Evidence map›Paper›PMID 30020962›Full record

Trial reportPloS one2018

Assessment of willingness to pay for expanded carrier screening among women and couples undergoing preconception carrier screening.

Elizabeth V Clarke, Jennifer L Schneider, Frances Lynch, Tia L Kauffman, Michael C Leo, Ana G Rosales, John F Dickerson, Elizabeth Shuster, Benjamin S Wilfond, Katrina A B Goddard

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 7% 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, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  15. Article
  16. Laboratory business models and practices: implications for availability and access to germline genetic testing.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  17. Genetic Testing for Cancer Risk: Is the Community Willing to Pay for It?International journal of environmental research and public health · 2021
    Article
  18. Article
  19. Genetic Counseling, Personalized Medicine, and Precision Health.Cold Spring Harbor perspectives in medicine · 2020
    Review
  20. 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

10 authors at 2 institutions in 1 country.

Elizabeth V ClarkeCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.ORCID 0000-0002-4447-0077
Jennifer L SchneiderCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.
Frances LynchCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.
Tia L KauffmanCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.
Michael C LeoCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.
Ana G RosalesCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.
John F DickersonCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.
Elizabeth ShusterCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.
Benjamin S WilfondSeattle Children's Hospital and Research Institute, Trueman Katz Center for Pediatric Bioethics, Seattle, Washington, United States of America.
Katrina A B GoddardCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, United States of America.
Kaiser Permanente Center for Health Research · USSeattle Children's Hospital · US

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 U01 HG007307NHGRI NIH HHS UM1 HG007292
6 · The paper itself

Abstract

backgroundExpanded carrier screening can provide risk information for numerous conditions. Understanding how individuals undergoing preconception expanded carrier screening value this information is important. The NextGen study evaluated the use of genome sequencing for expanded carrier screening and reporting secondary findings, and we measured participants' willingness to pay for this approach to understand how it is valued by women and couples planning a pregnancy.

methodsWe assessed 277 participants' willingness to pay for genome sequencing reporting carrier results for 728 gene/condition pairs and results for 121 secondary findings. We explored the association between attitudes and demographic factors and willingness to pay for expanded carrier screening using genome sequencing and conducted interviews with 58 of these participants to probe the reasoning behind their preferences.

resultsMost participants were willing to pay for expanded carrier screening using genome sequencing. Willingness to pay was associated with income level and religiosity, but not risk status for a condition in the carrier panel. Participants willing to pay nothing or a small amount cited issues around financial resources, whereas those willing to pay higher amounts were motivated by "peace of mind" from carrier results.

conclusionWomen and couples planning a pregnancy value genome sequencing. The potentially high out-of-pocket cost of this service could result in healthcare disparities, since maximum amounts that participants were willing to pay were higher than a typical copay and related to income.

Indexed as

Health ExpendituresPatient Acceptance of Health CareAdultFemaleFollow-Up StudiesGenetic Carrier ScreeningHumansIncomeInterviews as TopicMaleReligion and Medicine

Identifiers

PMID30020962
PMCPMC6051630
OpenAlexW2883692789

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.