Evidence map›Paper›PMID 38470550›Full record

ArticleJournal of assisted reproduction and genetics2024

Patient interest in and clinician reservations on polygenic embryo screening: a qualitative study of stakeholder perspectives.

D Barlevy, I Cenolli, T Campbell, R Furrer, M Mukherjee, K Kostick-Quenet, S Carmi, T Lencz, G Lázaro-Muñoz, S Pereira

Open access · greenAbstract read
In one paragraph

Article in Journal of assisted reproduction and genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
12.1field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Decision-making criteria in polygenic embryo screening: A survey of reproductive medicine physicians.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  3. Patient Perspectives on Psychiatric Polygenic Risk Scores in Reproductive Decision-Making and Polygenic Embryo Screening.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2026
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  15. medRxiv : the preprint server for health sciences · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

D BarlevyCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, 77030, USA. dorit.barlevy@bcm.edu.ORCID http://orcid.org/0000-0002-1478-0111
I CenolliCenter for Bioethics, Harvard Medical School, Boston, MA, 02115, USA.
T CampbellCenter for Bioethics, Harvard Medical School, Boston, MA, 02115, USA.
R FurrerCenter for Bioethics, Harvard Medical School, Boston, MA, 02115, USA.
M MukherjeeSociology Department, University of California Berkeley, Berkeley, CA, 94720, USA.
K Kostick-QuenetCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, 77030, USA.
S CarmiBraun School of Public Health and Community Medicine, The Hebrew University of Jerusalem, 9112102, Jerusalem, Israel.
T LenczInstitute of Behavioral Science, The Feinstein Institutes for Medical Research, Northwell Health, Manhasset, NY, 11030, USA.
G Lázaro-Muñoz *Center for Bioethics, Harvard Medical School, Boston, MA, 02115, USA.
S Pereira *Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX, 77030, USA.
Harvard University · USBaylor College of Medicine · USHebrew University of Jerusalem · ILNorthwell Health · USUniversity of California, Berkeley · US

Funding

Polygenic Embryo Screening: Towards Informed Decision-MakingR01HG011711 · NHGRI · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CARMI, SHAI, LAZARO-MUNOZ, GABRIEL · 2021 to 2025
$6.2M
NHGRI NIH HHS R01 HG011711NHGRI NIH HHS R01HG011711
6 · The paper itself

Abstract

purposeWe explored and compared perspectives of reproductive endocrinology and infertility specialists (REIs) and in vitro fertilization (IVF) patients regarding polygenic embryo screening (PES), a new type of preimplantation screening that estimates the genetic chances of developing polygenic conditions and traits in the future.

methodsQualitative thematic analysis of semi-structured interviews with US-based REIs and IVF patients.

resultsClinicians and patients often held favorable views of screening embryos for physical or psychiatric conditions, though clinicians tended to temper their positive attitudes with specific caveats. Clinicians also expressed negative views about screening embryos for traits more frequently than patients, who generally held more positive views. Most clinicians were either unwilling to discuss or offer PES to patients or were willing to do so only under certain circumstances, while many patients expressed interest in PES. Both stakeholder groups envisioned multiple potential benefits or uses of PES and raised multiple potential, interrelated concerns about PES.

conclusionA gap exists between clinician and patient attitudes toward PES; clinicians generally maintained reservations about such screening and patients indicated interest in it. Clinicians and patients sometimes imagined using PES to prepare for the birth of a predisposed or "affected" individual-a rationale that is often associated with prenatal testing. Many clinicians and patients held different attitudes depending on what is specifically screened, despite the sometimes blurry distinction between conditions and traits. Considerations raised by clinicians and patients may help guide professional societies in developing guidelines to navigate the uncertain terrain of PES.

Indexed as

Fertilization in VitroPreimplantation DiagnosisAdultAttitude of Health PersonnelFemaleGenetic TestingHumansInfertilityMaleMultifactorial InheritancePregnancyQualitative ResearchPolygenic embryo screeningPreimplantation genetic testingQualitative research

Identifiers

PMID38470550
PMCPMC11143162
OpenAlexW4392714828

What OpenQuestion holds

Textmetadata
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.