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What is the standard trade-off when using broader multi-gene panels?

Increased diagnostic yield, but higher likelihood of incidental findings and result complexity.

Testing broader multi-gene panels increases the chance to find a genetic cause when many genes could be involved, which raises diagnostic yield. However, this breadth also brings more incidental findings—discoveries in genes unrelated to the patient’s current concern—and more result complexity, such as variants of uncertain significance that require careful interpretation and possibly follow-up over time. Because of these factors, upfront counseling and clear discussion about what might be found, including preferences for disclosure of incidental findings, are essential. The other statements conflict with these realities: broader panels do not eliminate incidental findings or complexity, results are not always crystal clear, and counseling remains important.

They provide no incidental findings or complexity.

They always yield clear results with no uncertainty.

They eliminate the need for counseling.

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