Evidence map›Paper›PMID 37069702›Full record

ArticleGenome medicine2023

Diagnostic yield of genetic screening in a diverse, community-ascertained cohort.

Nandana D Rao, Jailanie Kaganovsky, Emily A Malouf, Sandy Coe, Jennifer Huey, Darwin Tsinajinne, Sajida Hassan, Kristine M King, Stephanie M Fullerton, Annie T Chen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
5.0field-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

12 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. An integrated cardiometabolic genetic testing program in a predominantly Hispanic population within a community setting.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  3. Article
  4. Article
  5. What Should a Clinical Cardiologist Know About Cardiogenetics?Journal of the American Heart Association · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. 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

11 authors at 2 institutions in 1 country.

Nandana D RaoInstitute for Public Health Genetics, University of Washington, Seattle, WA, USA.
Jailanie KaganovskyDepartment of Laboratory Medicine and Pathology, University of Washington, Rm NW120, Box 357110 1959 NE Pacific Street, WA, 98195, Seattle, USA.
Emily A MaloufDepartment of Laboratory Medicine and Pathology, University of Washington, Rm NW120, Box 357110 1959 NE Pacific Street, WA, 98195, Seattle, USA.
Sandy CoeDepartment of Laboratory Medicine and Pathology, University of Washington, Rm NW120, Box 357110 1959 NE Pacific Street, WA, 98195, Seattle, USA.
Jennifer HueyDepartment of Laboratory Medicine and Pathology, University of Washington, Rm NW120, Box 357110 1959 NE Pacific Street, WA, 98195, Seattle, USA.
Darwin TsinajinneDepartment of Laboratory Medicine and Pathology, University of Washington, Rm NW120, Box 357110 1959 NE Pacific Street, WA, 98195, Seattle, USA.
Sajida HassanDepartment of Laboratory Medicine and Pathology, University of Washington, Rm NW120, Box 357110 1959 NE Pacific Street, WA, 98195, Seattle, USA.
Kristine M KingInstitute for Public Health Genetics, University of Washington, Seattle, WA, USA.
Stephanie M FullertonDepartment of Bioethics & Humanities, University of Washington School of Medicine, Seattle, WA, USA.
Annie T ChenDepartment of Biomedical Informatics and Medical Education, University of Washington, Seattle, WA, USA.
Brian H ShirtsDepartment of Laboratory Medicine and Pathology, University of Washington, Rm NW120, Box 357110 1959 NE Pacific Street, WA, 98195, Seattle, USA. shirtsb@uw.edu.ORCID 0000-0002-7188-6764
University of Washington · USUniversity of Washington Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPopulation screening for genetic risk of adult-onset preventable conditions has been proposed as an attractive public health intervention. Screening unselected individuals can identify many individuals who will not be identified through current genetic testing guidelines.

methodsWe sought to evaluate enrollment in and diagnostic yield of population genetic screening in a resource-limited setting among a diverse population. We developed a low-cost, short-read next-generation sequencing panel of 25 genes that had 98.4% sensitivity and 99.98% specificity compared to diagnostic panels. We used email invitations to recruit a diverse cohort of patients in the University of Washington Medical Center system unselected for personal or family history of hereditary disease. Participants were sent a saliva collection kit in the mail with instructions on kit use and return. Results were returned using a secure online portal. Enrollment and diagnostic yield were assessed overall and across race and ethnicity groups.

resultsOverall, 40,857 people were invited and 2889 (7.1%) enrolled. Enrollment varied across race and ethnicity groups, with the lowest enrollment among African American individuals (3.3%) and the highest among Multiracial or Other Race individuals (13.0%). Of 2864 enrollees who received screening results, 106 actionable variants were identified in 103 individuals (3.6%). Of those who screened positive, 30.1% already knew about their results from prior genetic testing. The diagnostic yield was 74 new, actionable genetic findings (2.6%). The addition of more recently identified cancer risk genes increased the diagnostic yield of screening.

conclusionsPopulation screening can identify additional individuals that could benefit from prevention, but challenges in recruitment and sample collection will reduce actual enrollment and yield. These challenges should not be overlooked in intervention planning or in cost and benefit analysis.

Indexed as

Genetic TestingRacial GroupsAdultBlack or African AmericanEthnicityHumansRisk FactorsDiverse communitiesHereditary cancerHereditary hypercholesterolemiaPopulation genetic screening

Identifiers

PMID37069702
PMCPMC10111761
OpenAlexW4366201812

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.