Evidence map›Paper›PMID 29440777›Full record

ArticleEuropean journal of human genetics : EJHG2018

Views of rare disease participants in a UK whole-genome sequencing study towards secondary findings: a qualitative study.

Michael P Mackley, Edward Blair, Michael Parker, Jenny C Taylor, Hugh Watkins, Elizabeth Ormondroyd

Open access · hybridAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Delivering genomic medicine in the United Kingdom National Health Service: a systematic review and narrative synthesis.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Views of adults living with sickle cell disease on the theoretical return of secondary genomic findings.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Genomic health data generation in the UK: a 360 view.European journal of human genetics : EJHG · 2022
    Article
  18. Article
  19. Article
  20. Management of Secondary Genomic Findings.American journal of human genetics · 2020
    Review
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 at 4 institutions in 1 country.

Michael P MackleyDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-7388-0905
Edward BlairDepartment of Clinical Genetics, Oxford University Hospitals NHS Foundations Trust, Oxford, UK.
Michael ParkerEthox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Jenny C TaylorWellcome Trust Centre for Human Genetics, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0003-3602-5704
Hugh WatkinsDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
Elizabeth OrmondroydDivision of Cardiovascular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK. liz.ormondroyd@cardiov.ox.ac.uk.ORCID http://orcid.org/0000-0002-9116-4064
Centre for Human Genetics · GBUniversity of Oxford · GBNational Institute for Health Research · GBOxford University Hospitals NHS Trust · GB

Funding

Department of Health R6-388Wellcome Trust 096527Wellcome Trust 100127
6 · The paper itself

Abstract

With large-scale genome sequencing initiatives underway, vast amounts of genomic data are being generated. Results-including secondary findings (SF)-are being returned, although policies around generation and management remain inconsistent. In order to inform relevant policy, it is essential that the views of stakeholders be considered-including participants who have made decisions about SF since the wider debate began. We conducted semi-structured interviews with sixteen rare disease patients and parents enroled in genome sequencing to explore views towards SF. Informed by extensive contact with the healthcare system, interviewees demonstrated high levels of understanding of genetic testing and held pragmatic views: many are content not knowing SF. Interviewees expressed trust in the system and healthcare providers, as well as an appreciation of limited resources; acknowledging existing disease burden, many preferred to focus on their primary condition. Many demonstrated an expectation for recontact and assumed the possibility of later access to initially declined SF. In the absence of such an infrastructure, it is important that responsibilities for recontact are delineated, expectations are addressed, and the long-term impact of decisions is made clear during consent. In addition, some interviewees demonstrated fluid views towards SF, and suggestions were made that perceptions may be influenced by family history. Further research into the changing desirability of SF and behavioural impact of disclosure are needed, and the development and introduction of mechanisms to respond to changes in patient views should be considered.

Indexed as

Whole Genome SequencingAdultAgedCardiovascular DiseasesDecision MakingFemaleGenome, HumanGenomicsHuman Genome ProjectHumansIncidental FindingsInformed ConsentMaleMiddle AgedNervous System DiseasesQualitative Research

Identifiers

PMID29440777
PMCPMC5945590
OpenAlexW2793888493

What OpenQuestion holds

Textmetadata
LicenceTDM
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.