Patricia Birch

BSc, MSc

Investigator, Research Manager and Research Nurse, BC Children's Hospital

I am a researcher, educator, manager, and nurse. The common threads throughout my career have been a desire to improve access, equity, and quality of family-centred clinical care; and my interest in the relationship dynamics between consumers and providers of health care.

Currently co-leading various GELS projects relating to genomics, decisional science, health economics, shared decision-making, and family-oriented research. E.g. DECIDE project: an interactive online educational tool and decision aid for families making genomic sequencing choices; SCOPE project: development and testing of a cost calculator for families' costs of caring for a child with developmental disabilities; OPTION project: assessment of the degree which genetic counselors practice shared decision-making.

Academic Affiliations

  • Clinical Associate Professor, , Department of Medical Genetics, Faculty of Medicine, University of British Columbia
  • Research Theme: Evidence to Innovation
  • Research Group(s): Clinical Practice, Outcomes and Innovation; Clinical and Community Data, Analytics and Informatics

Contact Information

Assistant

Liza Mak

liza.mak@ubc.ca

Location

4500 Oak St, Vancouver, BC, Canada, V6H 3N1

Parental perspectives on family-centered care in pediatric neurology: An explanatory sequential mixed-methods study

Developmental Medicine and Child Neurology

Sarikaya, E. and Cook, C.B. and Selby, K.A. and Shen, Y. and Elliott, A.M. and Austin, J. and Knoppers, B. and Lynd, L.D. and Dey, A. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Dragojlovic, N. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M. and Elliott, A.M.

DOI: 10.1111/dmcn.16275

Genetic counselors outside of the genetics clinic: Roles, practices, and ethico-legal implications in light of lagging legal recognition across Canada

Journal of Genetic Counseling

Rojas, S.K. and Adam, S. and Austin, J. and Knoppers, B. and Lynd, L.D. and Dey, A. and Bansback, N. and Birch, P. and Clarke, L. and Dragojlovic, N. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Elliott, A.M. and Zawati, M.H.

DOI: 10.1002/jgc4.1943

The impact of genetic counselor involvement in genetic and genomic test order review: A scoping review

Genetics in Medicine

Cook, C.B. and Pistawka, C. and Elliott, A.M. and Austin, J. and Knoppers, B. and Lynd, L.D. and Dey, A. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Dragojlovic, N. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M.

DOI: 10.1016/j.gim.2025.101354

Putting control into parents' hands: Parent experiences with a genomic results e-booklet

Journal of Genetic Counseling

Adam, S. and Gombas, P. and Demos, M. and Boelman, C. and Connolly, M.B. and Lavelle, K. and Friedman, J.M. and Austin, J. and Knoppers, B. and Lynd, L.D. and Dey, A. and Bansback, N. and Clarke, L. and Dragojlovic, N. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M. and Elliott, A.M. and Birch, P.

DOI: 10.1002/jgc4.70095

Where there is no genetic counselor: An online decision-aid supports the majority of parents diagnostic genomic testing choices for their children

Genetics in Medicine

Birch, P. and Beauchesne, R. and Bansback, N. and Boelman, C. and Connolly, M. and Demos, M. and Friedman, J.M. and Race, S. and Stockler, S. and Elliott, L.M. and Austin, J. and Knoppers, B. and Lynd, L.D. and Dey, A. and Adam, S. and Clarke, L. and Dragojlovic, N. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M. and Elliott, A.M.

DOI: 10.1016/j.gim.2024.101173

Genetic counselling resources in non-english languages: A scoping review

PEC Innovation

Beauchesne, R. and Birch, P. and Elliott, A.M.

DOI: 10.1016/j.pecinn.2023.100135

A novel online genomic counseling and variant interpretation certificate: Learning design, learning analytics, and evaluation

Journal of Genetic Counseling

Macfadyen, L.P. and Austin, J. and Cao, P. and Cheng, J. and Cremin, C. and Duong, L. and Elliott, A.M. and Guimond, C. and Lim, S. and Race, S. and Rajan-Babu, I.-S. and Richardson, A. and Wainstein, T. and Zahir, F. and Birch, P.H.

