Evidence map›Paper›PMID 31186522›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Responsibility, culpability, and parental views on genomic testing for seriously ill children.

Janet Malek, Stacey Pereira, Jill O Robinson, Amanda M Gutierrez, Melody J Slashinski, D Williams Parsons, Sharon E Plon, Amy L McGuire

Open access · bronzeAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.2field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 33 citations in OpenAlex.

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  11. The Parent PrU: A measure to assess personal utility of pediatric genomic results.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
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  19. Hope versus reality: Parent expectations of genomic testing.Patient education and counseling · 2021
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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

8 authors at 2 institutions in 1 country.

Janet MalekCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA. janet.malek@bcm.edu.ORCID http://orcid.org/0000-0003-1299-9803
Stacey PereiraCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.ORCID http://orcid.org/0000-0001-6541-3904
Jill O RobinsonCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.
Amanda M GutierrezCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.
Melody J SlashinskiSchool of Public Health & Health Sciences, University of Massachusetts, Amherst, MA, USA.
D Williams ParsonsDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Sharon E PlonDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Amy L McGuireCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, USA.
Baylor College of Medicine · USUniversity of Massachusetts Amherst · US

Funding

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
NHGRI NIH HHS 1U01HG006485NHGRI NIH HHS U01 HG006485
6 · The paper itself

Abstract

purposeWe describe parental perceptions of and experiences with genomic sequencing (GS) in the care of seriously ill children. Understanding parents' perspectives is vital for clinicians caring for children, given the uptake of genomic technologies into clinical practice.

methodsLongitudinal, semistructured interviews were conducted with parents of pediatric cancer patients who underwent exome sequencing (ES) as a part of the BASIC3 study. Interviews were conducted at baseline, one to eight months after results disclosure, and approximately one year after disclosure. Using thematic qualitative analysis, parent interviews were coded with both inductive and deductive approaches.

resultsBefore receiving genomic information, parents indicated that they saw ES as something responsible parents would agree to if their child had cancer. Some parents talked about the possibility of sequencing affecting feelings of culpability for their child's cancer, worrying that they passed on a cancer-causing gene or made parenting decisions that caused the disease. However, after receiving their child's ES results many reported feeling relieved of guilt and worry, and felt they had fulfilled parental duties by agreeing to ES for their child.

conclusionThese results reveal a layer of meaning that parents associate with GS that may inform clinicians' approach to care.

Indexed as

AdultDecision MakingDisclosureFemaleGenetic TestingGenomicsHealth Knowledge, Attitudes, PracticeHumansLongitudinal StudiesMaleNeoplasmsParentingParentsSequence AnalysisSocial BehaviorSocial Responsibilityblamegenomic sequencingguiltparent perspectivesresponsibility

Identifiers

PMID31186522
PMCPMC9089459
OpenAlexW2953257507

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.