Evidence map›Paper›PMID 39302531›Full record

ArticleFamilial cancer2024

A content analysis of parents' reflections on pathogenic and uncertain pediatric oncology germline sequencing results.

Katianne M Howard Sharp, Mary Egan Clark, Niki Jurbergs, Annastasia Ouma, Lynn Harrison, Leslie Taylor, Kayla Hamilton, Rose B McGee, Regina Nuccio, Stacy Hines-Dowell and 6 more

Abstract read
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Article in Familial cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

16 authors.

Katianne M Howard SharpDepartment of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 740, Memphis, TN, 38105, USA. Katianne.sharp@stjude.org.ORCID 0000-0002-4823-9702
Mary Egan ClarkDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Niki JurbergsDepartment of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, 262 Danny Thomas Place, Mail Stop 740, Memphis, TN, 38105, USA.
Annastasia OumaDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Lynn HarrisonDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Leslie TaylorDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Kayla HamiltonDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Rose B McGeeDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Regina NuccioDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Stacy Hines-DowellDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Jami S GattusoDivision of Nursing Research, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Michelle PritchardDivision of Nursing Research, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Belinda MandrellDivision of Nursing Research, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Kenneth P TercyakLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USA.
Liza-Marie JohnsonDepartment of Oncology, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.
Kim E NicholsDivision of Cancer Predisposition, St. Jude Children's Research Hospital, Memphis, TN, 38105, USA.

Funding

American Cancer Society CSDG-22-102-01-CPSH
6 · The paper itself

Abstract

Germline genomic sequencing is increasingly integrated into pediatric cancer care, with pathogenic cancer-predisposing variants identified among 5-18% of affected children and variants of uncertain significance (VUS) in up to 70%. Given the potential medical implications for children and their families, parents' psychosocial responses to learning results are important to understand. Parents of children with cancer who learned their children's germline pathogenic or VUS results following paired tumor and germline genomic sequencing described their cognitive and affective responses to results in an open-ended write-in question after disclosure (M = 10 months post-disclosure; range = 1-28). Responses were coded and categorized using content analysis, then compared across results using chi-square and Fisher's exact test. Parents of children with pathogenic (n = 9), VUS (n = 52), and pathogenic plus VUS results (n = 9) described negative emotions, positive reactions, mixed emotions (i.e., positive and negative emotions), and neutral reactions. Negative emotions were described significantly more frequently with pathogenic results than VUS only (χ

Indexed as

Germ-Line MutationNeoplasmsParentsAdaptation, PsychologicalAdolescentAdultChildChild, PreschoolEmotionsFemaleGenetic CounselingGenetic Predisposition to DiseaseGenetic TestingHumansMaleMiddle AgedCancer predispositionGenetic testingHereditary cancerPediatric cancerPsychosocial impactVariant of uncertain significance

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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.