Evidence map›Paper›PMID 30392543›Full record

ArticleMayo Clinic proceedings2018

The Return of Actionable Variants Empirical (RAVE) Study, a Mayo Clinic Genomic Medicine Implementation Study: Design and Initial Results.

Iftikhar J Kullo, Janet Olson, Xiao Fan, Merin Jose, Maya Safarova, Carmen Radecki Breitkopf, Erin Winkler, David C Kochan, Sara Snipes, Joel E Pacyna and 17 more

Abstract read
In one paragraph

Article in Mayo Clinic proceedings, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Trial
  2. Opportunistic Screening of High-Risk Breast Cancer Variants in Hospital Biobank Setting.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. A pragmatic clinical trial of cascade testing for familial hypercholesterolemia.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Article
  11. Article
  12. Article
  13. Penetrance and outcomes at 1-year following return of actionable variants identified by genome sequencing.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  14. Increasing access to individualized medicine: a matched-cohort study examining Latino participant experiences of genomic screening.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  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

27 authors.

Iftikhar J KulloDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN. Electronic address: Kullo.Iftikhar@mayo.edu.
Janet OlsonDepartment of Health Sciences Research, Biomedical Ethics Program, Mayo Clinic, Rochester, MN.
Xiao FanDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Merin JoseDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Maya SafarovaDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Carmen Radecki BreitkopfDepartment of Health Sciences Research, Biomedical Ethics Program, Mayo Clinic, Rochester, MN.
Erin WinklerCenter for Individualized Medicine-Genomics, Mayo Clinic, Rochester, MN.
David C KochanDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Sara SnipesDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Joel E PacynaDepartment of Health Sciences Research, Biomedical Ethics Program, Mayo Clinic, Rochester, MN.
Meaghan CarneyDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Christopher G ChuteJohns Hopkins University, Schools of Medicine, Public Health and Nursing, Baltimore, MD.
Jyoti GuptaNational Human Genome Research Institute, Bethesda, MD.
Sheethal JoseNational Human Genome Research Institute, Bethesda, MD.
Eric VennerBaylor College of Medicine Human Genome Sequencing Center, Houston, TX.
Mullai MuruganBaylor College of Medicine Human Genome Sequencing Center, Houston, TX.
Yunyun JiangBaylor College of Medicine Human Genome Sequencing Center, Houston, TX.
Magdi ZordokDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Medhat FarwatiDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Maraisha PhilogeneDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Erica SmithDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN.
Gabriel Q ShaibiCenter for Health Promotion and Disease Prevention, Arizona State University, Phoenix, AZ.
Pedro CaraballoDepartment of Internal Medicine, Mayo Clinic, Rochester, MN.
Robert FreimuthDepartment of Health Sciences Research, Biomedical Ethics Program, Mayo Clinic, Rochester, MN.
Noralane M LindorDepartment of Health Sciences Research, Mayo Clinic, Scottsdale, AZ.
Richard SharpDepartment of Health Sciences Research, Biomedical Ethics Program, Mayo Clinic, Rochester, MN.
Stephen N ThibodeauDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.

Funding

Genomic Basis of Susceptibility to COVID-19 Infection and its ComplicationsU01HG006379 · NHGRI · MAYO CLINIC ROCHESTER · PI Richard R. Sharp · 2011 to 2026
$16.5M
Biomarkers of Peripheral Arterial DiseaseR01HL075794 · NHLBI · MAYO CLINIC ROCHESTER · PI KULLO, IFTIKHAR J · 2003 to 2007
$3.0M
EHR-Based Strategies to Improve Outcomes in Familial HypercholesterolemiaR01HL135879 · NHLBI · MAYO CLINIC ROCHESTER · PI KULLO, IFTIKHAR J · 2017 to 2020
$2.5M
Patient-Oriented Research in Genomic Discovery and ImplementationK24HL137010 · NHLBI · MAYO CLINIC ROCHESTER · PI KULLO, IFTIKHAR J · 2017 to 2021
$590k
NHGRI NIH HHS U01 HG006379NHLBI NIH HHS K24 HL137010NHLBI NIH HHS R01 HL075794NHLBI NIH HHS R01 HL135879
6 · The paper itself

Abstract

objectivesTo identify clinically actionable genetic variants from targeted sequencing of 68 disease-related genes, estimate their penetrance, and assess the impact of disclosing results to participants and providers. PATIENTS AND

methodsThe Return of Actionable Variants Empirical (RAVE) Study investigates outcomes following the return of pathogenic/likely pathogenic (P/LP) variants in 68 disease-related genes. The study was initiated in December 2016 and is ongoing. Targeted sequencing was performed in 2533 individuals with hyperlipidemia or colon polyps. The electronic health records (EHRs) of participants carrying P/LP variants in 36 cardiovascular disease (CVD) genes were manually reviewed to ascertain the presence of relevant traits. Clinical outcomes, health care utilization, family communication, and ethical and psychosocial implications of disclosure of genomic results are being assessed by surveys, telephone interviews, and EHR review.

resultsOf 29,208 variants in the 68 genes, 1915 were rare (frequency <1%) and putatively functional, and 102 of these (60 in 36 CVD genes) were labeled P/LP based on the American College of Medical Genetics and Genomics framework. Manual review of the EHRs of participants (n=73 with P/LP variants in CVD genes) revealed that 33 had the expected trait(s); however, only 6 of 45 participants with non-familial hypercholesterolemia (FH) P/LP variants had the expected traits.

conclusionExpected traits were present in 13% of participants with P/LP variants in non-FH CVD genes, suggesting low penetrance; this estimate may change with additional testing performed as part of the clinical evaluation. Ongoing analyses of the RAVE Study will inform best practices for genomic medicine.

Indexed as

Outcome Assessment, Health CareCardiovascular DiseasesCohort StudiesColonFemaleGenetic Predisposition to DiseaseGenetic TestingGenomicsHumansHyperlipidemiasMaleMiddle AgedPhenotypePolymorphism, Single NucleotidePolypsSurveys and Questionnaires

Identifiers

PMID30392543
PMCPMC6652203

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.