Evidence map›Paper›PMID 29301385›Full record

ArticleJournal of personalized medicine2018

Ethical Considerations Related to Return of Results from Genomic Medicine Projects: The eMERGE Network (Phase III) Experience.

Robyn Fossey, David Kochan, Erin Winkler, Joel E Pacyna, Janet Olson, Stephen Thibodeau, John J Connolly, Margaret Harr, Meckenzie A Behr, Cynthia A Prows and 23 more

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
6.7field-weighted citation impact, top 3% of its field
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

35 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Returning integrated genomic risk and clinical recommendations: The eMERGE study.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. The Role of Electronic Health Records in Advancing Genomic Medicine.Annual review of genomics and human genetics · 2021
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  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

33 authors at 13 institutions in 1 country.

Robyn FosseyDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA. rlfossey@yahoo.com.
David KochanDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA. kochan.david@mayo.edu.
Erin WinklerCenter for Individualized Medicine and Department of Medical Genomics, Mayo Clinic, Rochester, MN 55905, USA. winkler.Erin2@mayo.edu.
Joel E PacynaDepartment of Health Sciences Research, Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN 55905, USA. pacyna.joel@mayo.edu.
Janet OlsonDepartment of Health Sciences Research, Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN 55905, USA. olsonj@mayo.edu.
Stephen ThibodeauDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN 55905, USA. sthibodeau@mayo.edu.
John J ConnollyThe Children's Hospital of Philadelphia, Center for Applied Genomics, Philadelphia, PA 19104, USA. ConnollyJ1@email.chop.edu.
Margaret HarrThe Children's Hospital of Philadelphia, Center for Applied Genomics, Philadelphia, PA 19104, USA. harrm@email.chop.edu.
Meckenzie A BehrThe Children's Hospital of Philadelphia, Center for Applied Genomics, Philadelphia, PA 19104, USA. behrm@email.chop.edu.
Cynthia A ProwsCincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. Cindy.Prows@cchmc.org.
Beth CobbCincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. Beth.Cobb@cchmc.org.
Melanie F MyersCincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. Melanie.Myers@cchmc.org.
Nancy D LeslieCincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. Nancy.Leslie@cchmc.org.
Bahram Namjou-KhalesCincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. bahram.namjou@cchmc.org.
Hila Milo RasoulyDepartment of Medicine, Division of Nephrology, Columbia University Medical Center, New York, NY 10027, USA. hm2673@cumc.columbia.edu.
Julia WynnDepartment of Pediatrics, Columbia University Medical Center, New York, NY 10032, USA. jw2500@cumc.columbia.edu.
Alexander FedotovIrving Institute for Clinical and Translational Research, Columbia University Medical Center, New York, NY 10032, USA. avf2117@cumc.columbia.edu.
Wendy K ChungDepartments of Pediatrics and Medicine, Columbia University Medical Center, New York, NY 10032, USA. wkc15@cumc.columbia.edu.
Ali GharaviDepartment of Medicine, Division of Nephrology, Columbia University Medical Center, New York, NY 10027, USA. ag2239@cumc.columbia.edu.
Janet L WilliamsGenomic Medicine Institute, Geisinger, Danville, PA 17822, USA. jlwilliams3@geisinger.edu.
Lynn PaisBrigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA. lspais@bwh.harvard.edu.
Ingrid HolmBoston Children's Hospital, Boston, MA 02115, USA. Ingrid.Holm@childrens.harvard.edu.
Sharon AufoxCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA. s-aufox@northwestern.edu.
Maureen E SmithCenter for Genetic Medicine, Northwestern University, Chicago, IL 60611, USA. m-smith6@northwestern.edu.
Aaron ScrolKaiser Permanente, Seattle, WA 98101, USA. scrol.a@ghc.org.
Kathleen LeppigKaiser Permanente, Seattle, WA 98101, USA. leppig.k@ghc.org.
Gail P JarvikDivision of Medical Genetics, University of Washington, Seattle, WA 98195, USA. gjarvik@medicine.washington.edu.
Georgia L WiesnerDepartment of Medicine, Division of Genomic Medicine, Vanderbilt University Medical Center, Nashville, TN 37212, USA. georgia.wiesner@vanderbilt.edu.
Rongling LiNational Human Genome Research Institute, Rockville, MD 20892, USA. lir2@mail.nih.gov.
Mary StroudDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN 37203, USA. mary.stroud@Vanderbilt.edu.
Jordan W SmollerCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA 02114, USA. jsmoller@partners.org.
Richard R SharpDepartment of Health Sciences Research, Biomedical Ethics Research Program, Mayo Clinic, Rochester, MN 55905, USA. Sharp.Richard@mayo.edu.
Iftikhar J KulloDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55905, USA. kullo.iftikhar@mayo.edu.
Cincinnati Children's Hospital Medical Center · USColumbia University Irving Medical Center · USMayo Clinic · USChildren's Hospital of Philadelphia · USMayo Clinic in Florida · USKaiser Permanente · USNorthwestern University · USVanderbilt University Medical Center · USBoston Children's Hospital · USBrigham and Women's Hospital · USMassachusetts General Hospital · USNational Human Genome Research Institute · USUniversity of Washington Medical Center · US