DOI: 10.1002/jgc4.1737

The long-term impact of receiving incidental findings on parents undergoing genome-wide sequencing

Journal of Genetic Counseling

Cheung, F. and Birch, P. and Friedman, J.M. and Elliott, A.M. and Adam, S.

DOI: 10.1002/jgc4.1558

Correction to: The stepwise process of integrating a genetic counsellor into primary care (European Journal of Human Genetics, (2022), 30, 7, (772-781), 10.1038/s41431-022-01040-x)

European Journal of Human Genetics

Slomp, C. and Morris, E. and Knoppers, B.M. and Lynd, L.D. and Dey, A. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Dragojlovic, N. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M.H. and Price, M. and Elliott, A.M. and Austin, J.

DOI: 10.1038/s41431-022-01063-4

A personalized genomic results e-booklet, co-designed and pilot-tested by families

PEC Innovation

Handra, J. and Guimond, C. and Jordan, I. and Lenahan, B. and Ohs, K. and Beauchesne, R. and Adam, S. and Friedman, J.M. and Birch, P.

DOI: 10.1016/j.pecinn.2022.100039

After genomic testing results: Parents long-term views

Journal of Genetic Counseling

Liang, N.S.Y. and Adam, S. and Elliott, A.M. and Siemens, A. and du Souich, C. and Friedman, J.M. and Birch, P.

DOI: 10.1002/jgc4.1454

The stepwise process of integrating a genetic counsellor into primary care

European Journal of Human Genetics

Slomp, C. and Morris, E. and Knoppers, B.M. and Lynd, L.D. and Dey, A. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Dragojlovic, N. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M.H. and Price, M. and Elliott, A.M. and Austin, J.

DOI: 10.1038/s41431-022-01040-x

Genome-wide sequencing as a first-tier screening test for short tandem repeat expansions

Genome Medicine

Rajan-Babu, I.-S. and Peng, J.J. and Chiu, R. and Adam, S. and Souich, C.D. and Elliott, A. and Lehman, A. and Mwenifumbo, J. and Nelson, T. and van Karnebeek, C. and Friedman, J. and Birch, P. and Couse, M. and Guimond, C. and Mwenifumbo, J. and van Karnebeek, C. and Friedman, J. and Li, C. and Mohajeri, A. and Dolzhenko, E. and Eberle, M.A. and Birol, I. and Friedman, J.M.

DOI: 10.1186/s13073-021-00932-9

Genetic counselors and legal recognition: A made-for-Canada approach

Journal of Genetic Counseling

Lambert, D.M. and Patrinos, D. and Knoppers, B.M. and Zawati, M.H. and Elliott, A.M. and Austin, J. and Lynd, L.D. and Dey, A. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Dragojlovic, N. and Friedman, J. and Pullman, D. and Virani, A. and Wasserman, W.

DOI: 10.1002/jgc4.1468

Development and Evaluation of Decision Aids to Guide Families Predictive Testing Choices for Children at Risk for Arrhythmia or Cardiomyopathy

Canadian Journal of Cardiology

Christian, S. and Welsh, A. and Yetman, J. and Birch, P. and Bartels, K. and Burnell, L. and Curtis, F. and Huculak, C. and Zahavich, L. and Arbour, L. and Marcadier, J. and Atallah, J.

DOI: 10.1016/j.cjca.2021.05.018

Far and wide: Exploring provider utilization of remote service provision for genome-wide sequencing in Canada

Molecular Genetics and Genomic Medicine

Enns, E.A. and Wainstein, T. and Dragojlovic, N. and Kopac, N. and Lynd, L.D. and Elliott, A.M. and Austin, J. and Knoppers, B. and Dey, A. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M.

DOI: 10.1002/mgg3.1784

Genetic counseling research and COVID-19: A lesson in resiliency

Journal of Genetic Counseling

Borle, K. and Dey, A. and Carrion, P. and Austin, J. and Elliott, A.M. and Knoppers, B. and Lynd, L.D. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Dragojlovic, N. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M. and Myers, M.

DOI: 10.1002/jgc4.1502

Utilization and uptake of clinical genetics services in high-income countries: A scoping review

Health Policy

Dragojlovic, N. and Kopac, N. and Borle, K. and Tandun, R. and Salmasi, S. and Ellis, U. and Birch, P. and Adam, S. and Friedman, J.M. and Elliott, A.M. and Lynd, L.D.

