Evidence map›Paper›PMID 30679192›Full record

ArticleJournal of medical ethics2019

'Is it better not to know certain things?': views of women who have undergone non-invasive prenatal testing on its possible future applications.

Hilary Bowman-Smart, Julian Savulescu, Cara Mand, Christopher Gyngell, Mark D Pertile, Sharon Lewis, Martin B Delatycki

Open access · hybridAbstract read
In one paragraph

Article in Journal of medical ethics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
10.9field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 47 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Birds of a Feather? Genetic Counseling, Genetic Testing, and Humanism.Cold Spring Harbor perspectives in medicine · 2020
    Review
  20. 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

7 authors at 5 institutions in 2 countries.

Hilary Bowman-SmartMurdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0002-2142-9696
Julian SavulescuMurdoch Children's Research Institute, Parkville, Victoria, Australia.
Cara MandMurdoch Children's Research Institute, Parkville, Victoria, Australia.
Christopher GyngellMurdoch Children's Research Institute, Parkville, Victoria, Australia.
Mark D PertileMurdoch Children's Research Institute, Parkville, Victoria, Australia.
Sharon LewisMurdoch Children's Research Institute, Parkville, Victoria, Australia.
Martin B DelatyckiMurdoch Children's Research Institute, Parkville, Victoria, Australia.
The University of Melbourne · AUAustralian Regenerative Medicine Institute · AUMurdoch Children's Research Institute · AUUniversity of Oxford · GBVictorian Clinical Genetics Services · AU

Funding

Wellcome Trust 203132
6 · The paper itself

Abstract

Non-invasive prenatal testing (NIPT) is at the forefront of prenatal screening. Current uses for NIPT include fetal sex determination and screening for chromosomal disorders such as trisomy 21 (Down syndrome). However, NIPT may be expanded to many different future applications. There are a potential host of ethical concerns around the expanding use of NIPT, as examined by the recent Nuffield Council report on the topic. It is important to examine what NIPT might be used for before these possibilities become consumer reality. There is limited research exploring views of women on possible future uses of NIPT, particularly those of women who have undergone NIPT. In this study, we examined the views of women who undertook NIPT previously on the acceptability of and interest levels in using NIPT for a number of current and possible future applications. These included several medical conditions encompassing psychiatric, neurodevelopmental and adult-onset conditions as well as non-medical traits such as intelligence. One thousand women were invited to participate and 235 eligible surveys were received. Women generally reported an interest in using NIPT for medical conditions that severely impacted quality of life and with an onset earlier in life and stressed the importance of the accuracy of the test. Concerns were raised about the use of NIPT for non-medical traits. Respondents indicated that termination of pregnancy was not their only reason for testing, particularly in the case of sex. These results can further inform the ethical debate around the increasing integration of NIPT into healthcare systems.

Indexed as

Prenatal DiagnosisAdultChromosome DisordersFemaleGenetic CounselingGenetic TestingGestational AgeHumansPersonal AutonomyPregnancySex Determination Analysisgenetic counselling/prenatal diagnosisgenetic screening/testinggenetic selectionobstetrics and gynaecologypredictive genetic testing

Identifiers

PMID30679192
PMCPMC6582742
OpenAlexW2912182084

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.