Evidence map›Paper›PMID 38131308›Full record

Observational studyGenetics in medicine : official journal of the American College of Medical Genetics2024

Secondary (additional) findings from the 100,000 Genomes Project: Disease manifestation, health care outcomes, and costs of disclosure.

Joshua Nolan, James Buchanan, John Taylor, Joao Almeida, Tina Bedenham, Edward Blair, Suzanne Broadgate, Samantha Butler, Angela Cazeaux, Judith Craft and 34 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Genetics in medicine : official journal of the American College of Medical Genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
  6. Article
  7. Article
  8. Measuring disease likelihood in genomic ascertainment.American journal of human genetics · 2026
    Article
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  13. Review
  14. The value of large-scale programmes in human genomics.European journal of human genetics : EJHG · 2025
    Article
  15. Article
  16. 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

44 authors at 9 institutions in 1 country.

Joshua NolanRadcliffe Department of Medicine, University of Oxford, United Kingdom.
James BuchananHealth Economics Research Centre, University of Oxford, United Kingdom.
John TaylorOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Joao AlmeidaGenomics England, United Kingdom Department of Health and Social Care, United Kingdom.
Tina BedenhamOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Edward BlairOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Suzanne BroadgateOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Samantha ButlerBirmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, United Kingdom.
Angela CazeauxUniversity Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Judith CraftOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Treena CranstonOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Gillian CrawfordUniversity Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Jamie ForrestOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom; University of Manchester, Manchester, United Kingdom.
Jessica GabrielOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Elaine GeorgeUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Donna GillenUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Ash HaegerOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Jillian Hastings WardParticipant Panel, Genomics England, United Kingdom.
Lara HawkesOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Claire HodgkissOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Jonathan HoffmanBirmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, United Kingdom.
Alan JonesUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Fredrik KarpeRadcliffe Department of Medicine, University of Oxford, United Kingdom; NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom.
Dalia KasperaviciuteGenomics England, United Kingdom Department of Health and Social Care, United Kingdom.
Erika KovacsUniversity Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Sarah LeighGenomics England, United Kingdom Department of Health and Social Care, United Kingdom.
Elizabeth LimbPopulation Health Research Institute, St George's University of London, London, United Kingdom.
Anjali Lloyd-JaniOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Javier LopezGenomics England, United Kingdom Department of Health and Social Care, United Kingdom.
Anneke LucassenOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom; Centre for Personalised Medicine, Nuffield Department of Medicine, University of Oxford, United Kingdom.
Carlos McFarlaneBirmingham Women's and Children's Hospitals NHS Foundation Trust, Birmingham, United Kingdom.
Anthony W O'RourkeOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Emily PondUniversity Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Catherine ShermanUniversity Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Helen StewartOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Ellen ThomasGenomics England, United Kingdom Department of Health and Social Care, United Kingdom.
Simon ThomasUniversity Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Tessy ThomasUniversity Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Kate ThomsonOxford Genetic Laboratories, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Hannah WakelinOxford Centre for Genomic Medicine, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom.
Susan WalkerGenomics England, United Kingdom Department of Health and Social Care, United Kingdom.
Melanie WatsonUniversity Hospitals Southampton NHS Foundation Trust, Southampton, United Kingdom.
Eleanor WilliamsGenomics England, United Kingdom Department of Health and Social Care, United Kingdom.
Elizabeth OrmondroydRadcliffe Department of Medicine, University of Oxford, United Kingdom; NIHR Oxford Biomedical Research Centre, Oxford, United Kingdom. Electronic address: liz.ormondroyd@cardiov.ox.ac.uk.
Oxford University Hospitals NHS Trust · GBGenomics England · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Oxford · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBNuffield Orthopaedic Centre · GBSt George's, University of London · GBUniversity of Manchester · GB

Funding

Department of Health NIHR203311Wellcome Trust 204826
6 · The paper itself

Abstract

purposeThe UK 100,000 Genomes Project offered participants screening for additional findings (AFs) in genes associated with familial hypercholesterolemia (FH) or hereditary cancer syndromes including breast/ovarian cancer (HBOC), Lynch, familial adenomatous polyposis, MYH-associated polyposis, multiple endocrine neoplasia (MEN), and von Hippel-Lindau. Here, we report disclosure processes, manifestation of AF-related disease, outcomes, and costs.

methodsAn observational study in an area representing one-fifth of England.

resultsData were collected from 89 adult AF recipients. At disclosure, among 57 recipients of a cancer-predisposition-associated AF and 32 recipients of an FH-associated AF, 35% and 88%, respectively, had personal and/or family history evidence of AF-related disease. During post-disclosure investigations, 4 cancer-AF recipients had evidence of disease, including 1 medullary thyroid cancer. Six women with an HBOC AF, 3 women with a Lynch syndrome AF, and 2 individuals with a MEN AF elected for risk-reducing surgery. New hyperlipidemia diagnoses were made in 6 FH-AF recipients and treatment (re-)initiated for 7 with prior hyperlipidemia. Generating and disclosing AFs in this region cost £1.4m; £8680 per clinically significant AF.

conclusionGeneration and disclosure of AFs identifies individuals with and without personal or familial evidence of disease and prompts appropriate clinical interventions. Results can inform policy toward secondary findings.

Indexed as

Breast NeoplasmsHyperlipidemiasNeoplastic Syndromes, HereditaryAdultDelivery of Health CareDisclosureFemaleGenetic Predisposition to DiseaseGenetic TestingHumans100,000 Genomes ProjectCosts of disclosureHealth care outcomesSecondary genomic findings

Identifiers

PMID38131308
PMCPMC7617895
OpenAlexW4389953817

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.