Evidence map›Paper›PMID 41241316›Full record

Trial reportEuropean journal of medical genetics2025

An electronic review of clinical outcomes after return of actionable genetic research results from a health system research biobank.

Giorgio Cocchella, Lillian Phung, Elisabeth Wood, Brian Egleston, Lily Hoffman-Andrews, Sarah Brown, Demetrios Ofidis, Rajia Mim, Hannah Griffin, Dominique Fetzer and 10 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of medical genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04242667 (A Randomized Protocol Evaluating Return of Actionable Genetic Research Results to Biobank Participants), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04242667 nacompletednot on this map

A Randomized Protocol Evaluating Return of Actionable Genetic Research Results to Biobank Participants

TypeinterventionalSponsorAbramson Cancer Center at Penn MedicineRan2020 to 2023Enrolled260ConditionsCancer, Cardiovascular Diseases, Hereditary Cancer, Hereditary Cardiac AmyloidosisArmse-Health (web-based) disclosure portal, Provider mediated disclosure
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

20 authors.

Giorgio CocchellaThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Lillian PhungThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Elisabeth WoodThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Brian EglestonFox Chase Cancer Center, Temple University, Philadelphia, PA, USA.
Lily Hoffman-AndrewsThe University of Pennsylvania, Division of Cardiovascular Medicine, Philadelphia, PA, USA.
Sarah BrownThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Demetrios OfidisThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Rajia MimThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Hannah GriffinThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Dominique FetzerThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Anjali OwensThe University of Pennsylvania, Division of Cardiovascular Medicine, Philadelphia, PA, USA.
Susan DomchekThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA.
Reed PyeritzThe University of Pennsylvania, Division of Translational Medicine and Human Genetics, Philadelphia, PA, USA.
Bryson W KatonaThe University of Pennsylvania, Division of Gastroenterology, Philadelphia, PA, USA.
Staci KallishThe University of Pennsylvania, Division of Translational Medicine and Human Genetics, Philadelphia, PA, USA.
Giorgio SirugoThe University of Pennsylvania, Division of Translational Medicine and Human Genetics, Philadelphia, PA, USA.
JoEllen WeaverThe University of Pennsylvania, Division of Translational Medicine and Human Genetics, Philadelphia, PA, USA.
Katherine L NathansonThe University of Pennsylvania, Division of Translational Medicine and Human Genetics, Philadelphia, PA, USA.
Daniel J RaderThe University of Pennsylvania, Division of Translational Medicine and Human Genetics, Philadelphia, PA, USA.
Angela R BradburyThe University of Pennsylvania, Abramson Cancer Center and Division of Hematology-Oncology, Philadelphia, PA, USA; The University of Pennsylvania, Department of Medical Ethics and Health Policy, Philadelphia, PA, USA. Electronic address: angela.bradbury@pennmedicine.upenn.edu.

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Eric Andrew Ross · 1985 to 2026
$138.8M
Returning genetic research panel results for breast cancer susceptibilityR01CA190871 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BRADBURY, ANGELA R. · 2014 to 2025
$6.7M
NCI NIH HHS P30 CA006927NCI NIH HHS R01 CA190871
6 · The paper itself

Abstract

While research participants report interest in receiving genetic research results, how best to return results to ensure medical benefits remains unclear. In the Penn Medicine Biobank Return of Results Study, participants receive results through a digital intervention or a genetic counselor and are recommended to complete clinical confirmation testing and a visit in clinical genetics. We reviewed EHR encounters to understand longitudinal clinical outcomes in 16 patients who completed all steps (Group A), 8 patients who did not complete the clinical genetics visit (Group B), and 21 patients who did not complete confirmation testing or the clinical genetics visit (Group C). Most participants in Group A (69 %) had evidence of adherence to medical recommendations. Some patients faced usual barriers to care and related to comorbid conditions. In contrast, most participants in Group B (75 %) did not have evidence of discussing their confirmed result with a provider or adherence to medical recommendations. Most participants in Group C (71 %) did not have evidence of discussing their research results with providers, although one discussed their unconfirmed result. Men were less likely to complete all steps (Group A), and participants with cardiovascular results were less likely to complete the medical visit (Group B). There was no documentation regarding testing in relatives in any non-genetics encounters for any groups. These data suggest that the steps following return of research results may be critical to realizing the medical benefits of returning actionable genetic research results and highlight the importance of collecting systematic longitudinal outcomes. CLINICAL

trial registrationNCT04242667.

Indexed as

Biological Specimen BanksGenetic ResearchGenetic TestingAdultAgedElectronic Health RecordsFemaleHumansMaleMiddle Aged

Identifiers

PMID41241316
PMCPMC12742663

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.