselors Cardiovascular Special Interest Group. Nearly all (95.7%) gather additional information on variants reported on clinical genetic test reports and most (81.4%) assess the classification of such variants. Clinical cardiovascular genetic counselors typically (81.0%) classify variants in collaboration with cardiologist and/or geneticist colleagues, with the genetic counselor as the team member who is primarily responsible. Variant classification is a relatively recent (mean 3.2 years) addition to practice. Most genetic counselors learned classification skills on the job from clinical and laboratory colleagues. Recent graduates were more likely to have learned this in graduate school (p < 0.001). Genetic counselors are motivated to take responsibility for the classification of variants because of prior experiences with variant reclassification, inconsistencies between laboratories, and incomplete laboratory reports. They are also driven by a sense of professional duty and their proximity to the clinical context. This practice represents a broadening of the skill set of clinical cardiovascular genetic counselors and a unique expertise that they contribute to the interdisciplinary teams in which they work.

Indexed as

Professional RoleAdultCardiovascular DiseasesCounselorsGenetic CounselingGenetic TestingHumansJob DescriptionSurveys and QuestionnairesUncertaintyCardiovascularGenetic counselingGenetic counselorGenetic testingInterpretationVariant classification

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.