Evidence map›Paper›PMID 31432391›Full record

ReviewJournal of community genetics2020

Patients' views on variants of uncertain significance across indications.

Kristin Clift, Sarah Macklin, Colin Halverson, Jennifer B McCormick, Abd Moain Abu Dabrh, Stephanie Hines

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of community genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 3% 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

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 91 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Assessing the Clinical Relevance ofCurrent oncology (Toronto, Ont.) · 2026
    Article
  6. Article
  7. Restraints on Personal Utility in Genomic Testing.The American journal of bioethics : AJOB · 2026
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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

6 authors at 5 institutions in 1 country.

Kristin CliftMayo Clinic Center for Individualized Medicine, Jacksonville, FL, USA. Clift.kristin@mayo.edu.ORCID http://orcid.org/0000-0002-4302-9060
Sarah MacklinMayo Clinic Department of Clinical Genomics, Jacksonville, FL, USA.
Colin HalversonCenter for Bioethics, Indiana University School of Medicine, Indianapolis, IN, USA.
Jennifer B McCormickCollege of Medicine, Pennsylvania State University, Hershey, PA, USA.
Abd Moain Abu DabrhMayo Clinic Department of Family Medicine, Jacksonville, FL, USA.
Stephanie HinesMayo Clinic Center for Breast Health, Jacksonville, FL, USA.
Mayo Clinic in Florida · USIndiana University School of MedicineJacksonville College · USMayo Clinic · USPennsylvania State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As genomic sequencing expands into more areas of patient care, an increasing number of patients learn of the variants of uncertain significance (VUSs) that they carry. Understanding the potential psychosocial consequences of the disclosure of a VUS can help inform pre- and post-test counseling discussions. Medical uncertainty in general elicits a variety of responses from patients, particularly in the growing field of medical genetics and genomics. It is important to consider patients' responses to the ambiguous nature of VUSs across different indications and situational contexts. Genetic counselors and other providers ordering genetic testing should be prepared for the possibility of their patients' misinterpretation of such results. Pre-test counseling should include a discussion of the possibility of VUSs and what it would mean for the patient's care and its potential psychosocial impacts. When a VUS is found, post-test counseling should include additional education and a discussion of the variant's implications and medical management recommendations based on the results. These discussions may help temper subjective interpretations, unrealistic views, and decisional regret.

Indexed as

Affective responseGenetic counselingQualitative researchUncertaintyVariants of uncertain or unknown significance (VUS)

Identifiers

PMID31432391
PMCPMC7062975
OpenAlexW2969539966

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.