Evidence map›Paper›PMID 22142442›Full record

ArticleJournal of intellectual disability research : JIDR2012

Caregiver and adult patient perspectives on the importance of a diagnosis of 22q11.2 deletion syndrome.

G Costain, E W C Chow, P N Ray, A S Bassett

Open access · greenAbstract read
In one paragraph

Article in Journal of intellectual disability research : JIDR, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Genetics of Childhood-onset Schizophrenia 2019 Update.Child and adolescent psychiatric clinics of North America · 2020
    Review
  9. Article
  10. Elucidating the diagnostic odyssey of 22q11.2 deletion syndrome.American journal of medical genetics. Part A · 2018
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Practical guidelines for managing adults with 22q11.2 deletion syndrome.Genetics in medicine : official journal of the American College of Medical Genetics · 2015
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

G CostainClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
E W C Chow
P N Ray
A S Bassett
University of Toronto · CAHospital for Sick Children · CA

Funding

CIHR 38099-1CIHR MOP-89066CIHR MOP-97800
6 · The paper itself

Abstract

backgroundRecent advances in genetics are particularly relevant in the field of intellectual disability (ID), where sub-microscopic deletions or duplications of genetic material are increasingly implicated as known or suspected causal factors. Data-driven reports on the impact of providing an aetiological explanation in ID are needed to help justify widespread use of new and expensive genetic technologies.

methodsWe conducted a survey of caregivers on the value of a genetic/aetiologic diagnosis of 22q11.2 deletion syndrome (22q11.2DS), the most common microdeletion syndrome in ID. We also surveyed the opinion of a high-functioning subset of adults with 22q11.2DS themselves. We used standard quantitative and qualitative methods to analyse the responses.

resultsIn total, 73 of 118 surveys were returned (61.9%). There was convergence of quantitative and qualitative results, and consistency between adult patient and caregiver responses. A definitive molecular diagnosis of 22q11.2DS was a critical event with diverse positive repercussions, even if occurring later in life. Frequently cited benefits included greater understanding and certainty, newfound sense of purpose and a platform for advocacy, and increased opportunities to optimise medical, social and educational needs.

conclusionsThis is the first study to characterise the impact of a diagnosis of this representative microdeletion syndrome on adult patients and their families. The results both validate and expand on the theoretical benefits proposed by clinicians and researchers. The use of genome-wide microarray technologies will provide an increasing number of molecular diagnoses. The importance of a diagnosis of 22q11.2DS demonstrated here therefore has implications for changing attitudes about molecular genetic diagnosis that could benefit individuals with ID of currently unknown cause and their families.

Indexed as

Genetic TestingIntellectual DisabilityAdultAttitude to HealthCanadaCaregiversData CollectionDiGeorge SyndromeFemaleGenome-Wide Association StudyHumansMaleMiddle AgedPatientsYoung Adult

Identifiers

PMID22142442
PMCPMC4459829
OpenAlexW1955152225

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.