Evidence map›Paper›PMID 24668299›Full record

ArticleJournal of clinical immunology2014

Screening of neonatal UK dried blood spots using a duplex TREC screening assay.

Stuart P Adams, Samina Rashid, Tharindu Premachandra, Katie Harvey, Adeboye Ifederu, Melanie C Wilson, H Bobby Gaspar

Abstract read
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In one paragraph

Article in Journal of clinical immunology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
3.5field-weighted citation impact, top 7% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  12. Neonatal abstinence syndrome is a potential cause of low TREC copy number.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2021
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  13. Article
  14. Evaluation of newborn screening for severe combined immunodeficiency (SCID).The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
    Article
  15. Newborn Screening for SCID. Experience in Spain (Catalonia).International journal of neonatal screening · 2021
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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

7 authors at 2 institutions in 1 country.

Stuart P AdamsHaematology, Cellular and Molecular Diagnostic Service, Great Ormond Street Hospital for Children, London, UK, stuart.adams@ucl.ac.uk.
Samina Rashid
Tharindu Premachandra
Katie Harvey
Adeboye Ifederu
Melanie C Wilson
H Bobby Gaspar
University College London · GBGreat Ormond Street Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSevere Combined Immunodeficiency (SCID) is considered to be a paediatric emergency and unless identified promptly can be life-threatening. Frequently, infants are not diagnosed with SCID until they have become seriously ill with infection leading to treatment complications and a poorer prognosis. We aimed to test a newly available commercial duplex assay to measure T cell receptor excision circles (TRECs) to establish if this would be suitable for newborn screening for SCID in the UK.

methodsOver 5000 anonymous retrospective dried blood spots (DBS) were used alongside 18 confirmed SCID positive DBS with a newly available duplex assay to measure TRECs levels and control gene levels. We also included testing of premature babies and babies from neonatal intensive care units (NICU) as these have been shown to have high false positive rates in other TREC screening assays.

resultsAll 18 SCID DBS samples were successfully identified as SCID positives in the study. The number of presumptive positives detected was dependent on the TREC cut-off threshold settings. When analysed with five different TRECs cut-off values (20, 25, 30, 35 and 40 TREC copies/μl blood) the presumptive positive rate ranged from 0.04 to 1.00 % of samples tested. Premature infants and neonates from NICU did not show high presumed false positive rates in this assay.

conclusionsThe study demonstrated that this duplex assay kit will identify all newborns with SCID as presumptive positives. The data also shows that with suitable TREC cut-off settings the number of presumptive positives from non-SCID newborns will be manageable in the context of a national screening service.

Indexed as

AlgorithmsChild, PreschoolGenetic TestingGestational AgeHumansInfantInfant, NewbornNeonatal ScreeningReagent Kits, DiagnosticReproducibility of ResultsSensitivity and SpecificitySevere Combined ImmunodeficiencyReagent Kits, Diagnostic

Identifiers

PMID24668299
OpenAlexW2004568292

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.