DOI: 10.1016/j.healthpol.2021.04.010

Rapid genome-wide sequencing in a neonatal intensive care unit: A retrospective qualitative exploration of parental experiences

Journal of Genetic Counseling

Aldridge, C.E. and Osiovich, H. and Siden, H. and Elliott, A.M. and Candido, T. and Christilaw, J. and Dragojlovic, N. and du Souich, C. and Evans, D.M. and Farrer, M.J. and Friedman, J.M. and Guella, I. and Lehman, A. and Lynd, L. and Tooman, L. and Austin, J. and Knoppers, B. and Lynd, L.D. and Dey, A. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M.

DOI: 10.1002/jgc4.1353

Correction to: Genome-wide sequencing as a first-tier screening test for short tandem repeat expansions (Genome Medicine, (2021), 13, 1, (126), 10.1186/s13073-021-00932-9)

Genome Medicine

Rajan-Babu, I.-S. and Peng, J.J. and Chiu, R. and Birch, P. and Couse, M. and Guimond, C. and Lehman, A. and Mwenifumbo, J. and van Karnebeek, C. and Friedman, J. and Adam, S. and Du Souich, C. and Elliott, A. and Lehman, A. and Mwenifumbo, J. and Nelson, T. and van Karnebeek, C. and Rajan-Babu and Friedman, J. and Li, C. and Mohajeri, A. and Dolzhenko, E. and Eberle, M.A. and Birol, I. and Friedman, J.M.

DOI: 10.1186/s13073-021-00961-4

Out-of-pocket and private pay in clinical genetic testing: A scoping review

Clinical Genetics

Grant, P. and Langlois, S. and Lynd, L.D. and Austin, J.C. and Elliott, A.M. and Dragojlovic, N. and Knoppers, B. and Dey, A. and Adam, S. and Bansback, N. and Birch, P. and Clarke, L. and Friedman, J. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, Z.

DOI: 10.1111/cge.14006

The composition and capacity of the clinical genetics workforce in high-income countries: a scoping review.

Genetics in medicine : official journal of the American College of Medical Genetics

Dragojlovic N and Borle K and Kopac N and Ellis U and Birch P and Adam S and Friedman JM and Nisselle A and GenCOUNSEL Study and Elliott AM and Lynd LD

DOI: 10.1038/s41436-020-0825-2 PubMed: 32576987

06 / 2020

Correction: The composition and capacity of the clinical genetics workforce in high-income countries: a scoping review (Genetics in Medicine, (2020), 22, 9, (1437-1449), 10.1038/s41436-020-0825-2)

Genetics in Medicine

Dragojlovic, N. and Borle, K. and Kopac, N. and Ellis, U. and Birch, P. and Adam, S. and Friedman, J.M. and Nisselle, A. and Elliott, A.M. and Austin, J. and Knoppers, B. and Lynd, L.D. and Dey, A. and Bansback, N. and Clarke, L. and Lambert, D. and Pullman, D. and Virani, A. and Wasserman, W. and Zawati, M.

DOI: 10.1038/s41436-020-0903-5

The cost trajectory of the diagnostic care pathway for children with suspected genetic disorders

Genetics in Medicine

Dragojlovic, N. and van Karnebeek, C.D.M. and Ghani, A. and Genereaux, D. and Kim, E. and Birch, P. and Adam, S. and Dragojlovic, N. and du Souich, C. and Elliott, A.M. and Lehman, A. and Lynd, L. and Mwenifumbo, J. and Nelson, T.N. and van Karnebeek, C. and Friedman, J.M. and Elliott, A.M. and Friedman, J.M. and Lynd, L.D.

DOI: 10.1038/s41436-019-0635-6

Assessing Shared Decision-Making Clinical Behaviors Among Genetic Counsellors

Journal of Genetic Counseling

Birch, P.H. and Adam, S. and Coe, R.R. and Port, A.V. and Vortel, M. and Friedman, J.M. and Lgar, F.

DOI: 10.1007/s10897-018-0285-x

Assessing an Interactive Online Tool to Support Parents' Genomic Testing Decisions

Journal of Genetic Counseling

Adam, S. and Birch, P.H. and Coe, R.R. and Bansback, N. and Jones, A.L. and Connolly, M.B. and Demos, M.K. and Toyota, E.B. and Farrer, M.J. and Friedman, J.M.

