Evidence map›Paper›PMID 39127803›Full record

ReviewEuropean journal of human genetics : EJHG2025

Unpacking the notion of "serious" genetic conditions: towards implementation in reproductive decision-making?

Erika Kleiderman, Felicity Boardman, Ainsley J Newson, Anne-Marie Laberge, Bartha Maria Knoppers, Vardit Ravitsky

Abstract readReview
In one paragraph

Review in European journal of human genetics : EJHG, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Preclinical research (on rare diseases): we need to talk about health equity.Mammalian genome : official journal of the International Mammalian Genome Society · 2025
    Review
  11. Article
  12. Editorial: severity in a genomic age.European journal of human genetics : EJHG · 2025
    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

6 authors.

Erika KleidermanDepartment of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada. erika.kleiderman.1@umontreal.ca.ORCID 0009-0006-9931-7412
Felicity BoardmanDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.ORCID 0000-0002-3268-6276
Ainsley J NewsonFaculty of Medicine and Health, Sydney School of Public Health, Sydney Health Ethics, The University of Sydney, Sydney, NSW, Australia.ORCID 0000-0002-3460-772X
Anne-Marie LabergeDepartment of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada.
Bartha Maria KnoppersCentre of Genomics and Policy, Department of Human Genetics, Faculty of Medicine, McGill University, Montreal, QC, Canada.ORCID 0000-0001-7004-2722
Vardit RavitskyDepartment of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada.

Funding

Wellcome Trust 203384/Z/16/Z
6 · The paper itself

Abstract

The notion of a "serious" genetic condition is commonly used in clinical contexts, laws, and policies to define and delineate both the permissibility of and, access to, reproductive genomic technologies. Yet, the notion lacks conceptual and operational clarity, which can lead to its inconsistent appraisal and application. A common understanding of the relevant considerations of "serious" is lacking. This article addresses this conceptual gap. We begin by outlining existing distinctions around the notion of "serious" that will factor into its appraisal and need to be navigated, in the context of prenatal testing and the use of reproductive genomic technologies. These include tensions between clinical care and population health; the impact of categorizing a condition as "serious"; and the role of perception of quality of life. We then propose a set of four core dimensions and four procedural elements that can serve as a conceptual tool to prompt a mapping of the features of seriousness in any given context. Ultimately, consideration of these core dimensions and procedural elements may lead to improvements in the quality and consistency of decision-making where the seriousness of a genetic condition is a pivotal component at both a policy and practice level.

Indexed as

Decision MakingGenetic Diseases, InbornGenetic TestingFemaleGenetic CounselingHumansPregnancyPrenatal DiagnosisQuality of Life

Identifiers

PMID39127803
PMCPMC11840117

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.