Evidence map›Paper›PMID 32121581›Full record

ArticleJournal of personalized medicine2020

What Results Should Be Returned from Opportunistic Screening in Translational Research?

Colin Me Halverson, Sarah H Jones, Laurie Novak, Christopher Simpson, Digna R Velez Edwards, Sifang Kathy Zhao, Ellen W Clayton

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Restraints on Personal Utility in Genomic Testing.The American journal of bioethics : AJOB · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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
  10. Review
  11. Article
  12. Impact of returning unsolicited genomic results to nongenetic health care providers in the eMERGE III Network.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Article
  13. Review
  14. 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

7 authors at 3 institutions in 1 country.

Colin Me HalversonCenter for Bioethics, Indiana University School of Medicine, Indianapolis, IN 46202, USA,.
Sarah H JonesVanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Laurie NovakDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Christopher SimpsonDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Digna R Velez EdwardsVanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, TN 37235, USA.
Sifang Kathy ZhaoVanderbilt Epidemiology Center, Vanderbilt University Medical Center, Nashville, TN 37235, USA.ORCID 0000-0002-9019-2186
Ellen W ClaytonCenter for Biomedical Ethics and Society, Vanderbilt University Medical Center, Nashville, TN 37235, USA.ORCID 0000-0002-0308-4110
Vanderbilt University Medical Center · USRegenstrief Institute · USVanderbilt University · US

Funding

VGER, the Vanderbilt Genome-Electronic Records ProjectU01HG008672 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C., RODEN, DAN M · 2015 to 2019
$5.1M
Health Care Provider Responses to Receiving Unsolicited Genomic ResultsR01HG010004 · NHGRI · BOSTON CHILDREN'S HOSPITAL · PI HOLM, INGRID ADELE · 2018 to 2020
$1.9M
NHGRI NIH HHS R01 HG010004NHGRI NIH HHS U01 HG008672NIH HHS 5R01 HG010004-02NIH HHS 5U01 HG008672- 04
6 · The paper itself

Abstract

Increasingly, patients without clinical indications are undergoing genomic tests. The purpose of this study was to assess their appreciation and comprehension of their test results and their clinicians' reactions. We conducted 675 surveys with participants from the Vanderbilt Electronic Medical Records and Genomics (eMERGE) cohort. We interviewed 36 participants: 19 had received positive results, and 17 were self-identified racial minorities. Eleven clinicians who had patients who had participated in eMERGE were interviewed. A further 21 of these clinicians completed surveys. Participants spontaneously admitted to understanding little or none of the information returned to them from the eMERGE study. However, they simultaneously said that they generally found testing to be "helpful," even when it did not inform their health care. Primary care physicians expressed discomfort in being asked to interpret the results for their patients and described it as an undue burden. Providing genetic testing to otherwise healthy patients raises a number of ethical issues that warrant serious consideration. Although our participants were enthusiastic about enrolling and receiving their results, they express a limited understanding of what the results mean for their health care. This fact, coupled the clinicians' concern, urges greater caution when educating and enrolling participants in clinically non-indicated testing.

Indexed as

clinical utilitygenetic testinggenomic testingpersonal utilityreturn of results

Identifiers

PMID32121581
PMCPMC7151595
OpenAlexW3009070064

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.