DOI: 10.1007/s10897-018-0281-1

Indigenous Peoples and genomics: Starting a conversation

Journal of Genetic Counseling

Morgan, J. and Coe, R.R. and Lesueur, R. and Kenny, R. and Price, R. and Makela, N. and Birch, P.H.

DOI: 10.1002/jgc4.1073

Serial MRIs provide novel insight into natural history of optic pathway gliomas in patients with neurofibromatosis 1

Orphanet Journal of Rare Diseases

Sellmer, L. and Farschtschi, S. and Marangoni, M. and Heran, M.K.S. and Birch, P. and Wenzel, R. and Mautner, V.-F. and Friedman, J.M.

DOI: 10.1186/s13023-018-0811-9

Pharmacogenomics and e-learning: evaluation of an online tool to improve knowledge among practicing nurses

Nurse Education Today

Erin K. Chamberlain, Shelin Adam, Adrian L. Jones, Kris Roberts, Patricia H. Birch. Pharmacogenomics and e-learning: evaluation of an online tool to improve knowledge among practicing nurses.Nurse Education Today.

Survey of BC Physicians: Exploring current knowledge and impact of genomic technologies on clinical practice

UBC Medical Journal

M Thomas, L Phillips, J Taylor, P Birch, R Thomas, S Adam, M Hayden, JM Friedman. Survey of BC Physicians: Exploring current knowledge and impact of genomic technologies on clinical practice.UBC Medical Journal.

Non-optic glioma in adults and children with neurofibromatosis 1

Orphanet Journal of Rare Diseases

Sellmer, L. and Farschtschi, S. and Marangoni, M. and Heran, M.K.S. and Birch, P. and Wenzel, R. and Friedman, J.M. and Mautner, V.-F.

DOI: 10.1186/s13023-017-0588-2

Development and pilot testing of a tool to calculate parental and societal costs of raising a child with intellectual disability

Journal of Intellectual and Developmental Disability

Genereaux, D. and Bansback, N. and Birch, P.

DOI: 10.3109/13668250.2015.1087479

Parents' Perspectives on Supporting Their Decision Making in Genome-Wide Sequencing

Journal of Nursing Scholarship

Li, K.C. and Birch, P.H. and Garrett, B.M. and Macphee, M. and Adam, S. and Friedman, J.M.

DOI: 10.1111/jnu.12207

DECIDE: a Decision Support Tool to Facilitate Parents Choices Regarding Genome-Wide Sequencing

Journal of Genetic Counseling

Birch, P. and Adam, S. and Bansback, N. and Coe, R.R. and Hicklin, J. and Lehman, A. and Li, K.C. and Friedman, J.M.

DOI: 10.1007/s10897-016-9971-8

Comparing the ability of OPTION12 and OPTION5 to assess shared decision-making in genetic counselling.

Patient Education and Counseling

Vortel, M.A. and Adam, S. and Port-Thompson, A.V. and Friedman, J.M. and Grande, S.W. and Birch, P.H.

DOI: 10.1016/j.pec.2016.03.024

Interactive e-counselling for genetics pre-test decisions: Where are we now?

Clinical Genetics

Birch, P.H.

DOI: 10.1111/cge.12430

Costs of caring for children with an intellectual developmental disorder

Disability and Health Journal

Genereaux, D. and Van Karnebeek, C.D.M. and Birch, P.H.

DOI: 10.1016/j.dhjo.2015.03.011

Quantitative associations of scalp and body subcutaneous neurofibromas with internal plexiform tumors in neurofibromatosis 1

American Journal of Medical Genetics, Part A

Jett, K. and Nguyen, R. and Arman, D. and Birch, P. and Chohan, H. and Farschtschi, S. and Fuensterer, C. and Kluwe, L. and Friedman, J.M. and Mautner, V.F.

DOI: 10.1002/ajmg.a.37068

The costs of caring: calculating hte parental and societal costs of raising a child with intellectual disability

Canadian Association of Genetic Counsellors Annual Meeting

Incidental findings from clinical genome-wide sequencing: A review

Journal of Genetic Counseling

Lohn, Z. and Adam, S. and Birch, P.H. and Friedman, J.M.

