Evidence map›Paper›PMID 32424322›Full record

ArticleEuropean journal of human genetics : EJHG2020

Quality of life drives patients' preferences for secondary findings from genomic sequencing.

Chloe Mighton, Lindsay Carlsson, Marc Clausen, Selina Casalino, Salma Shickh, Laura McCuaig, Esha Joshi, Seema Panchal, Kara Semotiuk, Karen Ott and 9 more

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 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Opportunistic genomic screening has clinical utility: An interventional cohort study.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  10. Article
  11. Article
  12. Views of adults living with sickle cell disease on the theoretical return of secondary genomic findings.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    Article
  18. Canadian nursing and genomics: An engagement initiative.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2022
    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

19 authors.

Chloe MightonInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Lindsay CarlssonLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
Marc ClausenLi Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health, Toronto, ON, Canada.
Selina CasalinoLi Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health, Toronto, ON, Canada.
Salma ShickhInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
Laura McCuaigLi Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health, Toronto, ON, Canada.
Esha JoshiLi Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health, Toronto, ON, Canada.
Seema PanchalSinai Health System, Toronto, ON, Canada.
Kara SemotiukSinai Health System, Toronto, ON, Canada.
Karen OttSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Christine ElserUniversity Health Network, Toronto, ON, Canada.
Andrea EisenSunnybrook Health Sciences Centre, Toronto, ON, Canada.
Raymond H KimUniversity Health Network, Toronto, ON, Canada.
Jordan Lerner-EllisSinai Health System, Toronto, ON, Canada.
June C CarrollSinai Health System, Toronto, ON, Canada.
Emily GlogowskiGeneDx, Gaithersburg, MD, USA.
Kasmintan SchraderBC Cancer Agency, Vancouver, BC, Canada.
Yvonne BombardInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada. Yvonne.Bombard@utoronto.ca.
Incidental Genomics Study Team

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
CIHR FRN #160968CIHR FRN GSD-164222NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

There is growing impetus to include measures of personal utility, the nonmedical value of information, in addition to clinical utility in health technology assessment (HTA) of genomic tests such as genomic sequencing (GS). However, personal utility and clinical utility are challenging to define and measure. This study aimed to explore what drives patients' preferences for hypothetically learning medically actionable and non-medically actionable secondary findings (SF), capturing clinical and personal utility; this may inform development of measures to evaluate patient outcomes following return of SF. Semi-structured interviews were conducted with adults with a personal or family cancer history participating in a trial of a decision aid for selection of SF from genomic sequencing (GS) ( www.GenomicsADvISER.com ). Interviews were analyzed thematically using constant comparison. Preserving health-related and non-health-related quality of life was an overarching motivator for both learning and not learning SF. Some participants perceived that learning SF would help them "have a good quality of life" through informing actions to maintain physical health or leading to psychological benefits such as emotional preparation for disease. Other participants preferred not to learn SF because results "could ruin your quality of life," such as by causing negative psychological impacts. Measuring health-related and non-health-related quality of life may capture outcomes related to clinical and personal utility of GS and SF, which have previously been challenging to measure. Without appropriate measures, generating and synthesizing evidence to evaluate genomic technologies such as GS will continue to be a challenge, and will undervalue potential benefits of GS and SF.

Indexed as

Genetic TestingIncidental FindingsQuality of LifeAdolescentAdultFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedPatient PreferenceSequence Analysis, DNA

Identifiers

PMID32424322
PMCPMC7609335

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.