Evidence map›Paper›PMID 29493582›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2018

Hereditary cancer gene panel test reports: wide heterogeneity suggests need for standardization.

Sukh Makhnoon, Brian H Shirts, Deborah J Bowen, Stephanie M Fullerton

Abstract read
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In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Prevalence and Spectrum of GermlineFrontiers in oncology · 2021
    Article
  5. Article
  6. 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

4 authors.

Sukh MakhnoonInstitute of Public Health Genetics, University of Washington, Seattle, Washington, USA. sukhm@uw.edu.
Brian H ShirtsDepartment of Laboratory Medicine, University of Washington, Seattle, Washington, USA.
Deborah J BowenDepartment of Bioethics and Humanities, University of Washington, Seattle, Washington, USA.
Stephanie M FullertonDepartment of Bioethics and Humanities, University of Washington, Seattle, Washington, USA.

Funding

Patient Safety in Genome Medicine: Learning from the Past to Safeguard the FutureR21HG007578 · NHGRI · UNIVERSITY OF WASHINGTON · PI FULLERTON, STEPHANIE MALIA · 2014 to 2015
$425k
Developing and Evaluating Patient Centered Tools for Clinical Classification of Variants of Uncertain SignificanceR21HG008513 · NHGRI · UNIVERSITY OF WASHINGTON · PI SHIRTS, BRIAN HANSON · 2015 to 2016
$386k
NHGRI NIH HHS R21 HG007578NHGRI NIH HHS R21 HG008513
6 · The paper itself

Abstract

purposeLaboratory-generated genomic test reports are used to convey complex, and frequently multivariant or uncertain, information about disease risk to medical genetics professionals as well as to nonspecialist clinicians, patients, and family members. However, few guidelines exist to guide the content and format of genomic test reports, and little is known about variation in current reporting practices.

methodsWe conducted a structured content analysis of hereditary cancer gene panel test reports obtained from 16 United States-based CLIA-certified laboratories, including reports describing a variant of uncertain significance (VUS) only and reports with both a VUS and pathogenic or likely pathogenic (P/LP) test result.

resultsReport content and format varied widely across laboratories and between VUS and VUS + P/LP reports from the same laboratory, with regard to the inclusion and visual prominence of key content as well as in terms of overall length and readability.

conclusionTest report heterogeneity is likely to reflect both the lack of comprehensive reporting guidelines and disagreements between laboratories about the salience of specific types of information to test interpretation and use. Future research should explore the impact of reporting differences on clinician interpretation and shared decision making.

Indexed as

Genetic Predisposition to DiseaseGenetic TestingEarly Detection of CancerExome SequencingGenetic VariationGenome, HumanHumansLaboratoriesMutationNeoplasm ProteinsNeoplasmsRisk FactorsUnited StatesNeoplasm Proteinscontentformatgene panel testgenomic laboratory reportVUS

Identifiers

PMID29493582

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.