Evidence map›Paper›PMID 37280361›Full record

ArticleEuropean journal of human genetics : EJHG2024

Direct notification by health professionals of relatives at-risk of genetic conditions (with patient consent): views of the Australian public.

Jane M Tiller, Ami Stott, Keri Finlay, Tiffany Boughtwood, Evanthia O Madelli, Ari Horton, Ingrid Winship, Kristen Nowak, Margaret Otlowski

Abstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Cost-Effectiveness of Lynch Syndrome Identification Strategies in Individuals With Colorectal Cancer and the Impact on At-Risk Relatives.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Looking back at 2024 in the European Journal of Human Genetics.European journal of human genetics : EJHG · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Managing genetic information sharing at family and population level.European journal of human genetics : EJHG · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Jane M TillerAustralian Genomics, Parkville, VIC, Australia. Jane.tiller@monash.edu.ORCID 0000-0003-3906-6632
Ami StottAustralian Genomics, Parkville, VIC, Australia.ORCID 0000-0002-9963-1683
Keri FinlayAustralian Genomics, Parkville, VIC, Australia.
Tiffany BoughtwoodAustralian Genomics, Parkville, VIC, Australia.ORCID 0000-0002-9634-3731
Evanthia O MadelliAustralian Genomics, Parkville, VIC, Australia.ORCID 0000-0002-2128-0828
Ari HortonDepartment of Paediatrics, Monash University, Clayton, VIC, Australia.ORCID 0000-0003-2043-4343
Ingrid WinshipDepartment of Genomic Medicine, The Royal Melbourne Hospital, Parkville, VIC, Australia.
Kristen NowakOffice of Population Health Genomics, WA Department of Health, East Perth, WA, Australia.
Margaret OtlowskiCentre for Law and Genetics, University of Tasmania, Hobart, TAS, Australia.

Funding

Department of Health | National Health and Medical Research Council (NHMRC) GNT 2000001
6 · The paper itself

Abstract

Genetic risk information for medically actionable conditions has relevance for patients' blood relatives. However, cascade testing uptake in at-risk families is <50%, and the burden of contacting relatives is a significant barrier to dissemination of risk information. Health professionals (HPs) could notify at-risk relatives directly, with patients' consent. This practice is supported by international literature, including strong public support. However, there is little exploration of the Australian public's views about this issue. We surveyed Australian adults using a consumer research company. Respondents were provided a hypothetical scenario and asked about views and preferences regarding direct contact by HPs. 1030 members of the public responded, with median age 45 y and 51% female. The majority would want to be told about genetic risk for conditions that can be prevented/treated early (85%) and contacted directly by a HP (68%). Most preferred a letter that included specific information about the genetic condition in the family (67%) and had no privacy concerns about HPs sending a letter using contact details provided by a relative (85%). A minority (< 5%) had significant privacy concerns, mostly about use of personal contact information. Concerns included ensuring information was not shared with third parties. Almost 50% would prefer that a family member contacted them before the letter was sent, while about half did not prefer this or were unsure. The Australian public supports (and prefers) direct notification of relatives at risk of medically actionable genetic conditions. Guidelines would assist with clarifying clinicians' discretion in this area.

Indexed as

Informed ConsentPatientsAdultAustraliaFemaleHumansMaleMiddle AgedRisk FactorsSurveys and Questionnaires

Identifiers

PMID37280361
PMCPMC10242214

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.