Evidence map›Paper›PMID 35999452›Full record

SynthesisEuropean journal of human genetics : EJHG2022

Parents' understanding of genome and exome sequencing for pediatric health conditions: a systematic review.

Jessica Gereis, Kate Hetherington, Lauren Ha, Eden G Robertson, David S Ziegler, Kristine Barlow-Stewart, Katherine M Tucker, Jonathan M Marron, Claire E Wakefield

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in European journal of human genetics : EJHG, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Parents' perceptions of the utility of genetic testing in the NICU.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  7. How Neonatologists Use Genetic Information.The Journal of pediatrics · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. 2022: the year that was in the European Journal of Human Genetics.European journal of human genetics : EJHG · 2023
    Article
  17. Developing an Educational Visual Tool to Support Families Considering Whole-Exome Sequencing in Japan.Pediatrics international : official journal of the Japan Pediatric Society
    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

9 authors at 4 institutions in 2 countries.

Jessica GereisSchool of Clinical Medicine, UNSW Medicine & Health, UNSW Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-3791-1660
Kate HetheringtonSchool of Clinical Medicine, UNSW Medicine & Health, UNSW Sydney, Sydney, NSW, Australia. k.hetherington@unsw.edu.au.ORCID http://orcid.org/0000-0002-5457-5462
Lauren HaBehavioural Sciences Unit, Kids Cancer Centre, Sydney Children's Hospital, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-6494-5861
Eden G RobertsonSchool of Clinical Medicine, UNSW Medicine & Health, UNSW Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-9395-7896
David S ZieglerSchool of Clinical Medicine, UNSW Medicine & Health, UNSW Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-7451-7916
Kristine Barlow-StewartSchool of Clinical Medicine, UNSW Medicine & Health, UNSW Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0003-1831-9944
Katherine M TuckerPrince of Wales Clinical School, UNSW Medicine & Health, UNSW Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-7180-6576
Jonathan M MarronDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.ORCID http://orcid.org/0000-0001-8935-8524
Claire E WakefieldSchool of Clinical Medicine, UNSW Medicine & Health, UNSW Sydney, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-7704-7067
UNSW Sydney · AUBoston Children's Hospital · USNew South Wales Department of Health · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genome and exome sequencing (GS/ES) are increasingly being used in pediatric contexts. We summarize evidence regarding the actual and perceived understanding of GS/ES of parents of a child offered testing for diagnosis and/or management of a symptomatic health condition. We searched four databases (2008-2021) and identified 1264 unique articles, of which 16 met inclusion criteria. We synthesized data from qualitative and quantitative studies and organized results using Ayuso et al. (2013)'s framework of key elements of information for informed consent to GS/ES. Many of the parents represented had prior experience with genetic testing and accessed a form of genetic counseling. Parents' understanding was varied across the domains evaluated. Parents demonstrated understanding of the various potential direct clinical benefits to their child undergoing GS/ES, including in relation to other genetic tests. We found parents had mixed understanding of the nature of potential secondary findings, and of issues related to data privacy, confidentiality, and usage of sequencing results beyond their child's clinical care. Genetic counseling consultations improved understanding. Our synthesis indicates that ES/GS can be challenging for families to understand and underscores the importance of equipping healthcare professionals to explore parents' understanding of ES/GS and the implications of testing for their child.

Indexed as

ExomeParentsChildExome SequencingGenetic TestingHumansInformed Consent

Identifiers

PMID35999452
PMCPMC9626631
OpenAlexW4292707911

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.