Evidence map›Paper›PMID 34665896›Full record

ArticleJournal of genetic counseling2022

Do research participants share genomic screening results with family members?

Julia Wynn, Hila Milo Rasouly, Tania Vasquez-Loarte, Akilan M Saami, Robyn Weiss, Sonja I Ziniel, Paul S Appelbaum, Ellen Wright Clayton, Kurt D Christensen, David Fasel and 20 more

Open access · greenAbstract read
In one paragraph

Article in Journal of genetic counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Impact of a Genetic Diagnosis for a Child's Autism on Parental Perceptions.Journal of autism and developmental disorders · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Most people share genetic test results with relatives even if the findings are normal: Family communication in a diverse population.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. A pragmatic clinical trial of cascade testing for familial hypercholesterolemia.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Article
  17. Article
  18. 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

30 authors at 17 institutions in 2 countries.

Julia WynnDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.
Hila Milo RasoulyDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Tania Vasquez-LoarteDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Akilan M SaamiDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.
Robyn WeissDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Sonja I ZinielDepartment of Pediatrics, School of Medicine, University of Colorado, Aurora, CO, USA.
Paul S AppelbaumDepartment of Psychiatry, Center for Research on Ethical, Legal & Social Implications of Psychiatric, Neurologic & Behavior Genetics, Columbia University Irving Medical Center, New York, NY, USA.
Ellen Wright ClaytonCenter for Biomedical Ethics and Society and Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Kurt D ChristensenDepartment of Population Medicine, Precision Medicine Translational Research (PROMoTeR) Center, Harvard Pilgrim Health Care Institute, Boston, MA, USA.
David FaselDepartment of Biomedical Informatics, Columbia University Irving Medical Center, New York, NY, USA.
Robert C GreenBroad Institute of MIT and Harvard, Cambridge, MA, USA.
Heather S HainCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Margaret HarrCenter for Applied Genomics, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Christin HoellCenter for Genetic Medicine, Northwestern University, Chicago, IL, USA.
Iftikhar J KulloDepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, MN, USA.
Kathleen A LeppigGenetic Services and Kaiser Permanente Washington Health Research Institute, Kaiser Permanente of Washington, Seattle, WA, USA.
Melanie F MyersDivisions of Human Genetics and Patient Services, Children's Hospital Medical Center, Cincinnati, OH, USA.
Joel E PacynaBiomedical Ethics Program, Mayo Clinic, Rochester, MN, USA.
Emma F PerezDivision of Genetics, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Cynthia A ProwsDivisions of Human Genetics and Patient Services, Children's Hospital Medical Center, Cincinnati, OH, USA.
Alanna Kulchak RahmGenomic Medicine Institute, Geisinger, Danville, PA, USA.
Gemme Campbell-SalomeGenomic Medicine Institute, Geisinger, Danville, PA, USA.
Richard R SharpBiomedical Ethics Program, Mayo Clinic, Rochester, MN, USA.
Maureen E SmithCenter for Genetic Medicine, Northwestern University, Chicago, IL, USA.
Georgia L WiesnerDivision of Genetic Medicine, Department of Medicine, and Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN, USA.
Janet L WilliamsGenomic Medicine Institute, Geisinger, Danville, PA, USA.
Carrie L Blout ZawatskyDivision of Genetics, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Ali G GharaviDepartment of Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Wendy K ChungDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, USA.
Ingrid A HolmDivision of Genetics and Genomics and the Manton Center for Orphan Diseases Research, Boston Children's Hospital, Boston, MA, USA.
Columbia University Irving Medical Center · USBrigham and Women's Hospital · USChildren's Hospital of Philadelphia · USCincinnati Children's Hospital Medical Center · USColumbia University · USGeisinger Health System · USNorthwestern University · PHVanderbilt University Medical Center · USBoston Children's Hospital · USBroad Institute · USGeisinger Neuroscience Institute · USHarvard University · USKaiser Permanente Washington Health Research Institute · USMayo Clinic · USMayo Clinic in Arizona · USMayo Clinic in Florida · USUniversity of Colorado Anschutz Medical Campus · US

