The personal utility and uptake of genomic sequencing in pediatric and adult conditions

eliciting societal preferences with three discrete choice experiments

Ilias Goranitis*, Stephanie Best, John Christodoulou, Zornitza Stark, Tiffany Boughtwood

*Corresponding author for this work

Research output: Contribution to journalArticle

2 Citations (Scopus)
2 Downloads (Pure)


Purpose: To estimate the personal utility and uptake of genomic sequencing (GS) across pediatric and adult-onset genetic conditions. Methods: Three discrete choice experiment (DCE) surveys were designed and administered to separate representative samples of the Australian public. Bayesian D-efficient explicit partial profile designs were used. Choice data were analyzed using a panel error component random parameter logit model. Results: Overall, 1913 participants completed the pediatric (n = 533), symptomatic adult (n = 700) and at-risk adult (n = 680) surveys. The willingness-to-pay for GS information in pediatric conditions was estimated at $5470–$15,250 (US$3830–$10,675) depending on the benefits of genomic information. Uptake ranged between 60% and 81%. For symptomatic adults, the value of GS was estimated at $1573–$8102 (US$1100–$5671) and uptake at 34–82%. For at-risk adults, GS was valued at $2036–$5004 (US$1425–$3503) and uptake was predicted at 35–61%. Conclusion: There is substantial personal utility in GS, particularly for pediatric conditions. Personal utility increased as the perceived benefits of genomic information increased. The clinical and regulatory context, and individuals’ sociodemographic and attitudinal characteristics influenced the value and uptake of GS. Society values highly the diagnostic, clinical, and nonclinical benefits of GS. The personal utility of GS should be considered in health-care decision-making.

Original languageEnglish
Pages (from-to)1311-1319
Number of pages9
JournalGenetics in Medicine
Issue number8
Early online date6 May 2020
Publication statusPublished - Aug 2020

Bibliographical note

Copyright the Author(s) 2020. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • genetic conditions
  • next-generation sequencing
  • preferences
  • uptake
  • utility

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