DOI: 10.1007/s10897-013-9604-4

Autonomy and the patient's right 'not to know' in clinical whole-genomic sequencing

European Journal of Human Genetics

Townsend, A. and Rousseau, F. and Friedman, J. and Adam, S. and Lohn, Z. and Birch, P.

DOI: 10.1038/ejhg.2013.94

Can we MOOC Genomics Medicine? INTEGRAL's Asynchronous, Scenario-Based eLearning for Health Professionals

E-Hits (eHealth and Innovative Technology Showcase)

Paternalism and the ACMG recommendations on genomic incidental findings: Patients seen but not heard

Genetics in Medicine

Townsend, A. and Adam, S. and Birch, P.H. and Friedman, J.M.

DOI: 10.1038/gim.2013.105

Genetics professionals' perspectives on reporting incidental findings from clinical genome-wide sequencing

American Journal of Medical Genetics, Part A

Lohn, Z. and Adam, S. and Birch, P. and Townsend, A. and Friedman, J.

DOI: 10.1002/ajmg.a.35794

The generalized bone phenotype in children with neurofibromatosis 1: A sibling matched case-control study

American Journal of Medical Genetics, Part A

Armstrong, L. and Jett, K. and Birch, P. and Kendler, D.L. and Mckay, H. and Tsang, E. and Stevenson, D.A. and Hanley, D.A. and Egeli, D. and Burrows, M. and Friedman, J.M.

DOI: 10.1002/ajmg.a.36001

Quality of life in NF1

Neurofibromatosis Type 1: Molecular and Cellular Biology

Birch, P. and Friedman, J.M.

DOI: 10.1007/978-3-642-32864-0_8

Valuing gene testing in children with possible neurofibromatosis 1

Clinical Genetics

Tsang, E. and Birch, P. and Friedman, J.M.

DOI: 10.1111/j.1399-0004.2011.01801.x

"I want to know what's in Pandora's box": Comparing stakeholder perspectives on incidental findings in clinical whole genomic sequencing

American Journal of Medical Genetics, Part A

Townsend, A. and Adam, S. and Birch, P.H. and Lohn, Z. and Rousseau, F. and Friedman, J.M.

DOI: 10.1002/ajmg.a.35554

MIA is a potential biomarker for tumour load in neurofibromatosis type 1

BMC Medicine

Kolanczyk, M. and Mautner, V. and Kossler, N. and Nguyen, R. and Khnisch, J. and Zemojtel, T. and Jamsheer, A. and Wegener, E. and Thurisch, B. and Tinschert, S. and Holtkamp, N. and Park, S.-J. and Birch, P. and Kendler, D. and Harder, A. and Mundlos, S. and Kluwe, L.

DOI: 10.1186/1741-7015-9-82

Prevalence of dental caries in children with neurofibromatosis 1

Clinical Oral Investigations

Tsang, E.S. and Birch, P. and Friedman, J.M. and Johnston, D. and Tucker, T. and Armstrong, L.

DOI: 10.1007/s00784-009-0361-6

Skeletal abnormalities in neurofibromatosis type 1: Approaches to therapeutic options

American Journal of Medical Genetics, Part A

Elefteriou, F. and Kolanczyk, M. and Schindeler, A. and Viskochil, D.H. and Hock, J.M. and Schorry, E.K. and Crawford, A.H. and Friedman, J.M. and Little, D. and Peltonen, J. and Carey, J.C. and Feldman, D. and Yu, X. and Armstrong, L. and Birch, P. and Kendler, D.L. and Mundlos, S. and Yang, F.-C. and Agiostratidou, G. and Hunter-Schaedle, K. and Stevenson, D.A.

DOI: 10.1002/ajmg.a.33045

Detection of pathogenic copy number variants in children with idiopathic intellectual disability using 500 K SNP array genomic hybridization

BMC Genomics

Friedman, J.M. and Adam, S. and Arbour, L. and Armstrong, L. and Baross, A. and Birch, P. and Boerkoel, C. and Chan, S. and Chai, D. and Delaney, A.D. and Flibotte, S. and Gibson, W.T. and Langlois, S. and Lemyre, E. and Li, H.I. and MacLeod, P. and Mathers, J. and Michaud, J.L. and McGillivray, B.C. and Patel, M.S. and Qian, H. and Rouleau, G.A. and Van Allen, M.I. and Yong, S. and Zahir, F.R. and Eydoux, P. and Marra, M.A.

