Evidence map›Paper›PMID 32024983›Full record

ArticleEuropean journal of human genetics : EJHG2020

Clinical genomic testing: what matters to key stakeholders?

Stephanie Best, Zornitza Stark, Peta Phillips, You Wu, Janet C Long, Natalie Taylor, Jeffrey Braithwaite, John Christodoulou, Ilias Goranitis

Abstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Cost-effectiveness of paediatric rapid genomic testing: a commentary.International journal for advancing practice · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. The value of genomic testing in severe childhood speech disorders.European journal of human genetics : EJHG · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

9 authors.

Stephanie BestAustralian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia. stephanie.best@mq.edu.au.ORCID http://orcid.org/0000-0002-1107-8976
Zornitza StarkAustralian Genomics, Murdoch Childrens Research Institute, Melbourne, VIC, Australia.
Peta PhillipsAustralian Genomics, Murdoch Childrens Research Institute, Melbourne, VIC, Australia.
You WuHealth Economics Unit, Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Janet C LongAustralian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-0553-682X
Natalie TaylorCancer Council NSW, Woolloomooloo, Sydney, NSW, Australia.
Jeffrey BraithwaiteAustralian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.
John ChristodoulouUniversity of Melbourne, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0002-8431-0641
Ilias GoranitisAustralian Genomics, Murdoch Childrens Research Institute, Melbourne, VIC, Australia.ORCID http://orcid.org/0000-0001-7946-8324

Funding

Department of Health | National Health and Medical Research Council (NHMRC) GNT1113531
6 · The paper itself

Abstract

Beyond a narrow focus on cost and outcomes, robust evidence of what is valued in genomic medicine is scarce. We gathered views on value from key stakeholders (clinical genomic staff, operational genomic staff and community representatives) in relation to three testing contexts (General Healthcare, Acute Care and Neurodevelopmental Conditions). We conducted an iterative focus group in three stages over a week using a multiphase mixed methods study, i.e. quantitative ratings and qualitative discussion. For each testing context, the characteristics of genomic testing were generated and ranked by the group using a co-productive approach. Up to 17 characteristics were identified in one scenario with several characteristics featuring in all three testing contexts. The likelihood of getting an answer was consistently reported as most highly valued, followed by the potential for the test to impact on clinical management (or wellbeing/health for Neurodevelopmental Conditions). Risk of discrimination did not feature highly across the different settings (and not at all in Acute Care). While cost was an issue in the general health setting, it was one of the least-valued characteristics in the other two testing contexts. In conclusion, co-producing an understanding of what is valued in different testing contexts, and identifying the areas of differences or commonalities, is important to maximise value provision and inform future policy to ensure that clinical genomic services meet the needs of the community and service providers.

Indexed as

Genetic TestingHealth Knowledge, Attitudes, PracticeStakeholder ParticipationGenetic CounselingHealth PersonnelHumansPatientsPublic Opinion

Identifiers

PMID32024983
PMCPMC7316813

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.