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Table 3 Overview of key themes along the pathway of genetic diagnosis

From: Lived experiences of genetic diagnosis for rare disease patients: a qualitative interview study

Steps

Key themes

Broad issues

Before

Genetic knowledge in society

Reasons for testing

Lack of diagnosis and diagnostic direction

Uncertainty

Vague idea of diagnosis

Medical acknowledgement

Confirmation of diagnosis

Naming and framing

Expectations

Explanation

 

Therapy

 

Knowledge and acknowledgement

 

During

Explanation of symptoms by “psychosomatic” factors

Genetic testing

Process

Unclear responsibilities

unclear timeframe

Lot of expected personal initiative

Results

Mediation and setting

Lack of expertise in reading and mediating results

After

Expertise and knowledge in health care

Consequences

Short- and long-term

Directions for disease management and therapy

Qualification for research projects/trials

Orientation in health care system through diagnosis

New self-understanding