Evidence map›Paper›PMID 30846854›Full record

ArticleEuropean journal of human genetics : EJHG2019

Development of patient "profiles" to tailor counseling for incidental genomic sequencing results.

Chloe Mighton, Lindsay Carlsson, Marc Clausen, Selina Casalino, Salma Shickh, Laura McCuaig, Esha Joshi, Seema Panchal, Tracy Graham, Melyssa Aronson and 16 more

Abstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Digital health-enabled genomics: Opportunities and challenges.American journal of human genetics · 2022
    Review
  10. Article
  11. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  12. Article
  13. Article
  14. Canadian nursing and genomics: An engagement initiative.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. 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

26 authors.

Chloe MightonUniversity of Toronto, Toronto, ON, Canada.
Lindsay CarlssonUniversity Health Network, Toronto, ON, Canada.
Marc ClausenSt. Michael's Hospital, Toronto, ON, Canada.
Selina CasalinoSt. Michael's Hospital, Toronto, ON, Canada.
Salma ShickhUniversity of Toronto, Toronto, ON, Canada.
Laura McCuaigUniversity of Toronto, Toronto, ON, Canada.
Esha JoshiUniversity of Toronto, Toronto, ON, Canada.
Seema PanchalMount Sinai Hospital, Sinai Health System, Toronto, ON, Canada.
Tracy GrahamSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Melyssa AronsonUniversity of Toronto, Toronto, ON, Canada.
Carolyn PiccininMount Sinai Hospital, Sinai Health System, Toronto, ON, Canada.
Laura Winter-PaquetteUniversity of Toronto, Toronto, ON, Canada.
Kara SemotiukUniversity of Toronto, Toronto, ON, Canada.
Justin LorentzSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Talia MancusoSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Karen OttSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Yael SilbermanSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Christine ElserUniversity Health Network, Toronto, ON, Canada.
Andrea EisenSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Raymond H KimUniversity Health Network, Toronto, ON, Canada.
Jordan Lerner-EllisUniversity of Toronto, Toronto, ON, Canada.
June C CarrollUniversity of Toronto, Toronto, ON, Canada.
Emily GlogowskiGeneDx, Gaithersburg, MD, USA.
Kasmintan SchraderBC Cancer Agency, Vancouver, BC, Canada.
Yvonne BombardUniversity of Toronto, Toronto, ON, Canada. yvonne.bombard@utoronto.ca.
Incidental Genomics Study Team

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
CIHRNCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Guidelines recommend that providers engage patients in shared decision-making about receiving incidental results (IR) prior to genomic sequencing (GS), but this can be time-consuming, given the myriad of IR and variation in patients' preferences. We aimed to develop patient profiles to inform pre-test counseling for IR. We conducted semi-structured interviews with participants as a part of a randomized trial of the GenomicsADvISER.com, a decision aid for selecting IR. Interviews explored factors participants considered when deliberating over learning IR. Interviews were analyzed by thematic analysis and constant comparison. Participants were mostly female (28/31) and about half of them were over the age of 50 (16/31). We identified five patient profiles that reflect common contextual factors, attitudes, concerns, and perceived utility of IR. Information Enthusiasts self-identified as "planners" and valued learning most or all IR to enable planning and disease prevention because "knowledge is power". Concerned Individuals defined themselves as "anxious," and were reluctant to learn IR, anticipating negative psychological impacts from IR. Contemplators were discerning about the value and limitations of IR, weighing health benefits with the impacts of not being able to "un-know" information. Individuals of Advanced Life Stage did not consider IR relevant for themselves and primarily considered their implications for family members. Reassurance Seekers were reassured by previous negative genetic test results which shaped their expectations for receiving no IR: "hopefully [GS will] be negative, too. And then I can rest easy". These profiles could inform targeted counseling for IR by providing a framework to address common values, concerns. and misconceptions.

Indexed as

Decision MakingFamilyGenetic CounselingSequence Analysis, DNAAdolescentAdultFemaleHumansMaleMiddle Aged

Identifiers

PMID30846854
PMCPMC6777527

What OpenQuestion holds

Textmetadata
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.