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. 2022 Nov 16;12(11):1910.
doi: 10.3390/jpm12111910.

Outcomes of Returning Medically Actionable Genomic Results in Pediatric Research

Amy A Blumling  1 , Cynthia A Prows  1 , Margaret H Harr  2 , Wendy K Chung  3 , Ellen Wright Clayton  4 , Ingrid A Holm  5   6 , Georgia L Wiesner  4 , John J Connolly  2 , John B Harley  7 , Hakon Hakonarson  2   8 , Michelle L McGowan  9   10 , Erin M Miller  1   11 , Melanie F Myers  1   11
Affiliations

Outcomes of Returning Medically Actionable Genomic Results in Pediatric Research

Amy A Blumling et al. J Pers Med. .

Abstract

Purpose: The electronic Medical Records and Genomics (eMERGE) Phase III study was undertaken to assess clinical utility of returning medically actionable genomic screening results. We assessed pediatric clinical outcomes following return of pathogenic/likely pathogenic (P/LP) variants in autosomal dominant conditions with available effective interventions.

Methods: The two eMERGE III pediatric sites collected outcome data and assessed changes in medical management at 6 and 12 months.

Results: We returned P/LP results to 29 participants with outcome data. For 23 of the 29 participants, the P/LP results were previously unknown. Five of the 23 participants were already followed for conditions related to the P/LP variant. Of those receiving novel results and not being followed for the condition related to the P/LP result (n = 18), 14 (77.8%) had a change in healthcare after return of results (RoR). Following RoR, cascade testing of family members occurred for 10 of 23 (43.5%).

Conclusions: The most common outcomes post-RoR included imaging/laboratory testing and health behavior recommendations. A change in healthcare was documented in 77.8% of those receiving results by 6 months. Our findings demonstrate how return of genomic screening results impacts healthcare in pediatric populations.

Keywords: genomic screening; healthcare outcomes; pediatric genomics; return of genomic results.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Participants with P/LP Results and Outcome Data by Site and Cohort.
See this image and copyright information in PMC

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