J Genet Couns. 2018 Jun;27(3):709-722. doi: 10.1007/s10897-017-0172-x. Epub 2017 Nov 22.
https://www.ncbi.nlm.nih.gov/pubmed/29168042
Impact of Receiving Secondary Results from Genomic Research: A 12-Month Longitudinal Study.
Wynn J1, Martinez J1, Bulafka J1, Duong J2, Zhang Y2, Chiuzan C2, Preti J3, Cremona ML4, Jobanputra V5, Fyer AJ6, Klitzman RL6, Appelbaum PS6, Chung WK7,8.
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Abstract
The impact of returning secondary results from exome sequencing (ES) on patients/participants is important to understand as ES is increasingly utilized in clinical care and research. Participants were recruited from studies using ES and were separated into two arms: 107 who had ES and were offered the choice to learn secondary results (ES group) and 85 who had not yet had ES (No ES group). Questionnaires were administered at baseline and 1 and 12 months, following results disclosure (ES group) or enrollment (No ES group). While the majority (65%) elected to learn all results following pre-test counseling, it was reduced from the 76% who indicated a desire for all results at baseline. Thirty-seven percent received results associated with an increased personal disease risk. There were no differences in changes in any of the psychological and social measures from baseline to post-results disclosure between the ES and No ES groups. Receiving a wide range of secondary findings appeared to have little measurable impact on most participants. The experience of learning secondary results may be related to participants’ previous experiences with genetics, as well as the genetic counseling provided. Future research with a more diverse, genetically naïve group, as well as scalable methods of delivery, is needed.
KEYWORDS:
Exome sequencing; Genetic counseling; Incidental findings; Psychosocial measures; Secondary findingsPMID: 29168042 PMCID: PMC5945295 [Available on 2019-06-01] DOI:10.1007/s10897-017-0172-x[Indexed for MEDLINE]
