Table 2 Select policies for reporting individual findings from clinical genomic sequencing

From: Return of individual genomic research results: are laws and policies keeping step?

Organisation

Policy

Return approach

ACMG

ACMG Policy Statement: Updated Recommendations Regarding Analysis and Reporting of Secondary Findings in Clinical Genome-scale Sequencing, 2015; Recommendations for Reporting of Secondary Findings in Clinical Exome and Genome Sequencing, 2017

• Routinely inspect a panel of 59 genes deemed medically actionable to detect pathogenic variants, which may be unrelated to reasons for testing (“secondary findings”)

• Expert panel updates list of genes

ESHG

Whole-Genome Sequencing in Health Care: Recommendations of the European Society of Human Genetics, 2013

• Use a filter to avoid unsolicited findings, or findings that cannot be interpreted

• Unsolicited findings indicative of serious health problems should in principle be returned.

CCMG

The Clinical Application of Genome-Wide Sequencing for Monogenic Diseases In Canada: Position Statement of the Canadian College of Medical Geneticists, 2015

• Use a filter to avoid incidental findings

• Incidental findings that reveal risk for a highly penetrant condition medically actionable during childhood should be reported to the parents.