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Focus groups were conducted with individuals involved in prenatal diagnosis to determine their opinions relating to whole exome sequencing in fetuses with structural anomalies.Five representatives of patient groups/charities (PRGs) and eight clinical professionals (CPs) participated. Three focus groups occurred (the two groups separately and then combined). Framework analysis was performed to elicit themes. A thematic coding frame was identified based on emerging themes.Seven main themes (consent, analysis, interpretation/reinterpretation of results, prenatal issues, uncertainty, incidental findings and information access) with subthemes emerged. The main themes were raised by both groups, apart from 'analysis', which was raised by CPs only. Some subthemes were raised by PRGs and CPs (with different perspectives). Others were raised either by PRGs or CPs, showing differences in patient/clinician agendas.Prenatal consent for whole exome sequencing is not a 'perfect' process, but consent takers should be fully educated regarding the test. PRGs highlighted issues involving access to results, feeling that women want to know all information. PRGs also felt that patients want reinterpretation of results over time, whilst CPs felt that interpretation should be performed at the point of testing only. © 2016 John Wiley & Sons, Ltd.

Original publication

DOI

10.1002/pd.4916

Type

Journal article

Journal

Prenatal diagnosis

Publication Date

10/2016

Volume

36

Pages

935 - 941

Addresses

Fetal Medicine Centre, Birmingham Women's NHS Foundation Trust, Birmingham, UK.

Keywords

Humans, Prenatal Diagnosis, Incidental Findings, Focus Groups, Uncertainty, Sequence Analysis, DNA, Attitude of Health Personnel, Attitude to Health, Genetics, Medical, Genetic Counseling, Obstetrics, Qualitative Research, Time Factors, Informed Consent, Physicians, Female, Male, Genetic Testing, Exome, United Kingdom