Evidence map›Paper›PMID 29383714›Full record

ArticleClinical genetics2018

Disclosure of cardiac variants of uncertain significance results in an exome cohort.

T A Lawal, K L Lewis, J J Johnston, A R Heidlebaugh, D Ng, F G Gaston-Johansson, W M P Klein, B B Biesecker, L G Biesecker

Abstract read
In one paragraph

Article in Clinical genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Genetic screening in heritable thoracic aortic disease-rationale, potentials and pitfalls.Indian journal of thoracic and cardiovascular surgery · 2022
    Article
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  9. Review
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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

9 authors.

T A LawalNational Institute of Nursing Research, National Institutes of Health (NIH), Bethesda, Maryland.ORCID 0000-0002-3007-820X
K L LewisMedical Genomics and Metabolic Genetics Branch, National Human Genome Research Institute, NIH, Bethesda, Maryland.
J J JohnstonMedical Genomics and Metabolic Genetics Branch, National Human Genome Research Institute, NIH, Bethesda, Maryland.
A R HeidlebaughSocial and Behavioral Research Branch, National Human Genome Research Institute, NIH, Bethesda, Maryland.
D NgMedical Genomics and Metabolic Genetics Branch, National Human Genome Research Institute, NIH, Bethesda, Maryland.
F G Gaston-JohanssonDepartment of Acute and Chronic Care, Johns Hopkins University School of Nursing, Baltimore, Maryland.
W M P KleinBehavioral Research Program, National Cancer Institute, NIH, Bethesda, Maryland.
B B BieseckerSocial and Behavioral Research Branch, National Human Genome Research Institute, NIH, Bethesda, Maryland.
L G BieseckerMedical Genomics and Metabolic Genetics Branch, National Human Genome Research Institute, NIH, Bethesda, Maryland.

Funding

Genomic Ascertainment - Molecular and Genetic AspectsZIAHG200359 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2009 to 2025
$19.7M
Genomic Ascertainment - Clinical and Behavioral AspectsZIAHG200387 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2013 to 2025
$15.5M
NINR Intramural Research Training ProgramsZIENR000016 · NINR · NATIONAL INSTITUTE OF NURSING RESEARCH · PI TAMEZ, PAMELA · 2009 to 2019
$7.1M
Intramural NIH HHS ZIA HG200359
6 · The paper itself

Abstract

This study examined the impact of disclosing subclassifications of genetic variants of uncertain significance (VUS) on behavioral intentions. We studied return of VUS results to 79 individuals with a cardiomyopathy-associated VUS, subclassified into VUS-high or VUS-low. Primary outcomes were perceived risk (absolute and comparative), perceived severity, perceived value of information, self-efficacy, decision regret, and behavioral intentions to share results and change behaviors. There was no significant difference between the 2 subclasses in overall behavioral intentions (t = 0.023, P = .982) and each of the individual items on the behavioral intentions scale; absolute (t = -1.138, P = .259) or comparative (t = -0.463, P = .645) risk perceptions; perceived value of information (t = 0.582, P = .563) and self-efficacy (t = -0.733, P = .466). Decision regret was significantly different (t = 2.148, P = .035), with VUS-low (mean = 17.24, SD = 16.08) reporting greater regret. Combining the subclasses, perceived value of information was the strongest predictor of behavioral intentions (β = 0.524, P < .001). Participants generally understood the meaning of a genetic VUS result classification and reported satisfaction with result disclosure. No differences in behavioral intentions were found, but differences in decision regret suggest participants distinguish subclasses of VUS results. The perceived value of VUS may motivate recipients to pursue health-related behaviors.

Indexed as

Genetic Predisposition to DiseaseCardiomyopathiesExomeFemaleGenetic CounselingGenetic TestingGenetic VariationHumansMaleSequence Analysis, DNAUncertaintydecision regretexome sequencingresult disclosurevariant of uncertain significanceVUS subclassification

Identifiers

PMID29383714
PMCPMC5961741

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.