Evidence map›Paper›PMID 34433902›Full record

SynthesisGenetics in medicine : official journal of the American College of Medical Genetics2021

A systematic literature review of disclosure practices and reported outcomes for medically actionable genomic secondary findings.

Julie C Sapp, Flavia M Facio, Diane Cooper, Katie L Lewis, Emily Modlin, Philip van der Wees, Leslie G Biesecker

Abstract readSystematic Review
In one paragraph

Synthesis in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Measuring disease likelihood in genomic ascertainment.American journal of human genetics · 2026
    Article
  6. Article
  7. Article
  8. Implementing secondary findings analysis in a genetic and environmental research study.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Opportunistic genomic screening has clinical utility: An interventional cohort study.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  14. Article
  15. Article
  16. Secondary (additional) findings from the 100,000 Genomes Project: Disease manifestation, health care outcomes, and costs of disclosure.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Observational
  17. Article
  18. Article
  19. Article
  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

7 authors.

Julie C SappCenter for Precision Health Research, National Human Genome Research Institute, Bethesda, MD, USA. sappj@mail.nih.gov.
Flavia M FacioCenter for Precision Health Research, National Human Genome Research Institute, Bethesda, MD, USA.
Diane CooperNational Institutes of Health Library, National Institutes of Health Clinical Center, Bethesda, MD, USA.
Katie L LewisCenter for Precision Health Research, National Human Genome Research Institute, Bethesda, MD, USA.
Emily ModlinCenter for Precision Health Research, National Human Genome Research Institute, Bethesda, MD, USA.
Philip van der WeesTranslational Health Sciences, George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
Leslie G BieseckerCenter for Precision Health Research, National Human Genome Research Institute, Bethesda, MD, USA.

Funding

Genomic Ascertainment - Molecular and Genetic AspectsZIAHG200359 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2009 to 2025
$19.7M
Intramural NIH HHS ZIA HG200359
6 · The paper itself

Abstract

purposeSecondary findings (SFs) are present in 1-4% of individuals undergoing genome/exome sequencing. A review of how SFs are disclosed and what outcomes result from their receipt is urgent and timely.

methodsWe conducted a systematic literature review of SF disclosure practices and outcomes after receipt including cascade testing, family and provider communication, and health-care actions. Of the 1,184 nonduplicate records screened we summarize findings from 27 included research articles describing SF disclosure practices, outcomes after receipt, or both.

resultsThe included articles reported 709 unique SF index recipients/families. Referrals and/or recommendations were provided 647 SF recipients and outcome data were available for 236. At least one recommended evaluation was reported for 146 SF recipients; 16 reports of treatment or prophylactic surgery were identified. We found substantial variations in how the constructs of interest were defined and described.

conclusionVariation in how SF disclosure and outcomes were described limited our ability to compare findings. We conclude the literature provided limited insight into how the American College of Medical Genetics and Genomics (ACMG) guidelines have been translated into precision health outcomes for SF recipients. Robust studies of SF recipients are needed and should be prioritized for future research.

Indexed as

DisclosureGenetic TestingExomeGenomicsHumansPatient Reported Outcome Measures

Identifiers

PMID34433902
PMCPMC9017985

What Socratic holds

Textmetadata
LicenceTDM
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.