Evidence map›Paper›PMID 31769116›Full record

ArticleJournal of genetic counseling2020

Genetic testing preferences and intentions in patients with clinically diagnosed familial hypercholesterolemia.

Hannah Wand, Amy C Sturm, Lori Erby, Iris Kindt, William M P Klein

Abstract read
In one paragraph

Article in Journal of genetic counseling, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Hannah WandNational Human Genome Research Institute, Bethesda, MD, USA.
Amy C SturmGeisinger, Danville, PA, USA.
Lori ErbyNational Human Genome Research Institute, Bethesda, MD, USA.
Iris KindtFamilial Hypercholesterolemia Foundation, Pasadena, CA, USA.
William M P KleinNational Human Genome Research Institute, Bethesda, MD, USA.

Funding

NHGRI/DIR Genetic Counseling Training ProgramZIEHG200353 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI ERBY, LORI · 2010 to 2025
$16.9M
Intramural NIH HHS ZIE HG200353
6 · The paper itself

Abstract

purposeFamilial hypercholesterolemia (FH) is a common Mendelian disorder characterized by elevated LDL cholesterol levels, which if untreated can cause premature heart disease. Less than 10% of cases in the United States are diagnosed. This study investigates decision-making factors associated with intentions to have FH genetic testing among patients clinically diagnosed with FH.

methodsFifty-three clinically diagnosed adults with FH and no genetic testing were recruited through the FH Foundation and lipid clinics. Participants completed a survey containing items capturing various reasons to engage in genetic testing.

resultsExploratory factor analysis of survey items identified three factors: (a) aversion to FH genetic information, (b) curiosity regarding medical/family history, (c) and psychological reassurance. Psychological reassurance was, in turn, the only significant predictor of genetic testing intentions. The positive effect of reassurance on genetic testing intention was moderated by aversion such that individuals who were low in reassurance were more inclined to decline testing if aversion was high.

conclusionFindings suggest that clinically diagnosed patients' decisions about FH genetic testing are driven principally by psychological reassurance, particularly when low in aversion to FH genetic information.

Indexed as

IntentionAdolescentAdultDecision MakingFactor Analysis, StatisticalFemaleGenetic TestingHumansHyperlipoproteinemia Type IIMaleMiddle AgedYoung Adultclinical diagnosisdecision-makingfamilial hypercholesterolemiagenetic counselinggenetic diagnosisgenetic testinggenetic testing intentionsgenetic testing predictorsgenetic testing utilitypatient preferencepublic health

Identifiers

PMID31769116
PMCPMC13147478

What OpenQuestion holds

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Registered trials

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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.