Skip Navigation


EGAPP Working Group Meeting August 16-17, 2010


Denver, Colorado



View Agenda


EGAPP Working Group members present:
Al Berg, MD, MPH, Chair; Ned Calonge, MD, MPH; Doug Campos-Outcalt, MD, MPA; Nancy Fisher, RN, MD, MPH; Ted Ganiats, MD; James Haddow, MD; Roger D. Klein, MD, JD; Don Lyman, MD, DTPH; Stephen Pauker, MD, MACP, FACC, ABMH; Margaret Piper, PhD, MPH; Sue Richards, PhD, FACMG; Joan Scott, MS, CGC; Ora Strickland, PhD; and David L. Veenstra, PharmD, PhD


Opening Statement
Al Berg welcomed the EGAPP Working Group (EWG) to Denver, CO and to the August EWG meeting.  He asked for introductions for new EWG members, Ted Ganiats and Don Lyman, in attendence.


EGAPP and OPHG Update
Shelley Reyes presented an update on CDC, Office of Public Health Genomics (OPHG) and EGAPP transitions.  The OPHG is now located in the Office of Surveillance, Epidemiology and Laboratory Science (OSELS).
The structure of the OPHG has changed.  There are now four teams

Ned Calonge has been selected as the new chair of the EWG.  Nancy Fisher has been selected as the newly created co-chair of the EWG.


Status Update and Review of Briefing Book Material
Dave Dotson provided an update on the Staff activities.  The rest of the meeting agenda was reviewed.  Including:

The status of the current manuscripts was reviewed.  The CVD 9p21 meta-analysis was published in JAMA.  The outcomes manuscript was published in GIM.  The Topics and Public Health manuscripts are pending.  The CVD review and recommendation are accepted by GIM and the Factor V recommendation has been accepted by GIM. 

The hits on the website have been about 1-10 hits per topic page.

The EGAPP Working Group has established a working nomination pool for candidates.  Currently the pool has 46 individuals.


EGAPP Evaluation Report
Judy Johnson presented the final review of the final survey round pertaining to EGAPP CYP450 Review and Recommendation.  She reviewed the data from all participants.  She also presented a review of findings for the first round of lynch syndrome and UGT1A1 surveys thru August 2010.


Type II Diabetes
Glenn Palomaki presented a preliminary report on the Type II Diabetes Risk Prediction Review.  The report included a disorder background, treatment of Type II Diabetes and clinical scenarios to be reviewed. 

There are 3 clinical scenarios to be investigated.  The first pertains to the use of a multi-gene panel to determine increased or decreased lifetime risk in non-symptomatic individuals.  The second involves the use of a either a single gene or multi-gene panel (slightly unclear on DeCode’s web site) to determine chances of progression to diabetes in an at-risk population. The third involves the use of a single gene test to determine effectiveness of sulfonylureas to control diabetes.

Glenn Palomaki, Stephanie Melillo, Michael Marrone and Michael Douglas are the primary reviewers.  The TEP includes Maggie Piper, Nancy Fisher and Doug Campos-Outcalt volunteered to join the TEP.


Methods/Topics Subcommittee
Dave Veenstra presented the report of a joint Methods SC and Topics SC breakout session whose purpose is to develop methods and processes to apply criteria to more quickly provide guidance on topics where the evidence is insufficient. It was suggested three categories of recommendation be considered to categorize topics:

Responsibilities and Next Steps


Translation Products Subcommittee

Doug Campos-Outcalt presented the report from the OPHG Program Development and Implementation Team and EWG Products SC breakout session.  The report includes suggestions for step-wise process, OPHG Program Development and Implementation Team and EWG interactions, Products SC and Recommendation Writing Team requirements, Review process for OPHG Program Development and Implementation Team Products, and Dissemination Plan. 

The stepwise process below was agreed to between the Products SC and OPHG Program Development and Implementation Team.

The time frame to create a final set of CDC Translation Topics is:

General process for review of translation products from translation team

Dissemination of Translation Products


AHRQ topics Submitted
Dave Dotson reviewed the topics submitted to AHRQ for evidence review.  Breast Cancer/Prostate Cancer SNPs for risk prediction was submitted as a paid review and subsequently the topic was shortened to include only Prostate Cancer SNPs for Risk Prediction. 

The following topics were submitted to AHRQ’s Effective Health Care Program (EHC) for review

Topics SC Report
Sue Richards presented the report from the Topics SC breakout session.  The report included comments on topics added to the spreadsheet, the Topics Manuscript, Horizon Scanning and topics for the Knowledge Synthesis Center.

The Topics SC suggested adding to the spreadsheet

Topics SC manuscript

Horizon Scanning

The soon to be funded Knowledge Synthesis Center will be responsible for 2 products relating to the Topics SC – evidence reviews, topics briefs. 


Products Subcommittee
Doug Campos-Outcalt presented the report from the Product SC breakout session.  He welcomed the new subcommittee members – Nancy Fisher and Ted Ganiats. He reminded the EWG to send any abstracts they presented at meetings regarding EGAPP to Michael Douglas.

The Products SC reviewed translation products provided by the OPHG Program Development and Implementation Team.  These translation products entitled: background/summary, health professional, more health professionals, and general public; and were related to reviews/recommendations for the EWG.  Examples can be found on the CDC web site with links from These are an attempt by OPHG Program Development and Implementation Team to provide standardized translation products and some of the format was a result of the Cancer Control Planet collaboration.
The Products SC provided feedback specifically on the Lynch Syndrome Example.  The timeframe to develop Lynch syndrome translation products was difficult to complete due to a time intensive Health Message Testing component.  The others should be easier to complete since the structural framework is complete.   
Future Translation Products Discussion emphasized the need to have a process.  Program Development and Implementation Team and EWG Products SC will work together to develop future pages in order to maintain integrity of message true to the recommendation and ensure translation products are released at the same time as reviews/recommendations.
Lynch syndrome genetic testing translation demonstration project is being hosted on September 9th by the OPHG Program Development and Implementation Team with the goal of bring together various individuals from varying backgrounds to create additional translation products for further dissemination.  The EWG suggested ensuring a pathologist(s) is in attendance. 


Methods Subcommittee Report
Dave Veenstra presented the report from the Methods SC breakout session.  The report included: observations on a recent AHRQ call, AHRQ topics, and revised EGAPP evaluation framework testing, and test cases for using existing reviews.

The Methods SC had a conference call with AHRQ to discuss the option for reviews to be completed through the Effective Health Care review process.  The outcomes include:

Knowledge Synthesis Center topics may be able to be used in a revised EGAPP evaluation framework testing.  These methods may include:

Cases to test framework for other existing reviews may include the following:


Al Berg thanked everyone for their participation and the meeting was adjourned at 12:30pm



The next EGAPP Working Group Meeting is scheduled for Monday & Tuesday,
December 6 - 7, 2010 in Atlanta, GA.


Historical Document
Page last updated: September 12, 2013
Page last reviewed: September 12, 2013
Content Source: OPHG Staff