Evidence map›Paper›PMID 30133189›Full record

ArticleMolecular genetics & genomic medicine2018

Approaches to carrier testing and results disclosure in translational genomics research: The clinical sequencing exploratory research consortium experience.

Kathryn M Porter, Tia L Kauffman, Barbara A Koenig, Katie L Lewis, Heidi L Rehm, Carolyn Sue Richards, Natasha T Strande, Holly K Tabor, Susan M Wolf, Yaping Yang and 21 more

Abstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Participant choices for return of genomic results in the eMERGE Network.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  6. Article
  7. Integrating Genomics into Healthcare: A Global Responsibility.American journal of human genetics · 2019
    Article
  8. 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

31 authors.

Kathryn M PorterTreuman Katz Center for Pediatric Bioethics, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0003-1930-9625
Tia L KauffmanCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.ORCID 0000-0002-0419-4223
Barbara A KoenigInstitute for Health and Aging, University of California, San Francisco, California.
Katie L LewisMedical Genomics and Metabolic Genetics Branch of the National Human Genome Research Institute, Bethesda, Maryland.
Heidi L RehmBroad Institute of MIT and Harvard, Cambridge, Massachusetts.
Carolyn Sue RichardsKnight Diagnostic Laboratories and Department of Molecular and Medical Genetics, Oregon Health and Science University, Portland, Oregon.
Natasha T StrandeDepartment of Genetics, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Holly K TaborStanford Center for Biomedical Ethics, Palo Alto, California.
Susan M WolfUniversity of Minnesota Law School, Medical School and Consortium on Law and Values in Health, Environment & the Life Sciences, Minneapolis, Minnesota.
Yaping YangDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas.
Laura M AmendolaDepartment of Medicine, Division of Medical Genetics, University of Washington, Seattle, Washington.
Danielle R AzzaritiLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Jonathan S BergDepartment of Genetics, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Katie BergstromTexas Children's Cancer Center and the Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Leslie G BieseckerMedical Genomics and Metabolic Genetics Branch of the National Human Genome Research Institute, Bethesda, Maryland.
Sawona BiswasDepartment of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Kevin M BowlingHudson Alpha Institute for Biotechnology, Huntsville, Alabama.
Wendy K ChungDepartment of Pediatrics, Columbia University, New York, New York.
Ellen W ClaytonCenter for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, Tennessee.
Laura K ConlinDivision of Genomic Diagnostics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Gregory M CooperHudson Alpha Institute for Biotechnology, Huntsville, Alabama.
Matthew C DulikDivision of Genomic Diagnostics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Levi A GarrawayEli Lilly and Company, Indianapolis, Indiana.
Arezou A GhazaniBroad Institute of MIT and Harvard, Cambridge, Massachusetts.
Robert C GreenBroad Institute of MIT and Harvard, Cambridge, Massachusetts.ORCID 0000-0001-8472-0424
Susan M HiattHudson Alpha Institute for Biotechnology, Huntsville, Alabama.
Seema M JamalDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario.
Gail P JarvikDepartment of Medicine, Division of Medical Genetics, University of Washington, Seattle, Washington.
Katrina A B GoddardCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon.
Benjamin S WilfondTreuman Katz Center for Pediatric Bioethics, Seattle Children's Research Institute, Seattle, Washington.
members of the CSER Actionability and Return of Results Working Group

