Evidence map›Paper›PMID 33811253›Full record

ArticleEuropean journal of human genetics : EJHG2021

Preferences and values for rapid genomic testing in critically ill infants and children: a discrete choice experiment.

Ilias Goranitis, Stephanie Best, John Christodoulou, Tiffany Boughtwood, Zornitza Stark

Open access · bronzeAbstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.4field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Preferences for Genetic Testing to Predict the Risk of Developing Hereditary Cancer: A Systematic Review of Discrete Choice Experiments.Medical decision making : an international journal of the Society for Medical Decision Making · 2024
    Pooled it
  4. Article
  5. Article
  6. Is next generation sequencing for the diagnosis of rare diseases worth its cost? A user-based approach to valuation.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  7. Cost-effectiveness of paediatric rapid genomic testing: a commentary.International journal for advancing practice · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. The value of genomic testing in severe childhood speech disorders.European journal of human genetics : EJHG · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Resource allocation in genetic and genomic medicine.Journal of community genetics · 2022
    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

5 authors at 2 institutions in 1 country.

Ilias GoranitisHealth Economics Unit, Centre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia. ilias.goranitis@unimelb.edu.au.ORCID 0000-0001-7946-8324
Stephanie BestAustralian Genomics Health Alliance, Melbourne, VIC, Australia.ORCID 0000-0002-1107-8976
John ChristodoulouAustralian Genomics Health Alliance, Melbourne, VIC, Australia.ORCID 0000-0002-8431-0641
Tiffany BoughtwoodAustralian Genomics Health Alliance, Melbourne, VIC, Australia.ORCID 0000-0002-9634-3731
Zornitza StarkAustralian Genomics Health Alliance, Melbourne, VIC, Australia.ORCID 0000-0001-8640-1371
The University of Melbourne · AUMurdoch Children's Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Healthcare systems are increasingly considering widespread implementation of rapid genomic testing of critically ill children, but evidence on the value of the benefits generated is lacking. This information is key for an optimal implementation into healthcare systems. A discrete choice experiment survey was designed to elicit preferences and values for rapid genomic testing in critically ill children. The survey was administered to members of the Australian public and families with lived experience of rapid genomic testing. A Bayesian D-efficient explicit partial profiles design was used, and data were analysed using a panel error component mixed logit model. Preference heterogeneity was explored using a latent class model and fractional logistic regressions. The public (n = 522) and families with lived experiences (n = 25) demonstrated strong preferences for higher diagnostic yield and clinical utility, faster result turnaround times, and lower cost. Society on average would be willing to pay an additional AU$9510 (US$6657) for rapid (2 weeks results turnaround time) and AU$11,000 (US$7700) for ultra-rapid genomic testing (2 days turnaround time) relative to standard diagnostic care. Corresponding estimates among those with lived experiences were AU$10,225 (US$7158) and AU$11,500 (US$8050), respectively. Our work provides further evidence that rapid genomic testing for critically ill children with rare conditions generates substantial utility. The findings can be used to inform cost-benefit analyses as part of broader healthcare system implementation.

Indexed as

AttitudeChoice BehaviorCosts and Cost AnalysisAdultChildCritical CareFamilyGenetic TestingHumansInfantPublic Opinion

Identifiers

PMID33811253
PMCPMC8560904
OpenAlexW3143226462

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.