Evidence map›Paper›PMID 40686326›Full record

ArticleMolecular genetics & genomic medicine2025

Electronic Patient Portals as a Modality for Returning Reclassified Genetic Test Results.

Sukh Makhnoon, MinJae Lee, Mujeeb Basit, Cindy Kao, Sun Won Min, Christine Mai, Alexa Badalamenti, Jacqueline Mersch

Abstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Sukh MakhnoonPeter O'donnell School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-3380-3833
MinJae LeePeter O'donnell School of Public Health, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-4329-506X
Mujeeb BasitDepartment of Internal Medicine, University of Texas Southwestern, Dallas, Texas, USA.
Cindy KaoClinical Informatics Center, University of Texas Southwestern, Dallas, Texas, USA.
Sun Won MinClinical Informatics Center, University of Texas Southwestern, Dallas, Texas, USA.
Christine MaiClinical Informatics Center, University of Texas Southwestern, Dallas, Texas, USA.
Alexa BadalamentiCancer Genetics Program, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0000-0002-1792-2226
Jacqueline MerschCancer Genetics Program, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MELANIE H. COBB · 2010 to 2026
$53.7M
UT Southwestern Center for Translational MedicineUL1TR003163 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2021 to 2025
$39.3M
Multilevel investigation of uncertain and reclassified genomic variants in clinical oncologyR00CA256216 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI MAKHNOON, SUKH · 2022 to 2024
$693k
NCATS NIH HHS UL1 TR003163NCI NIH HHS 3P30 CA 142543-10S3NCI NIH HHS P30 CA142543NCI NIH HHS R00 CA256216NCI NIH HHS R00CA256216
6 · The paper itself

Abstract

backgroundMost reclassified genetic test results are clinically inactionable and burdensome for healthcare providers to return to patients. The feasibility of using electronic patient portals (e.g., MyChart) to return reclassified results remains unclear.

methodsPatient and provider initiated MyChart actions were obtained from MyChart data and matched to patient demographic and clinical information using unique patient medical record numbers. Data on who (patient or provider) sent and read these messages and when (date and time) were collected for clinically actionable and inactionable reclassifications.

resultsAmong 801 patients with 828 reclassified variants in cancer susceptibility genes, 551 had an active MyChart account at the time of reclassification. Patients with active MyChart accounts were less likely to be Hispanic (p < 0.001) compared to other ethnic groups. Of these, 302 (55%) were notified about 308 reclassified results (307 inactionable and 1 actionable) via MyChart messages, and 80% (244/302) read the message within a median time of 3.6 h.

conclusionWe find that it is feasible to return reclassified results via electronic patient portals for most patients, but alternative modalities are still necessary. Unidirectional, low-touch modalities of recontact can be used to efficiently return the increasing number of inactionable reclassified results.

Indexed as

Genetic TestingPatient PortalsAdultElectronic Health RecordsFemaleHumansMaleMiddle Aged

Identifiers

PMID40686326
PMCPMC12277930

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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.