Evidence map›Paper›PMID 38366804›Full record

ArticleMolecular genetics & genomic medicine2024

Hope, but never expect? Comparing parents' pre- and post-disclosure attitudes toward return of results from diagnostic exome sequencing for their child.

Candice Cornelis, Aad Tibben, Eva Brilstra, Ineke Bolt, Marieke van Summeren, Nine Knoers, Annelien L Bredenoord

Abstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Candice CornelisDepartment of Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID https://orcid.org/0009-0004-7326-7061
Aad TibbenDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-4560-1710
Eva BrilstraDepartment of Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Ineke BoltDepartment of Medical Ethics, Philosophy and History of Medicine, Erasmus Medical Center, Rotterdam, The Netherlands.
Marieke van SummerenDepartment of General Pediatrics, University Medical Center Utrecht, Utrecht, The Netherlands.
Nine KnoersDepartment of Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Annelien L BredenoordDepartment of Medical Humanities, Julius Center, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

ZonMw 70-73000-98-047
6 · The paper itself

Abstract

backgroundCounseling for whole-exome sequencing (WES) could benefit from aligning parents' pre- and post-disclosure attitudes. A few studies have qualitatively compared parents' pre- and post-disclosure attitudes toward receiving WES results for their child in a diagnostic setting. This study explored these attitudes in the context of children with a developmental delay.

methodsSemi-structured interviews were conducted with parents (n = 27) of 16 children undergoing diagnostic WES in trio-analysis, both before and after receiving results.

resultsThree key insights emerged. First, the distinction between hoping and expecting was relevant for shaping parents' experiences with receiving results related to the primary indication. Second, parents of young children whose development of autonomous capacities was uncertain sometimes found themselves in a situation resembling a Catch-22 when confronted with decisions about unsolicited findings (UFs): an important reason for consenting to WES was to gain a better picture of how the child might develop, but in order to make responsible choices about UFs, some ideas of their child's development is needed. Third, default opt-ins and opt-outs helped parents fathom new kinds of considerations for accepting or declining UFs in different categories, thereby aiding decision-making.

conclusionResults from this study are relevant for counseling and policy development.

Indexed as

AttitudeDisclosureChildChild, PreschoolExome SequencingHumanschildrenethicsgenomic sequencingreturn of resultsunsolicited findings

Identifiers

PMID38366804
PMCPMC10958177

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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.