Evidence map›Paper›PMID 29423569›Full record

ArticleJournal of genetic counseling2018

Time Costs for Genetic Counseling in Preconception Carrier Screening with Genome Sequencing.

Frances L Lynch, Patricia Himes, Marian J Gilmore, Elissa M Morris, Jennifer L Schneider, Tia L Kauffman, Elizabeth Shuster, Jacob A Reiss, John F Dickerson, Michael C Leo and 4 more

Abstract read
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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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
  9. Article
  10. Review
  11. Carrier screening for recessive disorders.Nature reviews. Genetics · 2019
    Review
  12. Article
  13. Article
  14. 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

14 authors.

Frances L LynchCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA. frances.lynch@kpchr.org.
Patricia HimesDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, OR, USA.
Marian J GilmoreDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, OR, USA.
Elissa M MorrisDepartment of Medical Genetics, Kaiser Permanente Northwest, Portland, OR, USA.
Jennifer L SchneiderCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Tia L KauffmanCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Elizabeth ShusterCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Jacob A ReissCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
John F DickersonCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Michael C LeoCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
James V DavisCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Carmit K McMullenCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Benjamin S WilfondSeattle Children's Hospital, Seattle, WA, USA.
Katrina A B GoddardCenter for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.

Funding

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
Clinical Implementation of Carrier Testing using NGSUM1HG007292 · NHGRI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GODDARD, KATRINA A., WILFOND, BENJAMIN SIMON · 2013 to 2016
$8.2M
CSER RoRC Centralized Support Coordinating CenterU01HG007307 · NHGRI · UNIVERSITY OF WASHINGTON · PI BURKE, WYLIE G., JARVIK, GAIL PAIRITZ · 2013 to 2016
$3.6M
NHGRI NIH HHS U01 HG007292NHGRI NIH HHS U01HG007307NHGRI NIH HHS UM1HG007292
6 · The paper itself

Abstract

Advances in technology and the promise of personalized health care are driving greater use of genome sequencing (GS) for a variety of clinical scenarios. As health systems consider adopting GS, they need to understand the impact of GS on the organization and cost of care. While research has documented a dramatic decrease in the cost of sequencing and interpreting GS, few studies have examined how GS impacts genetic counseling workloads. This study examined the time needed to provide genetic counseling for GS in the context of preconception carrier screening. Genetic counselors prospectively reported on the time spent in the results disclosure process with 107 study participants who were part of the NextGen study. We found that the median time for results disclosure was 64 min (ranged from 5 to 229 min). Preparation work was the most time-consuming activity. Qualitative data from journal entries, debrief interviews with genetic counselors, and detailed case conference notes provided information on factors influencing time for results disclosure and implications for practice. Results suggest that expanded carrier screening could require significant increases in genetic counseling time, unless we are able to generate new resources to reduce preparation work or develop other strategies such as the creation of new models to deliver this type of service.

Indexed as

Preconception CareTime FactorsAdultFemaleGenetic CounselingHumansMalePregnancyCarrier testingGenetic counselingMixed methodsPreconceptionTime studyWhole genome sequencing

Identifiers

PMID29423569
PMCPMC6061093

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.