Evidence map›Paper›PMID 31756304›Full record

ArticleCirculation. Genomic and precision medicine2019

Preferences for Return of Genetic Results Among Participants in the Jackson Heart Study and Framingham Heart Study.

Steven Joffe, Deborah E Sellers, Lynette Ekunwe, Donna Antoine-Lavigne, Sarah McGraw, Daniel Levy, Greta Lee Splansky

Abstract read
In one paragraph

Article in Circulation. Genomic and precision medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
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  3. Review
  4. Article
  5. Article
  6. Uptake of Genetic Research Results and Patient-Reported Outcomes With Return of Results Incorporating Web-Based Predisclosure Education.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
  7. Review
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  9. Article
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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

7 authors.

Steven JoffeDepartment of Medical Ethics and Health Policy, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA (S.J.).
Deborah E SellersBronfenbrenner Center for Translational Research, College of Human Ecology, Cornell University, Ithaca, NY (D.E.S.).
Lynette EkunweSchool of Public Health, Jackson Heart Study, Jackson State University, Jackson, MS (L.E.).
Donna Antoine-LavigneJackson Hinds Comprehensive Health Center, Jackson, MS (D.A.-L.).
Sarah McGrawThe Hastings Center, Garrison, NY (S.M.).
Daniel LevyFramingham Heart Study, Framingham, MA (D.L., G.L.S.).
Greta Lee SplanskyFramingham Heart Study, Framingham, MA (D.L., G.L.S.).

Funding

Returning Individual Genetic Results to Participants in Cohort StudiesR01HG005083 · NHGRI · UNIVERSITY OF PENNSYLVANIA · PI JOFFE, STEVEN · 2009 to 2011
$1.4M
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
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NHGRI NIH HHS R01 HG005083NHLBI NIH HHS HHSN268201300046CNHLBI NIH HHS HHSN268201300047CNHLBI NIH HHS HHSN268201300048CNHLBI NIH HHS HHSN268201300049CNHLBI NIH HHS HHSN268201300050CNHLBI NIH HHS HHSN268201500001CNHLBI NIH HHS N01 HC025195
6 · The paper itself

Abstract

backgroundSurveys suggest that most research participants desire access to secondary (incidental) genomic findings. However, few studies clarify whether preferences vary by the nature of the finding.

methodsWe surveyed members of the JHS (Jackson Heart Study, n=960), the FHS (Framingham Heart Study; n=955), and African American members of the FHS Omni cohort (n=160) who had consented to genomic studies. Each factorial survey included 3 vignettes, randomly selected from a set of 64, that described a secondary genomic result. Vignettes varied systematically by 5 factors identified by expert panels as salient: phenotype severity, actionability (preventability), reproductive significance, and relative and absolute risk of the phenotype. Respondents indicated whether they would want to receive the result. Data were analyzed separately by cohort using generalized linear mixed models.

resultsResponse rates ranged from 67% to 73%. Across vignettes, 88% to 92% of respondents would definitely or probably want to learn the result. In multivariate analyses among JHS respondents, desire for results was associated with positive attitudes towards genetic testing, lower education, higher subjective numeracy, and younger age, but not with any of the 5 factors. Among FHS respondents, desire for results was associated with higher absolute risk, preventability, reproductive risk, and positive attitudes towards genetic testing. Among FHS Omni respondents, desire for results was associated with positive attitudes towards genetic testing and younger age.

conclusionsMost genetic research participants desire return of secondary genetic results. Several factors identified by expert panels as salient are associated with preferences among FHS, but not JHS or FHS Omni, participants.

Indexed as

Attitude to HealthAdultAgedAged, 80 and overCohort StudiesFemaleGenetics, PopulationGenetic TestingHeart DiseasesHumansLongitudinal StudiesMaleMiddle AgedRisk Factorsattitudecohort studiesgenetic researchgeneticsgenetic testingphenotype

Identifiers

PMID31756304
PMCPMC7173999

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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.