scholarly journals Clinical verification of genetic results returned to research participants: findings from a Colon Cancer Family Registry

2017 ◽  
Vol 5 (6) ◽  
pp. 700-708
Author(s):  
Mercy Y. Laurino ◽  
Anjali R. Truitt ◽  
Lederle Tenney ◽  
Douglass Fisher ◽  
Noralane M. Lindor ◽  
...  
2013 ◽  
Vol 5 (2) ◽  
pp. 99-108 ◽  
Author(s):  
Louise A. Keogh ◽  
◽  
Douglass Fisher ◽  
Sherri Sheinfeld Gorin ◽  
Sheri D. Schully ◽  
...  

Cancer ◽  
2017 ◽  
Vol 123 (23) ◽  
pp. 4701-4708 ◽  
Author(s):  
Jonathan M. Kocarnik ◽  
Xinwei Hua ◽  
Sheetal Hardikar ◽  
Jamaica Robinson ◽  
Noralane M. Lindor ◽  
...  

2014 ◽  
Vol 53 (7) ◽  
pp. 568-578 ◽  
Author(s):  
Dominique Scherer ◽  
Lisel M. Koepl ◽  
Elizabeth M. Poole ◽  
Yesilda Balavarca ◽  
Liren Xiao ◽  
...  

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 3567-3567
Author(s):  
Louise A. Keogh ◽  
Douglass Fisher ◽  
Sherri Sheinfeld Gorin ◽  
Sheri D Schully ◽  
Jan Lowery ◽  
...  

3567 Background: The ability to genotype large numbers of people rapidly and inexpensively for research purposes highlights the need to develop guidelines for providing medically-relevant research results - including unanticipated findings - to study participants. The Colon Cancer Family Registry (C-CFR) is the oldest and largest international colon cancer population-based registry; its experience managing genetic research findings can offer guidance to clinicians and researchers. The C-CFR has enrolled 10,019 cases with colon cancer and 24,708 family members in six registries in the US, Canada, Australia, and New Zealand. Deleterious (“high risk”) germline mutations have been identified in DNA mismatch repair (MMR) genes (MLH1, MSH2, MSH6, PMS2) and the MutYH gene. The aims of this presentation are to: (1) report the uptake of genetic test results by C-CFR participants; (2) systematically compare disclosure protocols and barriers to uptake by registry; (3) make recommendations to guide clinicians and researchers. Methods: Uptake of genetic test results was calculated from data collected by the C-CFR; key investigators (KIs) from each registry completed a survey about disclosure decision-making; KIs also took part in discussions to generate recommendations. Results: Registry-wide molecular testing has identified deleterious MMR germline mutations for at least one member of 424 families (4%) and 48 biallelic MutYH gene carriers. Uptake of test results ranged from 56-86% (n= 1542) across registries. Barriers to disclosure include: (1) lack of pre-existing notification protocols; (2) logistics of re-consent; (3) limited involvement of genetic counselors at some registries; (4) in the US, the requirement that genetic testing be performed in a CLIA approved laboratory; (5) IRBs declining approval; and (6) budget constraints. Conclusions: Based on our international registry’s findings we recommend that researchers generating genetic information establish plans for disclosure at the outset; obtain subject consent a priori; consider subject knowledge and disclosure preferences; provide guidance and budget for clinical follow-up; and involve genetic counselors.


PLoS ONE ◽  
2013 ◽  
Vol 8 (4) ◽  
pp. e60464 ◽  
Author(s):  
Xuejuan Jiang ◽  
J. Esteban Castelao ◽  
David Vandenberg ◽  
Angel Carracedo ◽  
Carmen M. Redondo ◽  
...  

2018 ◽  
Vol 47 (2) ◽  
pp. 387-388i ◽  
Author(s):  
Mark A Jenkins ◽  
Aung Ko Win ◽  
Allyson S Templeton ◽  
Maggie S Angelakos ◽  
Daniel D Buchanan ◽  
...  

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