Evidence map›Paper›PMID 32719395›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2020

Parental experiences of ultrarapid genomic testing for their critically unwell infants and children.

Gemma R Brett, Melissa Martyn, Fiona Lynch, Michelle G de Silva, Samantha Ayres, Lyndon Gallacher, Kirsten Boggs, Anne Baxendale, Sarah Schenscher, Sarah King-Smith and 11 more

Open access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
11.4field-weighted citation impact, top 1% 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

27 citing papers in PubMed, 51 citations in OpenAlex.

  1. Associations of Patient and Parent Characteristics With Parental Decision Regret in the PICU: A Secondary Analysis of the 2015-2017 Navigate Randomized Comparative Trial.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2024
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  7. Developmental and epileptic encephalopathies.Nature reviews. Disease primers · 2024
    Review
  8. The Parent PrU: A measure to assess personal utility of pediatric genomic results.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
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  11. Diagnostic genomic sequencing in critically ill children.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2023
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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

21 authors at 8 institutions in 1 country.

Gemma R BrettVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia. gemma.brett@vcgs.org.au.ORCID http://orcid.org/0000-0003-0133-7994
Melissa MartynThe University of Melbourne, Melbourne, Australia.
Fiona LynchThe University of Melbourne, Melbourne, Australia.
Michelle G de SilvaVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Samantha AyresVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Lyndon GallacherVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Kirsten BoggsAustralian Genomics Health Alliance, Melbourne, Australia.
Anne BaxendaleAustralian Genomics Health Alliance, Melbourne, Australia.
Sarah SchenscherAustralian Genomics Health Alliance, Melbourne, Australia.
Sarah King-SmithAustralian Genomics Health Alliance, Melbourne, Australia.
Lindsay FowlesAustralian Genomics Health Alliance, Melbourne, Australia.
Amanda SpringerMonash Genetics, Monash Health, Melbourne, Australia.
Sebastian LunkeVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
Anand VasudevanRoyal Women's Hospital, Melbourne, Australia.
Emma KrzesinskiMonash Genetics, Monash Health, Melbourne, Australia.
Jason PinnerSydney Children's Hospitals Network-Randwick, Sydney, Australia.
Sarah A SandaraduraSydney Children's Hospitals Network-Westmead, Sydney, Australia.
Christopher BarnettPaediatric and Reproductive Genetics Unit, South Australian Clinical Genetics Service, Adelaide, Australia.
Chirag PatelGenetic Health Queensland, Royal Brisbane and Women's Hospital, Brisbane, Australia.
Meredith WilsonSydney Children's Hospitals Network-Westmead, Sydney, Australia.
Zornitza StarkVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Melbourne, Australia.
The University of Melbourne · AUSouth Australia Pathology · AUSydney Children’s Hospitals Network · AUMonash Health · AURoyal Brisbane and Women's Hospital · AURoyal Women's Hospital · AUThe University of Sydney · AUVictorian Clinical Genetics Services · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore parental experiences of ultrarapid genomic testing for their critically unwell infants and children.

methodsParents of critically unwell children who participated in a national ultrarapid genomic diagnosis program were surveyed >12 weeks after genomic results return. Surveys consisted of custom questions and validated scales, including the Decision Regret Scale and Genomics Outcome Scale.

resultsWith 96 survey invitations sent, the response rate was 57% (n = 55). Most parents reported receiving enough information during pretest (n = 50, 94%) and post-test (n = 44, 83%) counseling. Perceptions varied regarding benefits of testing, however most parents reported no or mild decision regret (n = 45, 82%). The majority of parents (31/52, 60%) were extremely concerned about the condition recurring in future children, regardless of actual or perceived recurrence risk. Parents whose child received a diagnostic result reported higher empowerment.

conclusionThis study provides valuable insight into parental experiences of ultrarapid genomic testing in critically unwell children, including decision regret, empowerment, and post-test reproductive planning, to inform design and delivery of rapid diagnosis programs. The findings suggest considerations for pre- and post-test counseling that may influence parental experiences during the testing process and beyond, such as the importance of realistically conveying the likelihood for clinical and/or personal utility.

Indexed as

EmotionsParentsChildCounselingGenetic TestingHumansInfantSurveys and Questionnairesdecision regretgenomic testingneonatal and pediatric intensive careparent experiencespersonal utility

Identifiers

PMID32719395
OpenAlexW3044936869

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.