PT  - JOURNAL ARTICLE
AU  - Kleiderman, Erika
AU  - Knoppers, Bartha Maria
AU  - Fernandez, Conrad V
AU  - Boycott, Kym M
AU  - Ouellette, Gail
AU  - Wong-Rieger, Durhane
AU  - Adam, Shelin
AU  - Richer, Julie
AU  - Avard, Denise
TI  - Returning incidental findings from genetic research to children: views of parents of children affected by rare diseases
AID  - 10.1136/medethics-2013-101648
DP  - 2014 Oct 01
TA  - Journal of Medical Ethics
PG  - 691--696
VI  - 40
IP  - 10
4099  - http://jme.bmj.com/content/40/10/691.short
4100  - http://jme.bmj.com/content/40/10/691.full
SO  - J Med Ethics2014 Oct 01; 40
AB  - 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.