Evidence map›Paper›PMID 23784691›Full record

ReviewHuman mutation2013

Reflecting on earlier experiences with unsolicited findings: points to consider for next-generation sequencing and informed consent in diagnostics.

Tessel Rigter, Lidewij Henneman, Ulf Kristoffersson, Alison Hall, Helger G Yntema, Pascal Borry, Holger Tönnies, Quinten Waisfisz, Mariet W Elting, Wybo J Dondorp and 1 more

Abstract readReview
In one paragraph

Review in Human mutation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guidelines for cytogenetic investigations in tumours.European journal of human genetics : EJHG · 2016
    Guideline
  2. Article
  3. Bioinformatics for precision oncology.Briefings in bioinformatics · 2019
    Review
  4. Article
  5. Privacy and ethical challenges in next-generation sequencing.Expert review of precision medicine and drug development · 2019
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Responsible implementation of expanded carrier screening.European journal of human genetics : EJHG · 2016
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

11 authors.

Tessel RigterDepartment of Clinical Genetics, Section of Community Genetics and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
Lidewij Henneman
Ulf Kristoffersson
Alison Hall
Helger G Yntema
Pascal Borry
Holger Tönnies
Quinten Waisfisz
Mariet W Elting
Wybo J Dondorp
Martina C Cornel

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-throughput nucleotide sequencing (often referred to as next-generation sequencing; NGS) is increasingly being chosen as a diagnostic tool for cases of expected but unresolved genetic origin. When exploring a higher number of genetic variants, there is a higher chance of detecting unsolicited findings. The consequential increased need for decisions on disclosure of these unsolicited findings poses a challenge for the informed consent procedure. This article discusses the ethical and practical dilemmas encountered when contemplating informed consent for NGS in diagnostics from a multidisciplinary point of view. By exploring recent similar experiences with unsolicited findings in other settings, an attempt is made to describe what can be learned so far for implementing NGS in standard genetic diagnostics. The article concludes with a set of points to consider in order to guide decision-making on the extent of return of results in relation to the mode of informed consent. We hereby aim to provide a sound basis for developing guidelines for optimizing the informed consent procedure.

Indexed as

Decision MakingDisclosureGenetic TestingHigh-Throughput Nucleotide SequencingHumansInformed ConsentPatient Rightsdiagnosishigh-throughput nucleotide sequencingincidental findingsinformed consentunsolicited findings

Identifiers

PMID23784691
PMCPMC4285964

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.