Evidence map›Paper›PMID 34057224›Full record

ArticlePrenatal diagnosis2022

Preference for secondary findings in prenatal and pediatric exome sequencing.

Kate Swanson, Teresa N Sparks, Billie R Lianoglou, Flavia Chen, Sarah Downum, Sachi Patel, Shannon Rego, Tiffany Yip, Jessica Van Ziffle, Barbara A Koenig and 2 more

Open access · greenAbstract read
In one paragraph

Article in Prenatal diagnosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  5. Review
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  8. Article
  9. Prenatal exome and genome sequencing for fetal structural abnormalities.American journal of obstetrics and gynecology · 2023
    Review
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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

12 authors at 1 institution in 1 country.

Kate SwansonDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of California, San Francisco, California, USA.ORCID 0000-0003-1174-1501
Teresa N SparksDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of California, San Francisco, California, USA.ORCID 0000-0002-8593-2186
Billie R LianoglouFetal Treatment Center, University of California, San Francisco, California, USA.
Flavia ChenInstitute for Human Genetics, University of California, San Francisco, California, USA.
Sarah DownumDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of California, San Francisco, California, USA.
Sachi PatelDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of California, San Francisco, California, USA.
Shannon RegoInstitute for Human Genetics, University of California, San Francisco, California, USA.
Tiffany YipInstitute for Human Genetics, University of California, San Francisco, California, USA.
Jessica Van ZiffleInstitute for Human Genetics, University of California, San Francisco, California, USA.
Barbara A KoenigProgram in Bioethics, University of California, San Francisco, California, USA.
Anne M SlavotinekDepartment of Pediatrics, Division of Medical Genetics, University of California, San Francisco, California, USA.
Mary E NortonDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Division of Maternal-Fetal Medicine, University of California, San Francisco, California, USA.
University of California, San Francisco · US

Funding

Sharing Aggregate Genomics Research Findings with Diverse Participants: A Pilot Study of an Innovative Design StrategyU01HG009599 · NHGRI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KOENIG, BARBARA A., KWOK, PUI-YAN · 2017 to 2021
$16.3M
WOMEN'S REPRODUCTIVE HEALTH RESEARCH CENTERK12HD001262 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Andrea Vashti Jackson · 1998 to 2026
$9.3M
NHGRI NIH HHS U01 HG009599NICHD NIH HHS K12 HD001262NIH HHS 5K12HD001262-18NIH HHS U01HG009599
6 · The paper itself

Abstract

objectiveWe aimed to determine the frequency of accepting secondary findings in families undergoing exome sequencing in prenatal and pediatric settings.

methodsThis was a secondary analysis of prospectively enrolled patients undergoing trio exome sequencing for congenital anomalies or developmental disorders in prenatal and pediatric settings, in which families were offered receiving secondary findings (initially assessed in the proband and, if identified, then in the parents). The primary outcome was frequency of accepting secondary findings. Secondary outcomes included frequency of acceptance in prenatal versus pediatric settings, and sociodemographic differences between those who accepted versus declined secondary findings.

resultsThere were 682 families included in the cohort (289 prenatal and 393 pediatric). Overall, 84% (576/682) of families accepted secondary findings: 86.2% (249/289) of families undergoing prenatal versus 83.2% (327/393) pediatric (p = 0.30) testing. Secondary findings were identified in 2.6% (15/576) of cases, with no difference between prenatal and pediatric settings. There were no differences in sociodemographics between families that accepted versus declined secondary findings.

conclusionThe majority of families undergoing exome sequencing accepted secondary findings; this did not differ in prenatal versus pediatric settings. This highlights the need for guidance surrounding the offer of secondary findings in the prenatal setting.

Indexed as

ExomeFamilyChildCohort StudiesExome SequencingFemaleHumansParentsPregnancyPrenatal Diagnosis

Identifiers

PMID34057224
PMCPMC8630094
OpenAlexW3164692585

What OpenQuestion holds

Textmetadata
LicenceTDM
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.