DOI: 10.1186/1471-2164-10-526

Parental perceived value of a diagnosis for Intellectual Disability (ID): A qualitative comparison of families with and without a diagnosis for their child's ID

American Journal of Medical Genetics, Part A

Makela, N.L. and Birch, P.H. and Friedman, J.M. and Marra, C.A.

DOI: 10.1002/ajmg.a.33050

Assessment of algorithms for high throughput detection of genomic copy number variation in oligonucleotide microarray data

BMC Bioinformatics

Baross, ?. and Delaney, A.D. and Li, H.I. and Nayar, T. and Flibotte, S. and Qian, H. and Chan, S.Y. and Asano, J. and Ally, A. and Cao, M. and Birch, P. and Brown-John, M. and Fernandes, N. and Go, A. and Kennedy, G. and Langlois, S. and Eydoux, P. and Friedman, J.M. and Marra, M.A.

DOI: 10.1186/1471-2105-8-368

Increased dental caries in people with neurofibromatosis 1

Clinical Genetics

Tucker, T. and Birch, P. and Savoy, D.M. and Friedman, J.M.

DOI: 10.1111/j.1399-0004.2007.00886.x

Associations of osseous abnormalities in neurofibromatosis

American Journal of Medical Genetics, Part A

Alwan, S. and Armstrong, L. and Joe, H. and Birch, P.H. and Szudek, J. and Friedman, J.M.

DOI: 10.1002/ajmg.a.31754

Oligonucleotide microarray analysis of genomic imbalance in children with mental retardation

American Journal of Human Genetics

Friedman, J.M. and Baross, ?. and Delaney, A.D. and Ally, A. and Arbour, L. and Asano, J. and Bailey, D.K. and Barber, S. and Birch, P. and Brown-John, M. and Cao, M. and Chan, S. and Charest, D.L. and Farnoud, N. and Fernandes, N. and Flibotte, S. and Go, A. and Gibson, W.T. and Holt, R.A. and Jones, S.J.M. and Kennedy, G.C. and Krzywinski, M. and Langlois, S. and Li, H.I. and McGillivray, B.C. and Nayar, T. and Pugh, T.J. and Rajcan-Separovic, E. and Schein, J.E. and Schnerch, A. and Siddiqui, A. and Van Allen, M.I. and Wilson, G. and Yong, S.-L. and Zahir, F. and Eydoux, P. and Marra, M.A.

DOI: 10.1086/507471

Subcutaneous neurofibromas are associated with mortality in neurofibromatosis 1: A cohort study of 703 patients

American Journal of Medical Genetics

Khosrotehrani, K. and Bastuji-Garin, S. and Riccardi, V.M. and Birch, P. and Friedman, J.M. and Wolkenstein, P.

DOI: 10.1002/ajmg.a.30394

Faceturs predictifs d'aggravation et de developpement d'une neoplasie chez le enfants atteints de neurofibromatose de type 1: suivi d'une cohorte pediatrique de 563 patients

Journees Dermatolgiques de Paris

Facteurs predictifs de mortalite au cours de la neurofibromatose 1: Etude d'une cohorte de 703 cas

Journees Dermatolgiques de Paris

Utility and Limitations of Genetic Disease Databases in Clinical Genetics Research: A Neurofibromatosis 1 Database Example

American Journal of Medical Genetics - Seminars in Medical Genetics

Birch, P. and Friedman, J.M.

DOI: 10.1002/ajmg.c.30007

Genital tract and plasma human immunodeficiency virus viral load throughout the menstrual cycle in women who are infected with ovulatory human immunodeficiency virus

American Journal of Obstetrics and Gynecology

Money, D.M. and Arikan, Y.Y. and Remple, V. and Sherlock, C. and Craib, K. and Birch, P. and Burdge, D.R.

DOI: 10.1067/mob.2003.65

Erratum: Genital tract and plasma human immunodeficiency virus viral load throughout the menstrual cycle in ovulatory women who are infected with human immunodeficiency virus (American Journal of Obstetrics and Gynecology (2003) 188 (122-128))

American Journal of Obstetrics and Gynecology

Money, D.M. and Arikan, Y.Y. and Remple, V. and Sherlock, C. and Craib, K. and Birch, P. and Burdge, D.R.

