Evidence map›Paper›PMID 32413979›Full record

ArticleJournal of personalized medicine2020

Understanding the Return of Genomic Sequencing Results Process: Content Review of Participant Summary Letters in the eMERGE Research Network.

John A Lynch, Richard R Sharp, Sharon A Aufox, Sarah T Bland, Carrie Blout, Deborah J Bowen, Adam H Buchanan, Colin Halverson, Margaret Harr, Scott J Hebbring and 25 more

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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

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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

35 authors at 16 institutions in 1 country.

John A LynchDepartment of Communication, University of Cincinnati, Cincinnati, OH 45220, USA.ORCID 0000-0001-6457-620X
Richard R SharpBiomedical Ethics, Mayo Clinic, Rochester, MN 55902, USA.ORCID 0000-0001-5441-2084
Sharon A AufoxCenter for Genomic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Sarah T BlandDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.ORCID 0000-0001-7946-6935
Carrie BloutHarvard Pilgrim Health Care Institute, Boston, MA 02115, USA.
Deborah J BowenDepartment of Bioethics and Humanities, School of Medicine, University of Washington, Seattle, WA 98195, USA.
Adam H BuchananGenomic Medicine Institute, Geisinger, Danville, PA 17822, USA.
Colin HalversonSchool of Medicine, Indiana University-Purdue University, Indianapolis, IN 46202, USA.
Margaret HarrCenter for Applied Genomics, Children's Hospital of Pennsylvania, Philadelphia, PA 19104, USA.
Scott J HebbringMarshfield Clinic Research Institute, Marshfield, WI 54449, USA.
Nora HenriksonKaiser Permanente Washington Health Research Institute, Kaiser Permanente of Washington, Seattle, WA 98101, USA.
Christin HoellCenter for Genomic Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Ingrid A HolmDepartment of Pediatrics, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0003-4712-8821
Gail JarvikDepartments of Medicine (Medical Genetics) and Genome Sciences, University of Washington, Seattle, WA 98195, USA.
Iftikhar J KulloDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55902, USA.
David C KochanDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55902, USA.
Eric B LarsonKaiser Permanente Washington Health Research Institute, Kaiser Permanente of Washington, Seattle, WA 98101, USA.
Amanda LazzeriGenomic Medicine Institute, Geisinger, Danville, PA 17822, USA.
Kathleen A LeppigGenetic Services, Kaiser Permanente of Washington, Seattle, WA 98101, USA.
Jill MaddenDivision of Genetics and Genomics, Boston Children's Hospital, Boston, MA 02115, USA.
Maddalena MarasaDepartment of Medicine, Division of Nephrology, Columbia University Irving Medical Center, New York, NY 10032, USA.
Melanie F MyersCollege of Medicine, University of Cincinnati, Cincinnati, OH 45220, USA.
Josh PetersonDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Cynthia A ProwsDepartment of Pediatrics, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, OH 45229, USA.
Alanna Kulchak RahmGenomic Medicine Institute, Geisinger, Danville, PA 17822, USA.
James RalstonKaiser Permanente Washington Health Research Institute, Kaiser Permanente of Washington, Seattle, WA 98101, USA.
Hila Milo RasoulyDepartment of Medicine, Division of Nephrology, Columbia University Irving Medical Center, New York, NY 10032, USA.ORCID 0000-0002-0770-2190
Aaron ScrolKaiser Permanente Washington Health Research Institute, Kaiser Permanente of Washington, Seattle, WA 98101, USA.
Maureen E SmithDepartment of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-9480-1092
Amy SturmGenomic Medicine Institute, Geisinger, Danville, PA 17822, USA.
Kelsey StuttgenDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN 55902, USA.ORCID 0000-0002-2513-3139
Georgia WiesnerDepartment of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232, USA.
Marc S WilliamsGenomic Medicine Institute, Geisinger, Danville, PA 17822, USA.
Julia WynnDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY 10027, USA.
Janet L WilliamsGenomic Medicine Institute, Geisinger, Danville, PA 17822, USA.ORCID 0000-0002-4604-3933
Kaiser Permanente Washington Health Research Institute · USColumbia University Irving Medical Center · USMayo Clinic in Arizona · USNorthwestern University · USVanderbilt University Medical Center · USBoston Children's Hospital · USCincinnati Children's Hospital Medical Center · USChildren's Hospital of Philadelphia · USHarvard Pilgrim Health Care · USIndiana University – Purdue University Indianapolis · USKaiser Permanente · USMarshfield Clinic · USMayo Clinic · USUniversity of Cincinnati · USUniversity of Washington · USUniversity of Washington Medical Center · US

