Evidence map›Paper›PMID 30821068›Full record

ArticleAmerican journal of medical genetics. Part A2019

Managing the need to tell: Triggers and strategic disclosure of thalassemia major in Singapore.

Neha Kumar, Erin Turbitt, Barbara B Biesecker, Ilana M Miller, Breana Cham, Katherine C Smith, Rajiv N Rimal

Abstract read
In one paragraph

Article in American journal of medical genetics. Part A, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Psychosocial burden in transfusion dependentJournal of Taibah University Medical Sciences · 2023
    Article
  3. Article
  4. Article
  5. Experience of Uncertainty in Patients with Thalassemia Major: A Qualitative Study.International journal of hematology-oncology and stem cell research · 2020
    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

7 authors.

Neha KumarSocial and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, Maryland.
Erin TurbittSocial and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, Maryland.ORCID 0000-0002-6650-9702
Barbara B BieseckerSocial and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, Maryland.
Ilana M MillerSocial and Behavioral Research Branch, National Human Genome Research Institute, Bethesda, Maryland.
Breana ChamDepartment of Paediatric Medicine, KK Women's and Children's Hospital, Singapore.
Katherine C SmithHealth, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Rajiv N RimalHealth, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

Funding

Interventions in Genetic CounselingZ01HG200317 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, BARBARA BOWLES · 2004 to 2008
$1.7M
Intramural NIH HHS Z01 HG200317NHGRI NIH HHSNIH HHS
6 · The paper itself

Abstract

This study explored patients' experiences and perceptions of living with thalassemia (an inherited hematologic disorder), perceptions of social stigma, and impact on disclosure decision-making. Semistructured, in-person interviews were conducted in Singapore with 30 individuals: 16 thalassemia major patients and 14 parents of children with thalassemia. Findings were indicative of felt or enacted stigma that may have influenced disclosure decisions. Although affected individuals commonly disclosed their thalassemia diagnosis to family members, they either downplayed the condition with or avoided disclosure to unrelated individuals. Disclosure outside the family occurred only in response to triggers, such as questions about absences due to medical care. Health professionals should provide anticipatory guidance about disclosure strategies when managing individuals with thalassemia.

Indexed as

Health Services Needs and DemandTruth DisclosureAdolescentAdultbeta-ThalassemiaCross-Sectional StudiesDecision MakingDisease ManagementFemaleHumansMaleQualitative ResearchSingaporeSocial ChangeYoung Adultdisclosure decision makinggenetic conditionSoutheast Asiastigmathalassemia major

Identifiers

PMID30821068
PMCPMC6467747

What OpenQuestion holds

Textmetadata
LicenceTDM
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.