Evidence map›Paper›PMID 38425196›Full record

ArticleNeoReviews2024

Ethical and Legal Issues Surrounding Genetic Testing in the NICU.

Katharine P Callahan, Ellen W Clayton, Amy A Lemke, Bimal P Chaudhari, Tara L Wenger, Allison N J Lyle, Kyle B Brothers

Open access · greenAbstract read
In one paragraph

Article in NeoReviews, 2024. 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
7.8field-weighted citation impact, top 3% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. NeoGx: Machine-Recommended Rapid Genome Sequencing for Neonates.medRxiv : the preprint server for health sciences · 2024
    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 at 5 institutions in 1 country.

Katharine P CallahanDivision of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA.
Ellen W ClaytonCenter for Biomedical Ethics and Society, Department of Pediatrics, Vanderbilt University Medical Center, and School of Law, Vanderbilt University, Nashville, TN.
Amy A LemkeDepartment of Pediatrics, Norton Children's Research Institute Affiliated with the University of Louisville School of Medicine, Louisville, KY.
Bimal P ChaudhariDivisions of Neonatology and Genetics and Genomic Medicine, Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH.
Tara L WengerDivision of Medical Genetics, University of Washington, Seattle, WA.
Allison N J LyleDivision of Neonatology, Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY.
Kyle B BrothersDepartment of Pediatrics, Norton Children's Research Institute Affiliated with the University of Louisville School of Medicine, Louisville, KY.
University of Louisville · USChildren's Hospital of Philadelphia · USNationwide Children's Hospital · USUniversity of Washington Medical Center · USVanderbilt University Medical Center · US

Funding

Managing the Uncertainty of Genetic Information in NeonatesK01HG013114 · NHGRI · CHILDREN'S HOSP OF PHILADELPHIA · PI Katharine Press Callahan · 2023 to 2026
$664k
NHGRI NIH HHS K01 HG013114
6 · The paper itself

Abstract

Clinicians practicing in a modern NICU are noticing an increase in the proportion of patients who undergo genetic testing as well as changes in the types of genetic testing patients receive. These trends are not surprising given the increasing recognition of the genetic causes of neonatal illness and recent advances in genetic technology. Yet, the expansion of genetic testing in the NICU also raises a number of ethical questions. In this article, we will review the ethical issues raised by genetic testing, with a focus on the practical implications for neonatologists. First, we outline the complexities of measuring benefit, or utility, for neonatal genetic testing. Next, we discuss potential harms such as inequity, unexpected findings, disability biases, and legal risks. Finally, we conclude with a discussion of ethical issues related to consent for genetic testing. Throughout this article, we highlight solutions to challenges toward the ultimate goal of minimizing harms and maximizing the substantial potential benefits of genetic medicine in the NICU.

Indexed as

Genetic TestingIntensive Care Units, NeonatalHumansInfant, Newborn

Identifiers

PMID38425196
PMCPMC10998684
OpenAlexW4392354309

What OpenQuestion holds

Textmetadata
LicenceTDM
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.