Stafford-Smith, Bethany;
Daniel, Morgan;
Peter, Michelle;
Gurasashvili, Jana;
Baptiste, Rashida;
Bracke-Manzanares, Xavier;
Georgiou, Lamprini;
... Hill, Melissa; + view all
(2025)
Evaluating the return of additional findings from the 100,000 Genomes Project: A mixed methods study exploring participant experiences of receiving secondary findings from genomic sequencing.
Genetics in Medicine
, Article 101446. 10.1016/j.gim.2025.101446.
(In press).
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Abstract
Purpose: 100,000 Genomes Project participants could consent to receive additional findings (AFs) for variants associated with susceptibility to cancer and familial hypercholesterolemia (FH). Here we evaluate stakeholder experiences to inform clinical practice. // Methods: Mixed-methods study conducted at 18 sites across England that comprised a cross-sectional survey and interviews with participants who received a positive AF (PAF), and interviews with participants who had no AFs (NAF). // Results: There were 146 surveys followed by 35 interviews with PAF participants, and 29 interviews with NAF participants. Surveys found that PAF results were seen as useful and would influence health management (82%). Most (90%) had shared their result with family members. Experiences differed by PAF type; cancer PAF participants were often initially shocked and anxious, and found telling family members challenging compared to participants with an FH PAF. Whilst most experiences of NAF results were positive, some misunderstandings were identified. Participants supported returning AFs when offering genome sequencing. // Conclusion: Patient experiences of receiving AFs were primarily positive and there is support for offering AFs routinely. Considerations for offering AFs in clinical practice include adapting approaches tailored to individual conditions and greater support for people with a NAF result.
| Type: | Article |
|---|---|
| Title: | Evaluating the return of additional findings from the 100,000 Genomes Project: A mixed methods study exploring participant experiences of receiving secondary findings from genomic sequencing |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.gim.2025.101446 |
| Publisher version: | https://doi.org/10.1016/j.gim.2025.101446 |
| Language: | English |
| Additional information: | Copyright © 2025 The Authors. Published by Elsevier Inc. on behalf of American College of Medical Genetics and Genomics. Under a Creative Commons license, https://creativecommons.org/licenses/by/4.0/. |
| Keywords: | Genome sequencing, additional findings, secondary findings, experiences, psychosocial |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Genetics and Genomic Medicine Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10212628 |
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