Gliomas presenting after age 10 in individuals with neurofibromatosis type 1 (NF1)

Neurology

Gutmann, D.H. and Rasmussen, S.A. and Wolkenstein, P. and MacCollin, M.M. and Guha, A. and Inskip, P.D. and North, K.N. and Poyhonen, M. and Birch, P.H. and Friedman, J.M.

DOI: 10.1212/WNL.59.5.759

Vertebral scalloping in neurofibromatosis type 1: A quantitative approach

Canadian Journal of Surgery

Kwok, E.S.H. and Sawatzky, B. and Birch, P. and Friedman, J.M. and Tredwell, S.J.

Associations of clinical features in neurofibromatosis 1 (NF1)

Genetic Epidemiology

Szudek, J. and Birch, P. and Riccardi, V.M. and Evans, D.G. and Friedman, J.M.

DOI: 10.1002/1098-2272(200012)19:4u003C429::AID-GEPI13u003E3.0.CO;2-N

Growth in North American white children with neurofibromatosis 1 (NF1)

Journal of Medical Genetics

Szudek, J. and Birch, P. and Friedman, J.M. and Burke, W. and Bennett, R. and de Campos, J.M. and Korf, B. and Krause, W. and Uhas, K. and Niimura, M. and Inaba, Y. and North, K. and Ortenberg, J. and der Kaloustian, V. and Poyhonen, M. and Rubenstein, A. and Short, P. and Bove, K. and Stine, S. and Nicholson, L. and Tenconi, R. and Zackai, E. and Carey, J. and Viskochil, D. and Bochkov, N. and Schorry, E. and Tinschert, S. and Kelly, T. and Klein, J. and Piynick, E. and Colley, A. and Schulke, M. and Signorini, M. and Wolkenstein, P. and Danek, A.

DOI: 10.1136/jmg.37.12.933

Growth charts for young children with neurofibromatosis 1 (NF1) (multiple letters)

American Journal of Medical Genetics

Szudek, J. and Birch, P. and Friedman, J.M.

DOI: 10.1002/(SICI)1096-8628(20000529)92:3u003C224::AID-AJMG12u003E3.0.CO;2-J

Cardiovascular malformations and other cardiovascular abnormalities in neurofibromatosis 1

American Journal of Medical Genetics

Lin, A.E. and Birch, P.H. and Korf, B.R. and Tenconi, R. and Niimura, M. and Poyhonen, M. and Uhas, K.A. and Sigorini, M. and Virdis, R. and Romano, C. and Bonioli, E. and Wolkenstein, P. and Pivnick, E.K. and Lawrence, M. and Friedman, J.M.

DOI: 10.1002/1096-8628(20001113)95:2u003C108::AID-AJMG4u003E3.0.CO;2-0

Association of superficial plexiform and paraspinal neurofibromas in neurofibromatosis 1 (NF1)

Neurology

M. E. Baser and P. H. Birch and D. G. R. Evans and J. M. Friedman and J. H. Tonsgard

DOI: 10.1212/wnl.52.7.1517-d

04 / 1999

Association of superficial plexiform and paraspinal neurofibromas in neurofibromatosis 1 (NF1) [5] (multiple letters)

Neurology

Baser, M.E. and Birch, P.H. and Evans, D.G.R. and Friedman, J.M. and Tonsgard, J.H.

Descriptive analysis of tibial pseudarthrosis in patients with neurofibromatosis 1

American Journal of Medical Genetics

Stevenson, D.A. and Birch, P.H. and Friedman, J.M. and Viskochil, D.H. and Balestrazzi, P. and Boni, S. and Buske, A. and Korf, B.R. and Niimura, M. and Pivnick, E.K. and Schorry, E.K. and Short, M.P. and Tenconi, R. and Tonsgard, J.H. and Carey, J.C.

DOI: 10.1002/(SICI)1096-8628(19990611)84:5u003C413::AID-AJMG5u003E3.0.CO;2-1

An association between optic glioma and other tumours of the central nervous system in neurofibromatosis type 1

Neuropediatrics

Friedman, J.M. and Birch, P.

