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J Med Ethics. 2014 Oct;40(10):691-6. doi: 10.1136/medethics-2013-101648. Epub 2013 Dec 19.

Returning incidental findings from genetic research to children: views of parents of children affected by rare diseases.

Author information

1
Centre of Genomics and Policy, McGill University, Montreal, Quebec, Canada.
2
Faculty of Medicine, Departments of Pediatrics and Bioethics, Dalhousie University, Halifax, Nova Scotia, Canada.
3
Children's Hospital of Eastern Ontario Research Institute, University of Ottawa, Ontario, Canada.
4
Regroupement Québécois des Maladies Orphelines, Sherbrooke, Quebec, Canada.
5
Institute for Optimizing Health Outcomes, Canadian Organization for Rare Disorders, Toronto, Ontario, Canada.
6
Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

PURPOSE:

To explore parental perceptions and experiences regarding the return of genomic incidental research findings in children with rare diseases.

METHODS:

Parents of children affected by various rare diseases were invited to participate in focus groups or individual telephone interviews in Montreal and Ottawa. Fifteen participants were interviewed and transcriptions were analysed using thematic analysis.

RESULTS:

Four emergent themes underscored parental enthusiasm for receiving incidental findings concerning their child's health: (1) right to information; (2) perceived benefits and risks; (3) communication practicalities: who, when, and how; and (4) service needs to promote the communication of incidental findings. Parents believed they should be made aware of all results pertaining to their child's health status, and that they are responsible for transmitting this information to their child, irrespective of disease severity. Despite potential negative consequences, respondents generally perceived a favourable risk-benefit ratio in receiving all incidental findings.

CONCLUSIONS:

Understanding how parents assess the risks and benefits of returning incidental findings is essential to genomic research applications in paediatric medicine. The authors believe the study findings will contribute to establishing future best practices, although further research is needed to evaluate the impact of parental decisions on themselves and their child.

PMID:
24356209
PMCID:
PMC4173986
DOI:
10.1136/medethics-2013-101648
[Indexed for MEDLINE]
Free PMC Article
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