Primary care providers’ preferences for the communication and management of actionable genomic findings from a research biobank

Purpose: Little is known about non-genetics health care specialists’ attitudes toward the return and utilization of actionable genomic results from a research biobank. We surveyed primary care providers (PCPs) to explore their perspectives on these results and their preferences for return. Methods:...

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Main Authors: Elizabeth L. Kudron, Sridharan Raghavan, Yee Ming Lee, Jan T. Lowery
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Genetics in Medicine Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2949774423008397
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author Elizabeth L. Kudron
Sridharan Raghavan
Yee Ming Lee
Jan T. Lowery
author_facet Elizabeth L. Kudron
Sridharan Raghavan
Yee Ming Lee
Jan T. Lowery
author_sort Elizabeth L. Kudron
collection DOAJ
description Purpose: Little is known about non-genetics health care specialists’ attitudes toward the return and utilization of actionable genomic results from a research biobank. We surveyed primary care providers (PCPs) to explore their perspectives on these results and their preferences for return. Methods: We administered a paper and web-based 27-question survey to PCPs residing locally and caring for adult patients. Recruitment was conducted in person and by email, focusing on PCPs likely to interact with results generated by our institution’s biobank. Results: Of the ∼482 PCPs contacted, 77 (16%) returned surveys. Although most respondents (90%) prefer that a genetics specialist be involved in communicating biobank-generated genomic results to patients, about 40% of respondents reported that a PCP shares the responsibility to discuss these results along with other specialists. A majority of respondents (74%) felt uncomfortable communicating these results to patients. However, respondents reported significantly greater comfort with this process when offered targeted educational resources (62% with vs 10% without resources; P < 10−5). Conclusion: PCPs recognize the need to engage with their patients’ biobank-generated genomic results but feel uncomfortable in doing so. Relevant resources are needed to improve PCPs’ confidence in the use of these types of results to affect patient care.
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spelling doaj.art-3375453bf6864a02bd0be1f28a5d32cc2024-01-27T07:13:45ZengElsevierGenetics in Medicine Open2949-77442023-01-0111100830Primary care providers’ preferences for the communication and management of actionable genomic findings from a research biobankElizabeth L. Kudron0Sridharan Raghavan1Yee Ming Lee2Jan T. Lowery3Department of Biomedical Informatics, University of Colorado School of Medicine, Aurora, CO; Colorado Center for Personalized Medicine, University of Colorado, Aurora, CO; Section of General Pediatrics, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO; Correspondence and requests for materials should be addressed to Elizabeth L. Kudron, 1890 N Revere Court, Aurora, CO, 80045.Colorado Center for Personalized Medicine, University of Colorado, Aurora, CO; VA Eastern Colorado Health Care System, Aurora, CO; Division of General Internal Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, COColorado Center for Personalized Medicine, University of Colorado, Aurora, CO; Department of Clinical Pharmacy, University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, COColorado Center for Personalized Medicine, University of Colorado, Aurora, CO; School of Public Health and Cancer Center, University of Colorado, Aurora, COPurpose: Little is known about non-genetics health care specialists’ attitudes toward the return and utilization of actionable genomic results from a research biobank. We surveyed primary care providers (PCPs) to explore their perspectives on these results and their preferences for return. Methods: We administered a paper and web-based 27-question survey to PCPs residing locally and caring for adult patients. Recruitment was conducted in person and by email, focusing on PCPs likely to interact with results generated by our institution’s biobank. Results: Of the ∼482 PCPs contacted, 77 (16%) returned surveys. Although most respondents (90%) prefer that a genetics specialist be involved in communicating biobank-generated genomic results to patients, about 40% of respondents reported that a PCP shares the responsibility to discuss these results along with other specialists. A majority of respondents (74%) felt uncomfortable communicating these results to patients. However, respondents reported significantly greater comfort with this process when offered targeted educational resources (62% with vs 10% without resources; P < 10−5). Conclusion: PCPs recognize the need to engage with their patients’ biobank-generated genomic results but feel uncomfortable in doing so. Relevant resources are needed to improve PCPs’ confidence in the use of these types of results to affect patient care.http://www.sciencedirect.com/science/article/pii/S2949774423008397BiobankGeneticsPharmacogeneticsPrimary care providerResearch
spellingShingle Elizabeth L. Kudron
Sridharan Raghavan
Yee Ming Lee
Jan T. Lowery
Primary care providers’ preferences for the communication and management of actionable genomic findings from a research biobank
Genetics in Medicine Open
Biobank
Genetics
Pharmacogenetics
Primary care provider
Research
title Primary care providers’ preferences for the communication and management of actionable genomic findings from a research biobank
title_full Primary care providers’ preferences for the communication and management of actionable genomic findings from a research biobank
title_fullStr Primary care providers’ preferences for the communication and management of actionable genomic findings from a research biobank
title_full_unstemmed Primary care providers’ preferences for the communication and management of actionable genomic findings from a research biobank
title_short Primary care providers’ preferences for the communication and management of actionable genomic findings from a research biobank
title_sort primary care providers preferences for the communication and management of actionable genomic findings from a research biobank
topic Biobank
Genetics
Pharmacogenetics
Primary care provider
Research
url http://www.sciencedirect.com/science/article/pii/S2949774423008397
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