Funding

Technologies and Resources CoreU54MD007593 · NIMHD · MEHARRY MEDICAL COLLEGE · PI ADUNYAH, SAMUEL EVANS · 2012 to 2018
$24.7M
Genomic Basis of Susceptibility to COVID-19 Infection and its ComplicationsU01HG006379 · NHGRI · MAYO CLINIC ROCHESTER · PI Richard R. Sharp · 2011 to 2026
$16.5M
Finding Genomic Profiles of COVID-19 Phenotypes from the EHRU01HG008685 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIZABETH W KARLSON, Matthew S Lebo · 2015 to 2026
$13.6M
Variation, Function, and Disease Supplement ProgramU01HG008657 · NHGRI · UNIVERSITY OF WASHINGTON · PI David Russell Crosslin, Gail Pairitz Jarvik · 2015 to 2026
$13.4M
OMOP information model for eMERGE phenotypingU01HG008680 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Wendy K Chung, GEORGE M HRIPCSAK · 2015 to 2026
$13.3M
DNA Sequencing Support for the eMERGE NetworkU01HG008664 · NHGRI · BAYLOR COLLEGE OF MEDICINE · PI GIBBS, RICHARD A · 2015 to 2019
$10.9M
Global Alliance for Genomic Health (GA4GH)U01HG008676 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI LENNON, NIALL JOHN, REHM, HEIDI L · 2015 to 2019
$8.6M
Polygenic Risk Scores for Healthier African American FamiliesU01HG011172 · NHGRI · CINCINNATI CHILDRENS HOSP MED CTR · PI Leah Claire Kottyan, LISA J MARTIN · 2020 to 2026
$7.2M
The Electronic Medical Records and Genomics (eMERGE) Network Phase III Coordinating Center (U01)U01HG008701 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI PETERSON, JOSEPH F. · 2015 to 2019
$7.1M
VGER, the Vanderbilt Genome-Electronic Records ProjectU01HG008672 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI DENNY, JOSHUA C., RODEN, DAN M · 2015 to 2019
$5.1M
The Future of Genomics Medicine in Patient Care: Contributions from CHOPU01HG008684 · NHGRI · CHILDREN'S HOSP OF PHILADELPHIA · PI HAKONARSON, HAKON · 2015 to 2019
$5.0M
OMOP information model for eMERGE phenotypingU01HG008679 · NHGRI · GEISINGER CLINIC · PI WILLIAMS, MARC S. · 2015 to 2019
$4.4M
NHGRI NIH HHS U01 HG006379NHGRI NIH HHS U01 HG008657NHGRI NIH HHS U01 HG008664NHGRI NIH HHS U01 HG008666NHGRI NIH HHS U01 HG008672NHGRI NIH HHS U01 HG008673NHGRI NIH HHS U01 HG008676NHGRI NIH HHS U01 HG008679NHGRI NIH HHS U01 HG008680NHGRI NIH HHS U01 HG008684NHGRI NIH HHS U01 HG008685NHGRI NIH HHS U01 HG008701NHGRI NIH HHS U01 HG011172NIMHD NIH HHS U54 MD007593
6 · The paper itself

Abstract

The public health impact of genomic screening can be enhanced by cascade testing. However, cascade testing depends on communication of results to family members. While the barriers and facilitators of family communication have been researched following clinical genetic testing, the factors impacting the dissemination of genomic screening results are unknown. Using the pragmatic Electronic Medical Records and Genomics Network-3 (eMERGE-3) study, we explored the reported sharing practices of participants who underwent genomic screening across the United States. Six eMERGE-3 sites returned genomic screening results for mostly dominant medically actionable disorders and surveyed adult participants regarding communication of results with first-degree relatives. Across the sites, 279 participants completed a 1-month and/or 6-month post-results survey. By 6 months, only 34% of the 156 respondents shared their results with all first-degree relatives and 4% did not share with any. Over a third (39%) first-degree relatives were not notified of the results. Half (53%) of participants who received their results from a genetics provider shared them with all first-degree relatives compared with 11% of participants who received their results from a non-genetics provider. The most frequent reasons for sharing were a feeling of obligation (72%) and that the information could help family members make medical decisions (72%). The most common reasons indicated for not sharing were that the family members were too young (38%), or they were not in contact (25%) or not close to them (25%). These data indicate that the professional returning the results may impact sharing patterns, suggesting that there is a need to continue to educate healthcare providers regarding approaches to facilitate sharing of genetic results within families. Finally, these data suggest that interventions to increase sharing may be universally effective regardless of the origin of the genetic result.

Indexed as

FamilyGenomicsCommunicationGenetic TestingHumansSurveys and QuestionnairesUnited Statescascade testingcommunicationfamilypopulation screeningpredictive genetic testing

Identifiers

PMID34665896
PMCPMC8983417
OpenAlexW3206342854

What OpenQuestion holds

Textmetadata
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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.