Evidence map›Paper›PMID 22975760›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2013

An empirical estimate of carrier frequencies for 400+ causal Mendelian variants: results from an ethnically diverse clinical sample of 23,453 individuals.

Gabriel A Lazarin, Imran S Haque, Shivani Nazareth, Kevin Iori, A Scott Patterson, Jessica L Jacobson, John R Marshall, William K Seltzer, Pasquale Patrizio, Eric A Evans and 1 more

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

124 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  4. The clinical utility of carrier screening.NPJ genomic medicine · 2026
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64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Gabriel A LazarinDepartment of Genetics, Counsyl, South San Francisco, California, USA.
Imran S Haque
Shivani Nazareth
Kevin Iori
A Scott Patterson
Jessica L Jacobson
John R Marshall
William K Seltzer
Pasquale Patrizio
Eric A Evans
Balaji S Srinivasan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecent developments in genomics have led to expanded carrier screening panels capable of assessing hundreds of causal mutations for genetic disease. This new technology enables simultaneous measurement of carrier frequencies for many diseases. As the resultant rank-ordering of carrier frequencies impacts the design and prioritization of screening programs, the accuracy of this ranking is a public health concern.

methodsA total of 23,453 individuals from many obstetric, genetics, and infertility clinics were referred for routine recessive disease carrier screening. Multiplex carrier screening was performed and results were aggregated for this study.

resultsTwenty-four percent of individuals were identified as carriers for at least one of 108 disorders, and 5.2% were carriers for multiple disorders. We report tabulations of carrier frequency by self-identified ethnicity and disease.

conclusionTo our knowledge, this study of a large, ethnically diverse clinical sample provides the most accurate measurements to date of carrier frequencies for hundreds of recessive alleles. The study also yields information on the clinical considerations associated with routine use of expanded panels and provides support for a pan-ethnic screening paradigm that minimizes the use of "racial" categories by the physician, as recommended by recent guidelines.

Indexed as

Genetic Carrier ScreeningHeterozygoteAdolescentAdultEthnicityFemaleGene FrequencyGenetic Diseases, InbornHumansMaleMiddle AgedYoung Adult

Identifiers

PMID22975760
PMCPMC3908551

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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.