Evidence map›Paper›PMID 35476801›Full record

ReviewPrenatal diagnosis2022

Factors that impact on women's decision-making around prenatal genomic tests: An international discrete choice survey.

James Buchanan, Melissa Hill, Caroline M Vass, Jennifer Hammond, Sam Riedijk, Jasmijn E Klapwijk, Eleanor Harding, Stina Lou, Ida Vogel, Lisa Hui and 7 more

Abstract readReview
In one paragraph

Review in Prenatal diagnosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
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  8. Review
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

17 authors.

James BuchananNuffield Department of Population Health, Health Economics Research Centre, University of Oxford, Oxford, UK.ORCID 0000-0002-6285-2028
Melissa HillNorth Thames Genomic Laboratory Hub, Great Ormond Street Hospital, London, UK.ORCID 0000-0003-3900-1425
Caroline M VassManchester Centre for Health Economics, The University of Manchester, Manchester, UK.ORCID 0000-0002-6385-2812
Jennifer HammondNorth Thames Genomic Laboratory Hub, Great Ormond Street Hospital, London, UK.ORCID 0000-0002-2637-5818
Sam RiedijkDepartment of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands.ORCID 0000-0003-3400-4969
Jasmijn E KlapwijkDepartment of Clinical Genetics, Erasmus MC, Rotterdam, The Netherlands.ORCID 0000-0002-6775-6561
Eleanor HardingBSc Paediatrics and Child Health, The UCL Great Ormond Street Institute of Child Health, London, UK.
Stina LouCenter for Fetal Diagnostics, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0001-6177-5780
Ida VogelCenter for Fetal Diagnostics, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID 0000-0002-1125-0393
Lisa HuiReproductive Epidemiology Group, Murdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0002-9720-3562
Charlotta Ingvoldstad-MalmgrenCenter for Research and Bioethics, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-1915-2453
Maria Johansson SollerDepartment of Clinical Genetics, Karolinska Hospital and Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-9980-8971
Kelly E OrmondDepartment of Genetics and Stanford Center for Biomedical Ethics, Stanford University School of Medicine, Stanford, California, USA.ORCID 0000-0002-1033-0818
Mahesh ChoolaniDepartment of Obstetrics & Gynaecology, National University Hospital, Singapore, Singapore.ORCID 0000-0001-8336-0973
Qian ZhengNorth Thames Genomic Laboratory Hub, Great Ormond Street Hospital, London, UK.
Lyn S ChittyNorth Thames Genomic Laboratory Hub, Great Ormond Street Hospital, London, UK.ORCID 0000-0002-4857-7138
Celine LewisNorth Thames Genomic Laboratory Hub, Great Ormond Street Hospital, London, UK.ORCID 0000-0001-7169-1521

Funding

Australian National Health and Medical Research Early Career FellowshipNIHR Advanced Fellowship NIHR300099NIHR Biomedical Research Centre at Great Ormond Street HospitalNovo Nordisk Foundation NNF16OC0018772The Wellcome Trust 211288/Z/18/ZWellcome Trust
6 · The paper itself

Abstract

objectiveWe conducted a survey-based discrete-choice experiment (DCE) to understand the test features that drive women's preferences for prenatal genomic testing, and explore variation across countries.

methodsFive test attributes were identified as being important for decision-making through a literature review, qualitative interviews and quantitative scoring exercise. Twelve scenarios were constructed in which respondents choose between two invasive tests or no test. Women from eight countries who delivered a baby in the previous 24 months completed a DCE presenting these scenarios. Choices were modeled using conditional logit regression analysis.

resultsSurveys from 1239 women (Australia: n = 178; China: n = 179; Denmark: n = 88; Netherlands: n = 177; Singapore: n = 90; Sweden: n = 178; UK: n = 174; USA: n = 175) were analyzed. The key attribute affecting preferences was a test with the highest diagnostic yield (p < 0.01). Women preferred tests with short turnaround times (p < 0.01), and tests reporting variants of uncertain significance (VUS; p < 0.01) and secondary findings (SFs; p < 0.01). Several country-specific differences were identified, including time to get a result, who explains the result, and the return of VUS and SFs.

conclusionMost women want maximum information from prenatal genomic tests, but our findings highlight country-based differences. Global consensus on how to return uncertain results is not necessarily realistic or desirable.

Indexed as

Choice BehaviorPatient PreferenceFemaleGenetic TestingGenomicsHumansPregnancyPrenatal DiagnosisSurveys and Questionnaires

Identifiers

PMID35476801
PMCPMC9325352

What OpenQuestion holds

Textmetadata
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.