Patient Recall, Interpretation, and Perspective of an Inconclusive Long QT Syndrome Genetic Test Result.

Patients' perceptions of inconclusive results have been previously investigated in cancer genetics. The differences in how patients recall and interpret an uninformative test result compared to a known pathogenic result can affect medical decisions post disclosure. However, there is little to no dat...

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Published in:Journal of Genetic Counseling Vol. 26; no. 1; pp. 150 - 159
Main Authors: Predham, Sarah, Hathaway, Julie, Hulait, Gurdip, Arbour, Laura, Lehman, Anna
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Feb2017
Online Access:View this record in EBSCOhost
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      dt: Feb2017
      vid: 26
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1007/s10897-016-9991-4
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        atl: Patient Recall, Interpretation, and Perspective of an Inconclusive Long QT Syndrome Genetic Test Result.
      aug:
        au:
          Predham, Sarah
          Hathaway, Julie
          Hulait, Gurdip
          Arbour, Laura
          Lehman, Anna
        affil: Department of Medical Genetics , University of British Columbia , Vancouver Canada
      sug:
        subj:
          Genetic Screening Psychosocial Factors
          Memory
          Decision Making, Patient
          Long QT Syndrome
          Human
          Interviews
          Heart Defects, Congenital
          Diagnosis Psychosocial Factors
          Male
          Female
          Patient Attitudes
          Attitude to Risk
          Male
          Female
      ab: Patients' perceptions of inconclusive results have been previously investigated in cancer genetics. The differences in how patients recall and interpret an uninformative test result compared to a known pathogenic result can affect medical decisions post disclosure. However, there is little to no data available on patients' interpretation and perception of uninformative genetic results in inherited heart disease. We report the results of a qualitative analysis of 16 telephone interviews with participants who received a negative or a variant of unknown significance (VUS) result from Long QT syndrome (LQTS) genetic testing. Our results suggest that the type of result (negative versus VUS) does not affect recall, regardless of the reason for testing. When receiving a negative result, a majority of participants appropriately perceived no change in their diagnosis, while the perception of risk for family members varied. The majority of participants felt they maintained an awareness of their condition after the result disclosure, and that clinical follow-up was similar to that planned prior to the genetic test result. Further work is needed to determine if there are any differences between obtaining a VUS result versus a negative result in this population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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