Evidence map›Paper›PMID 31239560›Full record

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

The value of diagnostic testing for parents of children with rare genetic diseases.

Deborah A Marshall, Karen V MacDonald, Sebastian Heidenreich, Taila Hartley, Francois P Bernier, Meredith K Gillespie, Brenda McInnes, A Micheil Innes, Christine M Armour, Kym M Boycott

Erratum issuedAbstract read
PubMed Publisher
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. An erratum has been issued. Cited by 38 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 6 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

38 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Opportunities and pitfalls of social media research in rare genetic diseases: a systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Pooled it
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  9. Is next generation sequencing for the diagnosis of rare diseases worth its cost? A user-based approach to valuation.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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  20. The value of genomic testing in severe childhood speech disorders.European journal of human genetics : EJHG · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Deborah A MarshallDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada. Damarsha@ucalgary.ca.ORCID http://orcid.org/0000-0002-8467-8008
Karen V MacDonaldDepartment of Community Health Sciences, University of Calgary, Calgary, AB, Canada.ORCID http://orcid.org/0000-0001-7739-4296
Sebastian HeidenreichHealth Economics Research Unit, University of Aberdeen, Aberdeen, Scotland.ORCID http://orcid.org/0000-0002-1909-5770
Taila HartleyChildren's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, ON, Canada.
Francois P BernierDepartment of Genetics and Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID http://orcid.org/0000-0001-7063-4269
Meredith K GillespieChildren's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, ON, Canada.
Brenda McInnesDepartment of Genetics and Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
A Micheil InnesDepartment of Genetics and Alberta Children's Hospital Research Institute, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.ORCID http://orcid.org/0000-0001-9881-5467
Christine M ArmourChildren's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, ON, Canada.
Kym M BoycottChildren's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-4186-8052

Funding

Chief Scientist Office HERU1CIHR FDN-154279
6 · The paper itself

Abstract

purposeExome sequencing (ES) can rapidly identify disease-causing variants responsible for rare, single-gene diseases, and potentially reduce the duration of the diagnostic odyssey. Our study examines how parents and families value ES.

methodsWe developed a discrete choice experiment (DCE) survey that was administered to parents of children with rare diseases. The DCE included 14 choice tasks with 6 attributes and 3 alternatives. A valuation-space model was used to estimate willingness to pay, willingness to wait for test results, and minimum acceptable chance of a diagnosis for changes in each attribute.

resultsThere were n = 319 respondents of whom 89% reported their child had genetic testing, and 66% reported their child had a diagnosis. Twenty-six percent reported that their child had been offered ES. Parents were willing to pay CAD$6590 (US$4943), wait 5.2 years to obtain diagnostic test results, and accept a reduction of 3.1% in the chance of a diagnosis for ES compared with operative procedures.

conclusionTimely access to ES could reduce the diagnostic odyssey and associated costs. Before ES is incorporated routinely into care for patients with rare diseases in Canada and more broadly, there must be a clear understanding of its value to patients and families.

Indexed as

AdultAgedCanadaChoice BehaviorDiagnostic Tests, RoutineExome SequencingFemaleGenetic TestingHumansMaleMiddle AgedParentsPatient PreferenceRare DiseasesSurveys and Questionnaireschildrenexome sequencinggenetic diseasesgenetic testingpatient preferences

Identifiers

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.