Evidence map›Paper›PMID 29951719›Full record

ArticleJournal of genetic counseling2018

Genetic Counselors' Perspectives About Cell-Free DNA: Experiences, Challenges, and Expectations for Obstetricians.

Patricia K Agatisa, Mary Beth Mercer, Marissa Coleridge, Ruth M Farrell

Abstract read
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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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

4 authors at 1 institution in 1 country.

Patricia K AgatisaObstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, A81, Cleveland, OH, 44195, USA.
Mary Beth MercerOffice of Patient Experience, Cleveland Clinic, Cleveland, OH, USA.
Marissa ColeridgeGenomic Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.
Ruth M FarrellObstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, 9500 Euclid Avenue, A81, Cleveland, OH, 44195, USA. farrelr@ccf.org.
Cleveland Clinic · US

Funding

Preparing for Emerging Applications of Noninvasive Prenatal TestingR21HG008511 · NHGRI · CLEVELAND CLINIC LERNER COM-CWRU · PI FARRELL, RUTH · 2015 to 2016
$436k
NHGRI NIH HHS R21 HG008511
6 · The paper itself

Abstract

The expansion of cell-free fetal DNA (cfDNA) screening for a larger and diverse set of genetic variants, in addition for use among the low-risk obstetric population, presents important clinical challenges for all healthcare providers involved in the delivery of prenatal care. It is unclear how to leverage the different members of the healthcare team to respond to these challenges. We conducted interviews with 25 prenatal genetic counselors to understand their experience with the continued expansion of cfDNA screening. Participants supported the use of cfDNA screening for the common autosomal aneuploidies, but noted some reservations for its use to identify fetal sex and microdeletions. Participants reported several barriers to ensuring that patients have the information and support to make informed decisions about using cfDNA to screen for these different conditions. This was seen as a dual-sided problem, and necessitated additional education interventions that addressed patients seeking cfDNA screening, and obstetricians who introduce the concepts of genetic risk and cfDNA to patients. In addition, participants noted that they have a professional responsibility to educate obstetricians about cfDNA so they can be prepared to be gatekeepers of counseling and education about this screening option for use among the general obstetric population.

Indexed as

Attitude of Health PersonnelCell-Free Nucleic AcidsCounselorsGenetic CounselingGenetic TestingHealth Knowledge, Attitudes, PracticeInterprofessional RelationsPrenatal DiagnosisAdultChromosome DisordersCross-Sectional StudiesFemaleHumansMiddle AgedObstetricsPhysiciansCell-Free Nucleic AcidsCell-free fetal DNAGenetic counselorsMedical educationPatient educationPrenatal genetic testing

Identifiers

PMID29951719
OpenAlexW2809791946

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.