Evidence map›Paper›PMID 8950670›Full record

ReviewJournal of medical genetics1996

Huntington's disease predictive testing: the case for an assessment approach to requests from adolescents.

J Binedell, J R Soldan, J Scourfield, P S Harper

Abstract readReview
In one paragraph

Review in Journal of medical genetics, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Ethics in genetic counselling.Journal of community genetics · 2019
    Review
  4. Article
  5. Article
  6. Inappropriate genetic testing of children.Archives of disease in childhood · 2000
    Review
  7. Article
  8. The genetic testing of children.Journal of the Royal Society of Medicine · 1997
    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

4 authors.

J BinedellInstitute of Medical Genetics, University of Wales College of Medicine, Heath Park, Cardiff, UK.
J R Soldan
J Scourfield
P S Harper

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adolescents who are actively requesting Huntington's predictive testing of their own accord pose a dilemma to those providing testing. In the absence of empirical evidence as regards the impact of genetic testing on minors, current policy and guidelines, based on the ethical principles of non-maleficence and respect for individual autonomy and confidentiality, generally exclude the testing of minors. It is argued that adherence to an age based exclusion criterion in Huntington's disease predictive testing protocols is out of step with trends in UK case law concerning minors' consent to medical treatment. Furthermore, contributions from developmental psychology and research into adolescents' decision making competence suggest that adolescents can make informed choices about their health and personal lives. Criteria for developing an assessment approach to such requests are put forward and the implications of a case by case evaluation of competence to consent in terms of clinicians' tolerance for uncertainty are discussed.

Indexed as

Guidelines as TopicRisk AssessmentAdolescentAdultAttitude to HealthBeneficenceHumansHuntington DiseaseMass ScreeningMinorsPaternalismPersonal AutonomyPredictive Value of TestsUncertaintyUnited KingdomGenetics and ReproductionProfessional Patient Relationship

Identifiers

PMID8950670
PMCPMC1050784

What OpenQuestion holds

Textmetadata
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.