Evidence map›Paper›PMID 39939155›Full record

ArticleJournal of medical genetics2025

Parental knowledge, attitudes, satisfaction and decisional conflict regarding whole genome sequencing in the Genomic Medicine Service: a multisite survey study in England.

Ria Patel, Bettina Friedrich, Saskia C Sanderson, Holly Ellard, Celine Lewis

Abstract readMulticenter Study
In one paragraph

Article in Journal of medical genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 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

5 authors.

Ria PatelUCL Medical School, University College London, London, UK.ORCID http://orcid.org/0009-0007-4838-9966
Bettina FriedrichPopulation, Policy and Practice, UCL GOS Institute of Child Health, London, UK.
Saskia C SandersonDepartment of Biostatistics & Health Informatics, SGDP Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Holly EllardPopulation, Policy and Practice, UCL GOS Institute of Child Health, London, UK.
Celine LewisPopulation, Policy and Practice, UCL GOS Institute of Child Health, London, UK celine.lewis@ucl.ac.uk.ORCID http://orcid.org/0000-0001-7169-1521

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhole genome sequencing (WGS) for paediatric rare disease diagnosis is now available as a first-line test for certain clinical indications in the Genomic Medicine Service in England. The aim of this study was to assess decisional conflict regarding WGS at the time of consent as well as parental knowledge, attitudes and satisfaction.

methodsWe conducted a multisite quantitative survey including validated measures. Surveys were sent out across seven National Health Service Trusts in England to parents of children offered WGS, within 4 weeks of their appointment.

results374/1366 survey responses were included in the final dataset. Parents were highly satisfied with their WGS appointment (mean=24.47/28), had low decisional conflict (mean=20.09/100) and felt they had received enough information and support to make an informed decision (83.9%). Parents had positive attitudes towards WGS (mean=18.17/20), and those who had discussed WGS with a genetic counsellor or genomic associate had significantly more positive attitudes than those seen by genetic consultants (p<0.001). Most parents (84.3%) strongly agreed (27.2%) or agreed (67.1%) that they had a clear understanding of what a genomic test is. Parents whose child's condition was reported as more serious (p=0.0011) felt less conflicted about their decision.

conclusionsThe parents in this study had low decisional conflict and most felt they had made an informed decision. Further research after parents receive WGS results to assess whether any, and if so who, regrets their decision, is important.

Indexed as

Decision MakingHealth Knowledge, Attitudes, PracticeParentsWhole Genome SequencingAdultChildEnglandFemaleGenetic CounselingGenetic TestingGenomicsHumansMaleSurveys and QuestionnairesChild HealthEvidence-Based PracticeGenetic TestingHealth Services ResearchPediatrics

Identifiers

PMID39939155
PMCPMC12015048

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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.