Evidence map›Paper›PMID 34174888›Full record

ArticleBMC medical genomics2021

Whether, when, how, and how much? General public's and cancer patients' views about the disclosure of genomic secondary findings.

Jude Emmanuel Cléophat, Michel Dorval, Zaki El Haffaf, Jocelyne Chiquette, Stephanie Collins, Benjamin Malo, Vincent Fradet, Yann Joly, Hermann Nabi

Abstract read
In one paragraph

Article in BMC medical genomics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. 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

9 authors.

Jude Emmanuel CléophatFaculty of Pharmacy, Laval University, Quebec City, QC, Canada.
Michel DorvalFaculty of Pharmacy, Laval University, Quebec City, QC, Canada.
Zaki El HaffafDivision of Genetics, Department of Medicine, Hospital Center of the University of Montreal, Montreal, QC, Canada.
Jocelyne ChiquetteOncology Division, Research Center of the CHU de Québec-Laval University, Hôpital du Saint-Sacrement, 1050, chemin Sainte-Foy, Québec, QC, G1S 4L8, Canada.
Stephanie CollinsFaculty of Pharmacy, University of Montreal, Montreal, QC, Canada.
Benjamin MaloInfectious and Immune Diseases Division, Research center of the Quebec City University Hospital, Quebec City, QC, Canada.
Vincent FradetOncology Division, Research Center of the CHU de Québec-Laval University, Hôpital du Saint-Sacrement, 1050, chemin Sainte-Foy, Québec, QC, G1S 4L8, Canada.
Yann JolyCenter of Genomics and Policy, McGill University, Montreal, QC, Canada.
Hermann NabiOncology Division, Research Center of the CHU de Québec-Laval University, Hôpital du Saint-Sacrement, 1050, chemin Sainte-Foy, Québec, QC, G1S 4L8, Canada. Hermann.Nabi@crchudequebec.ulaval.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on the modalities of disclosing genomic secondary findings (SFs) remain scarce. We explore cancer patients' and the general public's perspectives about disclosing genomic SFs and the modalities of such disclosure.

methodsSixty-one cancer patients (n = 29) and members of the public (n = 32) participated in eight focus groups in Montreal and Quebec City, Canada. They were asked to provide their perspectives of five fictitious vignettes related to medically actionable and non-actionable SFs. Two researchers used a codification framework to conduct a thematic content analysis of the group discussion transcripts.

resultsCancer patients and members of the public were open to receive genomic SFs, considering their potential clinical and personal utility. They believed that the right to know or not and share or not such findings should remain the patient's decision. They thought that the disclosure of SFs should be made mainly in person by the prescribing clinician. Maintaining confidentiality when so requested and preventing genetic discrimination were considered essential.

conclusionParticipants in this study welcomed the prospect of disclosing genomic SFs, as long as the right to choose to know or not to know is preserved. They called for the development of policies and practice guidelines that aim to protect genetic information confidentiality as well as the autonomy, physical and psychosocial wellbeing of patients and families.

Indexed as

DisclosureGenomicsNeoplasmsAdultAgedFemaleFocus GroupsHumansMaleMiddle AgedCanadaConfidentialityDisclosureFocus groupsGenetic testingGenome sequencingGenomicsNeoplasmQualitative researchSecondary findings

Identifiers

PMID34174888
PMCPMC8236159

What OpenQuestion holds

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LicenceCC BY
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.