Evidence map›Paper›PMID 38236653›Full record

ArticleAJOB empirical bioethics

Parents and Provider Perspectives on the Return of Genomic Findings for Cleft Families in Africa.

Abimbola M Oladayo, Sydney Prochaska, Tamara Busch, Wasiu L Adeyemo, Lord J J Gowans, Mekonen Eshete, Waheed Awotoye, Veronica Sule, Azeez Alade, Adebowale A Adeyemo and 4 more

Abstract read
In one paragraph

Article in AJOB empirical bioethics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
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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

14 authors.

Abimbola M OladayoDepartment Oral Pathology, Radiology and Medicine, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0002-9934-1803
Sydney ProchaskaDepartment of Global Health, College of Public Health, University of Iowa, Iowa City, Iowa, USA.
Tamara BuschIowa Institute of Oral Health Research, University of Iowa, Iowa City, Iowa, USA.
Wasiu L AdeyemoDepartment of Oral and Maxillofacial Surgery, University of Lagos, Lagos, Nigeria.
Lord J J GowansDepartment of Biochemistry and Biotechnology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Mekonen EsheteDepartment of Surgery, School of Medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Waheed AwotoyeDepartment Oral Pathology, Radiology and Medicine, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Veronica SuleDepartment of Operative Dentistry, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Azeez AladeDepartment Oral Pathology, Radiology and Medicine, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.
Adebowale A AdeyemoNational Human Genomic Research Institute, Bethesda, MD, USA.
Peter A MosseyDepartment of Orthodontics, University of Dundee, Dundee, UK.
Anya PrinceCollege of Law, University of Iowa, Iowa City, Iowa, USA.
Jeffrey C MurrayDepartment of Pediatrics, University of Iowa, Iowa City, Iowa, USA.
Azeez ButaliDepartment Oral Pathology, Radiology and Medicine, College of Dentistry, University of Iowa, Iowa City, Iowa, USA.

Funding

University of Iowa Institutional Training Program in Oral Health ResearchT90DE023520 · NIDCR · UNIVERSITY OF IOWA · PI STEVEN M. LEVY · 2013 to 2026
$5.6M
Whole Genome Sequencing for Orofacial Clefts, Incidental Findings and Role of Community GatekeepersR01DE028300 · NIDCR · UNIVERSITY OF IOWA · PI BUTALI, AZEEZ · 2020 to 2024
$3.9M
Bench to the Community: Multi-Omics Approach to Discovery and Community-led Implementation ScienceR56DE028300 · NIDCR · UNIVERSITY OF IOWA · PI Azeez Butali · 2026 to 2026
$1.3M
Elucidating Cleft Etiology Employing Multiplex and Twin Families (ElCEEMuTF)K43DE029427 · NIDCR · KWAME NKRUMAH UNIVERSITY/SCIENCE/TECH · PI GOWANS, LORD JEPHTHAH JOOJO · 2019 to 2023
$529k
NIDCR NIH HHS K43 DE029427NIDCR NIH HHS R01 DE028300NIDCR NIH HHS R56 DE028300NIDCR NIH HHS T90 DE023520
6 · The paper itself

Abstract

backgroundInadequate knowledge among health care providers (HCPs) and parents of affected children limits the understanding and utility of secondary genetic findings (SFs) in under-represented populations in genomics research. SFs arise from deep DNA sequencing done for research or diagnostic purposes and may burden patients and their families despite their potential health importance. This study aims to evaluate the perspective of both groups regarding SFs and their choices in the return of results from genetic testing in the context of orofacial clefts.

methodsUsing an online survey, we evaluated the experiences of 252 HCPs and 197 parents across participating cleft clinics in Ghana and Nigeria toward the return of SFs across several domains.

resultsOnly 1.6% of the HCPs felt they had an expert understanding of when and how to incorporate genomic medicine into practice, while 50.0% agreed that all SFs should be returned to patients. About 95.4% of parents were willing to receive all the information from genetic testing (including SFs), while the majority cited physicians as their primary information source (64%).

conclusionsOverall, parents and providers were aware that genetic testing could help in the clinical management of diseases. However, they cited a lack of knowledge about genomic medicine, uncertain clinical utility, and lack of available learning resources as barriers. The knowledge gained from this study will assist with developing guidelines and policies to guide providers on the return of SFs in sub-Saharan Africa and across the continent.

Indexed as

Cleft LipCleft PalateGenetic TestingGenomicsHealth PersonnelParentsAdultAttitude of Health PersonnelChildFemaleGhanaHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedNigeriagenomics researchoro-facial cleftsparentsprovidersSecondary findingssub-Saharan Africa

Identifiers

PMID38236653
PMCPMC11153024

What OpenQuestion holds

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Registered trials

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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.