DOI: 10.1055/s-2007-973687

Type 1 neurofibromatosis: A descriptive analysis of the disorder in 1,728 patients

American Journal of Medical Genetics

Friedman, J.M. and Birch, P.H.

DOI: 10.1002/(SICI)1096-8628(19970516)70:2u003C138::AID-AJMG7u003E3.0.CO;2-U

Linkage analysis of X-linked cleft palate and ankyloglossia in Manitoba Mennonite and British Columbia Native kindreds

Human Genetics

Gorski, S.M. and Adams, K.J. and Birch, P.H. and Chodirker, B.N. and Greenberg, C.R. and Goodfellow, P.J.

DOI: 10.1007/BF00202859

Carbamazepine poisoning in children

Pediatric Emergency Care

Macnab, A.J. and Birch, P. and Macready, J.

DOI: 10.1097/00006565-199308000-00003

National Neurofibromatosis Foundation International Database

American Journal of Medical Genetics

Friedman, J.M. and Birch, P. and Greene, C. and Berry, S. and King, R. and Burke, W. and Bennett, R. and De Campos, J.M. and Huson, S. and Korf, B. and Krause, W. and Armfield, K. and Niimura, M. and Inaba, Y. and North, K. and Ortenberg, J. and Der Kaloustian, V. and Poyhonen, M. and Rubenstein, A.

DOI: 10.1002/ajmg.1320450121

The gene responsible for X-linked cleft palate (CPX) in a British Columbia native kindred is localized between PGK1 and DXYS1

American Journal of Human Genetics

Gorski, S M AND Adams, K J AND Birch, P H AND Friedman, J M AND Goodfellow, P J

The gene responsible for X-linked cleft palate (CPX) in a British Columbia native kindred is localized between PGKI and DXYSI

American Journal of Human Genetics

Gorski, S.M. and Adams, K.J. and Birch, P.H. and Friedman, J.M. and Goodfellow, P.J.

Current Projects

The Friedman Lab’s long-term neurofibromatosis (NF) research program works to improve understanding of the natural history of NF and the pathogenetic mechanisms underlying it. This includes studies of the cardiovascular and orthopedic complications, the clinical course of optic gliomas and other brain tumours, and other manifestations of the condition. Supporting quality of life, and providing optimal clinical care is an important issue for families with NF.

Several other research projects focus on patient-centred care. The first relates to health economics, particularly the out-of-pocket costs to families , and the non-medical societal costs of caring for children with intellectual disabilities. Surprisingly, these cost data did not previously exist in Canada and are poorly studied elsewhere in the world. We have developed, tested, and published an online tool to capture families’ and society’s costs of caring for children with developmental challenges and other conditions. In this way we can assess the impact of introducing new tests or treatments for these children.

Our lab’s involvement in genome-wide sequencing provides the opportunity to assess the best ways to support families’ decisions regarding genomic testing: We have developed DECIDE, an online, interactive educational tool and decision-aid designed to improve families’ understanding of issues surrounding genome-wide sequencing, and help support their choices. Use of such decision-aids has been shown to promote informed decisions that are consistent with the user’s values. We are studying the efficacy and acceptability of DECIDE for families’ genomic testing decisions. We are also measuring the outcomes for those who choose genomic testing, including psychological benefit or burden, the impact on quality of life, empowerment, and the ability to adapt and cope for parents and other family members.

Grants

2014-2015

Principal Applicant

“Diagnosing the Causes of Complex Intellectual Disability

a decision support tool for families

Rare Disease Foundation, $3,500

2013-2014

Principal Applicant

DECIDE-Genomics

2013-2015

Co-investigator

Assessing Shared Decision Making in Genetic Counselling of High-Risk Pregnancies

APOGEE/CanGene, $25,000. PI

J.M Friedman

Does Genome-Wide

Sequencing Result in Cost Savings to Healthcare, Families and Society?”

Rare Disease Foundation, $3,500.

2013-2014

Principal Applicant

Costs of Caring for Children with Rare Diseases

Rare Disease Foundation, $3,500

2015-2016

Principal Applicant

What is the prevalence and natural history of optic-and non-optic glioma in adults with neurofibromatosis 1 (NF1)?

Rare Disease Foundation, $3,500

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