Evidence map›Paper›PMID 42305713›Full record

ArticleHealth affairs scholar2026

Public attitudes toward cascade genetic screening in the United States.

Hadley Stevens Smith, Emilie S Zoltick, Madison R Hickingbotham, Emily S Bonkowski, Stacey Pereira, Tara A Lavelle, David L Veenstra, Amy L McGuire, Katherine E Bonini, Leila Jamal

Abstract read
In one paragraph

Article in Health affairs scholar, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Hadley Stevens SmithPrecision Medicine Translational Research (PROMoTeR) Center, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA 02215, USA.ORCID https://orcid.org/0000-0003-1247-6535
Emilie S ZoltickPrecision Medicine Translational Research (PROMoTeR) Center, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA 02215, USA.ORCID https://orcid.org/0000-0002-7965-9769
Madison R HickingbothamPrecision Medicine Translational Research (PROMoTeR) Center, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA 02215, USA.ORCID https://orcid.org/0000-0002-4536-4313
Emily S BonkowskiCenter for Pediatric Neurological Disease Research, St. Jude Children's Research Hospital, Memphis, TN 38105, USA.ORCID https://orcid.org/0000-0001-9886-4082
Stacey PereiraCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX 77030, USA.ORCID https://orcid.org/0000-0001-6541-3904
Tara A LavelleCenter for the Evaluation of Value and Risk in Health (CEVR), Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA 02111, USA.ORCID https://orcid.org/0000-0003-1212-6973
David L VeenstraComparative Health Outcomes, Policy & Economics (CHOICE) Institute, School of Pharmacy, University of Washington, Seattle, WA 98109, USA.ORCID https://orcid.org/0000-0003-0687-0480
Amy L McGuireCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX 77030, USA.ORCID https://orcid.org/0000-0002-7819-519X
Katherine E BoniniInstitute for Genomic Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.ORCID https://orcid.org/0000-0001-7721-8137
Leila JamalCenter for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.ORCID https://orcid.org/0000-0003-1132-2411

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: After a patient receives genetic test results that indicate an actionable health condition, cascade genetic screening (CGS) is the process of evaluating the patient's relatives for a potentially elevated genetic risk of disease. The United States primarily relies on patients to communicate with their relatives, resulting in suboptimal rates of risk communication, familial genetic testing uptake, and risk-reducing interventions. There is ongoing debate about whether and how best to inform relatives of a potentially increased genetic risk. Methods: We conducted a nationally representative survey of US adults to assess attitudes toward informing at-risk relatives, acceptability of system-mediated communication, and preferences for the patient's role in risk communication. Results: Respondents ( Conclusion: Findings indicate strong public support for sharing genetic risk information within families, alongside clear expectations for patient consent, to guide CGS implementation in the United States.

Indexed as

Cascade screeningGeneticsPublic opinion

Identifiers

PMID42305713
PMCPMC13268768

What OpenQuestion holds

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LicenceCC BY-NC
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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.