JAMA Network | JAMA | Return of Secondary Genomic Findings vs Patient Autonomy: Implications for Medical Care

JAMA Network | JAMA | Return of Secondary Genomic Findings vs Patient Autonomy:  Implications for Medical Care

Return of Secondary Genomic Findings vs Patient AutonomyImplications for Medical Care

Robert Klitzman, MD^1,2; Paul S. Appelbaum, MD²; Wendy Chung, MD, PhD^3,4

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JAMA. 2013;310(4):369-370. doi:10.1001/jama.2013.41709.

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In April 2013, the American College of Medical Genetics (ACMG) recommended that clinical laboratories conducting whole genome sequencing (WGS) and whole exome sequencing (WES) for specific clinical indications should also analyze and report any mutations identified from a list of 57 genes considered medically actionable, regardless of whether patients wish to receive the results.¹ These recommendations have sparked a heated debate with profound implications for countless physicians and their patients.