Funding

Genomic Basis of Susceptibility to COVID-19 Infection and its ComplicationsU01HG006379 · NHGRI · MAYO CLINIC ROCHESTER · PI Richard R. Sharp · 2011 to 2026
$16.5M
Finding Genomic Profiles of COVID-19 Phenotypes from the EHRU01HG008685 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIZABETH W KARLSON, Matthew S Lebo · 2015 to 2026
$13.6M
Variation, Function, and Disease Supplement ProgramU01HG008657 · NHGRI · UNIVERSITY OF WASHINGTON · PI David Russell Crosslin, Gail Pairitz Jarvik · 2015 to 2026
$13.4M
OMOP information model for eMERGE phenotypingU01HG008680 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Wendy K Chung, GEORGE M HRIPCSAK · 2015 to 2026
$13.3M
DNA Sequencing Support for the eMERGE NetworkU01HG008664 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI GIBBS, RICHARD A · 2015 to 2019
$10.9M
Global Alliance for Genomic Health (GA4GH)U01HG008676 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI LENNON, NIALL JOHN, REHM, HEIDI L · 2015 to 2019
$8.6M
The Electronic Medical Records and Genomics (eMERGE) Network Phase III Coordinating Center (U01)U01HG008701 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PETERSON, JOSEPH F. · 2015 to 2019
$7.1M
VGER, the Vanderbilt Genome-Electronic Records ProjectU01HG008672 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C., RODEN, DAN M · 2015 to 2019
$5.1M
The Future of Genomics Medicine in Patient Care: Contributions from CHOPU01HG008684 · NHGRI · CHILDREN'S HOSP OF PHILADELPHIA · PI HAKONARSON, HAKON · 2015 to 2019
$5.0M
OMOP information model for eMERGE phenotypingU01HG008679 · NHGRI · GEISINGER CLINIC · PI WILLIAMS, MARC S. · 2015 to 2019
$4.4M
Better Outcomes for Children: Promoting Excellence in Healthcare Genomics to Inform PolicyU01HG008666 · NHGRI · CINCINNATI CHILDRENS HOSP MED CTR · PI HARLEY, JOHN BARKER · 2015 to 2019
$4.2M
Genomic Medicine at Northwestern: Discovery and ImplementationU01HG008673 · NHGRI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CHISHOLM, REX L, SMITH, MAUREEN E · 2015 to 2019
$4.1M
NHGRI NIH HHS U01 HG006379NHGRI NIH HHS U01 HG008657NHGRI NIH HHS U01 HG008664NHGRI NIH HHS U01 HG008666NHGRI NIH HHS U01 HG008672NHGRI NIH HHS U01 HG008673NHGRI NIH HHS U01 HG008676NHGRI NIH HHS U01 HG008679NHGRI NIH HHS U01 HG008680NHGRI NIH HHS U01 HG008684NHGRI NIH HHS U01 HG008685NHGRI NIH HHS U01 HG008701
6 · The paper itself

Abstract

We examined the Institutional Review Board (IRB) process at 9 academic institutions in the electronic Medical Records and Genomics (eMERGE) Network, for proposed electronic health record-based genomic medicine studies, to identify common questions and concerns. Sequencing of 109 disease related genes and genotyping of 14 actionable variants is being performed in ~28,100 participants from the 9 sites. Pathogenic/likely pathogenic variants in actionable genes are being returned to study participants. We examined each site's research protocols, informed-consent materials, and interactions with IRB staff. Research staff at each site completed questionnaires regarding their IRB interactions. The time to prepare protocols for IRB submission, number of revisions and time to approval ranged from 10-261 days, 0-11, and 11-90 days, respectively. IRB recommendations related to the readability of informed consent materials, specifying the full range of potential risks, providing options for receiving limited results or withdrawal, sharing of information with family members, and establishing the mechanisms to answer participant questions. IRBs reviewing studies that involve the return of results from genomic sequencing have a diverse array of concerns, and anticipating these concerns can help investigators to more effectively engage IRBs.

Indexed as

electronic health Recordgenome sequencinginformed consentInstitutional Review Boardreturn of results

Identifiers

PMID29301385
PMCPMC5872076
OpenAlexW2782490876

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.