Evidence map›Paper›PMID 36856778›Full record

ArticleFamily practice2023

Does genetic testing offer utility as a supplement to traditional family health history intake for inherited disease risk?

Thomas May, Crystal L Smith, Whitley Kelley, Kelly East, Lori Orlando, Meagan Cochran, Sierra Colletto, Irene Moss, Mariko Nakano-Okuno, Bruce Korf and 1 more

Open access · greenAbstract read
In one paragraph

Article in Family practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

11 authors at 4 institutions in 1 country.

Thomas MayElson S. Floyd College of Medicine, Washington State University, Spokane, WA, United States.ORCID 0000-0002-2211-9374
Crystal L SmithElson S. Floyd College of Medicine, Washington State University, Spokane, WA, United States.ORCID 0000-0002-5095-2822
Whitley KelleyHudsonAlpha Institute for Biotechnology, Huntsville, AL, United States.
Kelly EastHudsonAlpha Institute for Biotechnology, Huntsville, AL, United States.ORCID 0000-0001-8035-6995
Lori OrlandoCenter for Applied Genomics and Precision Medicine, Duke University School of Medicine, Durham, NC, United States.ORCID 0000-0003-2534-7855
Meagan CochranHudsonAlpha Institute for Biotechnology, Huntsville, AL, United States.
Sierra CollettoElson S. Floyd College of Medicine, Washington State University, Spokane, WA, United States.
Irene MossDepartment of Genetics, UAB Heersink School of Medicine, Birmingham, AL, United States.
Mariko Nakano-OkunoDepartment of Genetics, UAB Heersink School of Medicine, Birmingham, AL, United States.ORCID 0000-0002-2465-3212
Bruce KorfDepartment of Genetics, UAB Heersink School of Medicine, Birmingham, AL, United States.
Nita LimdiDepartment of Genetics, UAB Heersink School of Medicine, Birmingham, AL, United States.ORCID 0000-0002-4672-8406
University of Alabama at Birmingham Hospital · USHudsonAlpha Institute for Biotechnology · USWashington State University Spokane · USDuke University · US

Funding

Alabama Genomic Health InitiativeeMERGE Network U01 HG01167University of Alabama
6 · The paper itself

Abstract

contentThis study examines the potential utility of genetic testing as a supplement to family health history to screen for increased risk of inherited disease. Medical conditions are often misreported or misunderstood, especially those related to different forms of cardiac disease (arrhythmias vs. structural heart disease vs. coronary artery disease), female organ cancers (uterine vs. ovarian vs. cervical), and type of cancer (differentiating primary cancer from metastases to other organs). While these nuances appear subtle, they can dramatically alter medical management. For example, different types of cardiac failure (structural, arrhythmia, and coronary artery disease) have inherited forms that are managed with vastly different approaches.

methodsUsing a dataset of over 6,200 individuals who underwent genetic screening, we compared the ability of genetic testing and traditional family health history to identify increased risk of inherited disease. A further, in-depth qualitative study of individuals for whom risk identified through each method was discordant, explored whether this discordance could be addressed through changes in family health history intake.

findingsOf 90 individuals for whom genetic testing indicated significant increased risk for inherited disease, two-thirds (66%) had no corroborating family health history. Specifically, we identify cardiomyopathy, arrhythmia, and malignant hyperthermia as conditions for which discordance between genetic testing and traditional family health history was greatest, and familial hypercholesterolaemia, Lynch syndrome, and hereditary breast and ovarian cancer as conditions for which greater concordance existed.

conclusionWe conclude that genetic testing offers utility as a supplement to traditional family health history intake over certain conditions.

Indexed as

Colorectal Neoplasms, Hereditary NonpolyposisCoronary Artery DiseaseHeart DiseasesArrhythmias, CardiacFemaleGenetic TestingHumansMedical History Takingfamily health historygenetic screeninginherited disease riskpreventive health

Identifiers

PMID36856778
PMCPMC11502957
OpenAlexW4322718557

What OpenQuestion holds

Textmetadata
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.