Funding

North Carolina Clinical Genomic Evaluation by Next-gen Exome Sequencing 2U01HG006487 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S, POWELL, BRADFORD C. · 2012 to 2021
$22.7M
Measuring Perceptions of Utility of Clinical Genome Sequencing: Instrument Testing and ValidationU01HG006485 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI MCGUIRE, AMY L, PARSONS, DONALD W. · 2012 to 2021
$22.1M
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
Genomic Ascertainment - Clinical and Behavioral AspectsZIAHG200387 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2013 to 2025
$15.5M
South-seq: DNA sequencing for newborn nurseries in the SouthU01HG007301 · NHGRI · HUDSON-ALPHA INSTITUTE FOR BIOTECHNOLOGY · PI BARSH, GREGORY STEFAN, COOPER, GREGORY MICHAEL · 2017 to 2021
$11.9M
Integration of Whole Genome Sequencing into Clinical MedicineU01HG006500 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI GREEN, ROBERT C. · 2012 to 2016
$11.5M
Clinical sequencing in cancer: Clinical ethical and technological studiesU01HG006507 · NHGRI · UNIVERSITY OF WASHINGTON · PI JARVIK, GAIL PAIRITZ · 2012 to 2016
$10.6M
Applying Genomic Sequencing in PediatricsU01HG006546 · NHGRI · CHILDREN'S HOSP OF PHILADELPHIA · PI KRANTZ, IAN D. · 2012 to 2016
$10.6M
Clinical Implementation of Carrier Testing using NGSUM1HG007292 · NHGRI · KAISER FOUNDATION RESEARCH INSTITUTE · PI GODDARD, KATRINA A., WILFOND, BENJAMIN SIMON · 2013 to 2016
$8.2M
Genomic Diagnosis in Children with Developmental DelayUM1HG007301 · NHGRI · HUDSON-ALPHA INSTITUTE FOR BIOTECHNOLOGY · PI COOPER, GREGORY MICHAEL, MYERS, RICHARD M · 2013 to 2016
$7.5M
The Use of Whole-Exome Sequencing to Guide the Care of Cancer PatientsU01HG006492 · NHGRI · DANA-FARBER CANCER INST · PI JANNE, PASI A, VAN ALLEN, ELIEZER M · 2012 to 2016
$7.3M
CSER RoRC Centralized Support Coordinating CenterU01HG007307 · NHGRI · UNIVERSITY OF WASHINGTON · PI BURKE, WYLIE G., JARVIK, GAIL PAIRITZ · 2013 to 2016
$3.6M
NCI NIH HHS R01 CA154517NHGRI NIH HHS R01 HG006600NHGRI NIH HHS R01 HG006618NHGRI NIH HHS R01 HG008605NHGRI NIH HHS U01 HG006485NHGRI NIH HHS U01 HG006487NHGRI NIH HHS U01 HG006492NHGRI NIH HHS U01 HG006500NHGRI NIH HHS U01 HG006507NHGRI NIH HHS U01 HG006546NHGRI NIH HHS U01 HG007292NHGRI NIH HHS U01 HG007301NHGRI NIH HHS U01 HG007307NHGRI NIH HHS UM1 HG007292NHGRI NIH HHS UM1 HG007301
6 · The paper itself

Abstract

backgroundClinical genome and exome sequencing (CGES) is primarily used to address specific clinical concerns by detecting risk of future disease, clarifying diagnosis, or directing treatment. Additionally, CGES makes possible the disclosure of autosomal recessive and X-linked carrier results as additional secondary findings, and research about the impact of carrier results disclosure in this context is needed.

methodsRepresentatives from 11 projects in the clinical sequencing exploratory research (CSER) consortium collected data from their projects using a structured survey. The survey focused on project characteristics, which variants were offered and/or disclosed to participants as carrier results, methods for carrier results disclosure, and project-specific outcomes. We recorded quantitative responses and report descriptive statistics with the aim of describing the variability in approaches to disclosing carrier results in translational genomics research projects.

resultsThe proportion of participants with carrier results was related to the number of genes included, ranging from 3% (three genes) to 92% (4,600 genes). Between one and seven results were disclosed to those participants who received any positive result. Most projects offered participants choices about whether to receive some or all of the carrier results. There were a range of approaches to communicate results, and many projects used separate approaches for disclosing positive and negative results.

conclusionFuture translational genomics research projects will need to make decisions regarding whether and how to disclose carrier results. The CSER consortium experience identifies approaches that balance potential participant interest while limiting impact on project resources.

Indexed as

DisclosureFacilities and Services UtilizationGenetic Carrier ScreeningGenetic CounselingHumansTranslational Research, BiomedicalWhole Genome Sequencingcarrier testingexomegenomesecondary findingstranslational genomics research

Identifiers

PMID30133189
PMCPMC6305639

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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.