Funding

Genomic Basis of Susceptibility to COVID-19 Infection and its ComplicationsU01HG006379 · NHGRI · MAYO CLINIC ROCHESTER · PI Richard R. Sharp · 2011 to 2026
$16.5M
Finding Genomic Profiles of COVID-19 Phenotypes from the EHRU01HG008685 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIZABETH W KARLSON, Matthew S Lebo · 2015 to 2026
$13.6M
Variation, Function, and Disease Supplement ProgramU01HG008657 · NHGRI · UNIVERSITY OF WASHINGTON · PI David Russell Crosslin, Gail Pairitz Jarvik · 2015 to 2026
$13.4M
OMOP information model for eMERGE phenotypingU01HG008680 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Wendy K Chung, GEORGE M HRIPCSAK · 2015 to 2026
$13.3M
DNA Sequencing Support for the eMERGE NetworkU01HG008664 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI GIBBS, RICHARD A · 2015 to 2019
$10.9M
Global Alliance for Genomic Health (GA4GH)U01HG008676 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI LENNON, NIALL JOHN, REHM, HEIDI L · 2015 to 2019
$8.6M
The Electronic Medical Records and Genomics (eMERGE) Network Phase III Coordinating Center (U01)U01HG008701 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PETERSON, JOSEPH F. · 2015 to 2019
$7.1M
VGER, the Vanderbilt Genome-Electronic Records ProjectU01HG008672 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C., RODEN, DAN M · 2015 to 2019
$5.1M
The Future of Genomics Medicine in Patient Care: Contributions from CHOPU01HG008684 · NHGRI · CHILDREN'S HOSP OF PHILADELPHIA · PI HAKONARSON, HAKON · 2015 to 2019
$5.0M
OMOP information model for eMERGE phenotypingU01HG008679 · NHGRI · GEISINGER CLINIC · PI WILLIAMS, MARC S. · 2015 to 2019
$4.4M
Better Outcomes for Children: Promoting Excellence in Healthcare Genomics to Inform PolicyU01HG008666 · NHGRI · CINCINNATI CHILDRENS HOSP MED CTR · PI HARLEY, JOHN BARKER · 2015 to 2019
$4.2M
Genomic Medicine at Northwestern: Discovery and ImplementationU01HG008673 · NHGRI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI CHISHOLM, REX L, SMITH, MAUREEN E · 2015 to 2019
$4.1M
NHGRI NIH HHS U01 HG006379NHGRI NIH HHS U01HG006379NHGRI NIH HHS U01HG008657NHGRI NIH HHS U01HG008664NHGRI NIH HHS U01 HG008666NHGRI NIH HHS U01HG008666NHGRI NIH HHS U01 HG008672NHGRI NIH HHS U01HG008672NHGRI NIH HHS U01HG008673NHGRI NIH HHS U01HG008676NHGRI NIH HHS U01HG008679NHGRI NIH HHS U01HG008680NHGRI NIH HHS U01HG008684NHGRI NIH HHS U01HG008685NHGRI NIH HHS U01HG008701
6 · The paper itself

Abstract

A challenge in returning genomic test results to research participants is how best to communicate complex and clinically nuanced findings to participants in a manner that is scalable to the large numbers of participants enrolled. The purpose of this study was to examine the features of genetic results letters produced at each Electronic Medical Records and Genomics (eMERGE3) Network site to assess their readability and content. Letters were collected from each site, and a qualitative analysis of letter content and a quantitative analysis of readability statistics were performed. Because letters were produced independently at each eMERGE site, significant heterogeneity in readability and content was found. The content of letters varied widely from a baseline of notifying participants that results existed to more detailed information about positive or negative results, as well as materials for sharing with family members. Most letters were significantly above the Centers for Disease Control-suggested reading level for health communication. While continued effort should be applied to make letters easier to understand, the ongoing challenge of explaining complex genomic information, the implications of negative test results, and the uncertainty that comes with some types of test and result makes simplifying letter text challenging.

Indexed as

genetic testinggenomic medicinepatient communicationreturn of resultswritten communication

Identifiers

PMID32413979
PMCPMC7354464
OpenAlexW3025148138

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.