Evidence map›Paper›PMID 35767006›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2022

Challenges of variant reinterpretation: Opinions of stakeholders and need for guidelines.

Sara M Berger, Paul S Appelbaum, Karolynn Siegel, Julia Wynn, Akilan M Saami, Elly Brokamp, Bridget C O'Connor, Rizwan Hamid, Donna M Martin, Wendy K Chung

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Pathogenicity Prediction of Missense Variations in Hereditary Cancer Genes.International journal of molecular sciences · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Practical considerations for reinterpretation of individual genetic variants.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    Article
  19. Article
  20. 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

10 authors.

Sara M BergerDepartment of Pediatrics, Columbia University Irving Medical Center, Columbia University, New York, NY.
Paul S AppelbaumDepartment of Psychiatry, Columbia University Irving Medical Center, Columbia University, New York, NY.
Karolynn SiegelDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY.
Julia WynnDepartment of Pediatrics, Columbia University Irving Medical Center, Columbia University, New York, NY.
Akilan M SaamiDepartment of Pediatrics, Columbia University Irving Medical Center, Columbia University, New York, NY.
Elly BrokampVanderbilt Genetics Institute, Vanderbilt University Medical Center, Nashville, TN.
Bridget C O'ConnorDepartment of Pediatrics, Michigan Medicine, Ann Arbor, MI.
Rizwan HamidDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN.
Donna M MartinDepartments of Pediatrics and Human Genetics, University of Michigan Medical School, Michigan Medicine, Ann Arbor, MI.
Wendy K ChungDepartment of Pediatrics, Columbia University Irving Medical Center, Columbia University, New York, NY; Department of Medicine, Columbia University Irving Medical Center, Columbia University, New York, NY. Electronic address: wkc15@columbia.edu.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Center for Research on Ethical, Legal & Social Implications of Psychiatric, Neurologic & Behavioral GeneticsRM1HG007257 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI APPELBAUM, PAUL STUART · 2018 to 2021
$4.4M
Development of recommendations and policies for genetic variant reclassificationR01HG010365 · NHGRI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI APPELBAUM, PAUL STUART, CHUNG, WENDY K · 2018 to 2021
$2.9M
NCATS NIH HHS UL1 TR001863NCATS NIH HHS UL1 TR001873NHGRI NIH HHS R01 HG010365NHGRI NIH HHS RM1 HG007257
6 · The paper itself

Abstract

purposeThe knowledge used to classify genetic variants is continually evolving, and the classification can change on the basis of newly available data. Although up-to-date variant classification is essential for clinical management, reproductive planning, and identifying at-risk family members, there is no consistent practice across laboratories or clinicians on how or under what circumstances to perform variant reinterpretation.

methodsWe conducted exploratory focus groups (N = 142) and surveys (N = 1753) with stakeholders involved in the process of variant reinterpretation (laboratory directors, clinical geneticists, genetic counselors, nongenetic providers, and patients/parents) to assess opinions on key issues, including initiation of reinterpretation, variants to report, termination of the responsibility to reinterpret, and concerns about consent, cost, and liability.

resultsStakeholders widely agreed that there should be no fixed termination point to the responsibility to reinterpret a previously reported genetic variant. There were significant concerns about liability and lack of agreement about many logistical aspects of variant reinterpretation.

conclusionOur findings suggest a need to (1) develop consensus and (2) create transparency and awareness about the roles and responsibilities of parties involved in variant reinterpretation. These data provide a foundation for developing guidelines on variant reinterpretation that can aid in the development of a low-cost, scalable, and accessible approach.

Indexed as

CounselorsGenetic TestingFocus GroupsHumansLaboratoriesSurveys and QuestionnairesGenetic testingLiabilityVariant of uncertain significanceVariant reclassificationVariant reinterpretation

Identifiers

PMID35767006
PMCPMC10407574

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.