Evidence map›Paper›PMID 39317512›Full record

ArticleBMJ open2024

Perceptions of genomic newborn screening: a cross-sectional survey conducted with UK medical students.

Lydia Seed, Anna Scott, Amanda Pichini, Michelle Peter, Shereen Tadros, Cristine Sortica da Costa, Melissa Hill

Abstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Lydia SeedInfection, Immunity and Inflammation Department, University College London Great Ormond Street Institute of Child Health, London, UK lms211@cam.ac.uk.ORCID 0000-0001-9405-3688
Anna ScottInfection, Immunity and Inflammation Department, University College London Great Ormond Street Institute of Child Health, London, UK.
Amanda PichiniGenomics England Limited, London, UK.
Michelle PeterNHS North Thames Genomic Laboratory Hub, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Shereen TadrosNorth East Thames Regional Genetics Service, Great Ormond Street Hospital for Children, London, UK.
Cristine Sortica da CostaInfection, Immunity and Inflammation Department, University College London Great Ormond Street Institute of Child Health, London, UK.
Melissa HillNorth Thames Regional Genetics Service, Great Ormond Street Hospital For Children NHS Foundation Trust, London, UK.ORCID 0000-0003-3900-1425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith the potential to identify a vast number of rare diseases soon after birth, genomic newborn screening (gNBS) could facilitate earlier interventions and improve health outcomes. Designing a gNBS programme will involve balancing stakeholders' opinions and addressing concerns. The views of medical students-future clinicians who would deliver gNBS-have not yet been explored.

methodsWe conducted a nationwide online survey of UK medical students via the REDCap platform. Perceptions of gNBS, including scope of testing and potential benefits and drawbacks, were explored using a mix of multiple-choice questions, Likert scales, visual analogue scales and free-text questions.

resultsIn total, 116 medical students across 16 universities participated. Overall, 45% supported gNBS, with a positively skewed mean support score of 3.24 (SD 1.26, range: 1.0-5.0), and 55% felt it relevant to their future practice. Almost all agreed that infant-onset and childhood-onset diseases and conditions with effective treatments should be included. Most felt that earlier interventions and personalised care would be the most important benefit of gNBS. Other perceived benefits included earlier diagnoses, diagnosing more patients and enabling research for new treatments. However, several perceived challenges were highlighted: risk of genomic discrimination, incidental or uncertain findings, data security and breaching children's future autonomy. Students expressed conflicting opinions on the psychological impact on families, but most were concerned about a lack of support due to current resource limitations in health services. Students frequently reported having insufficient knowledge to form an opinion, which may reflect gaps in genomics education at medical school and the current lack of evidence base for gNBS.

conclusionAlthough some support for gNBS was demonstrated, ethicolegal and social challenges were raised, emphasising a need for ongoing discussions about the implications of gNBS.

Indexed as

Neonatal ScreeningStudents, MedicalAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleGenetic TestingGenomicsHumansInfant, NewbornMaleSurveys and QuestionnairesUnited KingdomYoung AdultGENETICSNEONATOLOGYPAEDIATRICSPUBLIC HEALTH

Identifiers

PMID39317512
PMCPMC11423729

What OpenQuestion holds

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LicenceCC BY-NC
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.