Evidence map›Paper›PMID 25910913›Full record

ArticleAmerican journal of ophthalmology2015

High Diagnostic Yield of Whole Exome Sequencing in Participants With Retinal Dystrophies in a Clinical Ophthalmology Setting.

Kristy Lee, Jonathan S Berg, Laura Milko, Kristy Crooks, Mei Lu, Chris Bizon, Phillips Owen, Kirk C Wilhelmsen, Karen E Weck, James P Evans and 1 more

Registry-linked trialAbstract readEvaluation Study
In one paragraph

Article in American journal of ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03548779 (North Carolina Genomic Evaluation by Next-generation Exome Sequencing, 2), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 19% 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.

NCT03548779 nacompletednot on this mapstarted 2018, after this paper: background citation

North Carolina Genomic Evaluation by Next-generation Exome Sequencing, 2

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2018 to 2024Enrolled548ConditionsEpilepsy, Seizure, Neuromuscular Diseases, Brain MalformationArmsPre-visit prep, usual care + exome seq
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. A systematic literature review of disclosure practices and reported outcomes for medically actionable genomic secondary findings.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Noncoding mutation inMolecular vision · 2021
    Article
  9. Updating the Genetic Landscape of Inherited Retinal Dystrophies.Frontiers in cell and developmental biology · 2021
    Article
  10. Article
  11. An approach to integrating exome sequencing for fetal structural anomalies into clinical practice.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  12. Expanding the phenotypic spectrum in RDH12-associated retinal disease.Cold Spring Harbor molecular case studies · 2020
    Article
  13. Article
  14. Article
  15. Mapping the genomic landscape of inherited retinal disease genes prioritizes genes prone to coding and noncoding copy-number variations.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    Article
  16. Article
  17. Review
  18. Article
  19. 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

11 authors at 1 institution in 1 country.

Kristy LeeDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: kristy_lee@med.unc.edu.
Jonathan S BergDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Laura MilkoDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kristy CrooksDepartment of Pathology & Laboratory Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Mei LuDepartment of Pathology & Laboratory Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Chris BizonThe Renaissance Computing Institute, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Phillips OwenThe Renaissance Computing Institute, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Kirk C WilhelmsenDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; The Renaissance Computing Institute, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Karen E WeckDepartment of Pathology & Laboratory Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
James P EvansDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Seema GargDepartment of Ophthalmology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
University of North Carolina at Chapel Hill · US

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
North Carolina Clinical Genomic Evaluation by Next-gen Exome Sequencing 2U01HG006487 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S, POWELL, BRADFORD C. · 2012 to 2021
$22.7M
Wilmer Core Grant for Vision ResearchP30EY001765 · NEI · JOHNS HOPKINS UNIVERSITY · PI Jiang Qian · 1985 to 2026
$22.1M
Deep sequencing studies for cannabis and stimulant dependenceR01DA030976 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EHLERS, CINDY L, GELERNTER, JOEL · 2010 to 2014
$16.5M
A Knowledge Base for Clinically Relevant Genes and VariantsU01HG007437 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S, EVANS, JAMES PHILIP · 2013 to 2016
$9.0M
NC NEXUS, North Carolina Newborn Exome Sequencing for Universal ScreeningU19HD077632 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S, POWELL, CYNTHIA MARION · 2013 to 2018
$6.3M
NCRR NIH HHS 5UL1-RR025747-03NCRR NIH HHS UL1 RR025747NEI NIH HHS EY01765NHGRI NIH HHS 1U01-HG006487-01NHGRI NIH HHS 1U01HG006487-01NHGRI NIH HHS 1U01-HG007437-01NHGRI NIH HHS 1U01HG007437-01NHGRI NIH HHS 5U01HG006487-02NHGRI NIH HHS U01 HG006487NHGRI NIH HHS U01 HG007437NICHD NIH HHS 1U19-HD077632-01NICHD NIH HHS 1U19HD077632-01NICHD NIH HHS U19 HD077632NIDA NIH HHS 1R01-DA030976-01NIDA NIH HHS 5R01DA030976-04NIDA NIH HHS R01 DA030976
6 · The paper itself

Abstract

purposeTo assess the diagnostic yield and the practicality of implementing whole exome sequencing within a clinical ophthalmology setting.

designEvaluation of a diagnostic protocol.

methodssetting: Patient participants were enrolled during clinical appointments in a university-based ophthalmic genetics clinic. PATIENT POPULATION: Twenty-six patients with a variety of presumed hereditary retinal dystrophies.

interventionParticipants were offered whole exome sequencing in addition to clinically available sequencing gene panels between July 2012 and January 2013 to determine the molecular etiology of their retinal dystrophy.

main outcome measuresDiagnostic yield and acceptability of whole exome sequencing in patients with retinal disorders.

resultsTwenty-six of 29 eligible patients (∼90%) who were approached opted to undergo molecular testing. Each participant chose whole exome sequencing in addition to, or in lieu of, clinically available sequencing gene panels. Time to obtain informed consent was manageable in the clinical context. Whole exome sequencing successfully identified known pathogenic mutations or suspected deleterious variants in 57.7% of participants. Additionally, 1 participant had 2 autosomal dominant medically actionable incidental findings (unrelated to retinopathy) that were reported to enable the participant to take preventive action and reduce risk for future disease.

conclusionsIn this study, we identified the molecular etiology for more than half of all participants. Additionally, we found that participants were widely accepting of whole exome sequencing and the possibility of being informed about medically actionable incidental findings.

Indexed as

Genetic Predisposition to DiseaseMutationAdolescentAdultAgedChildDNAExomeFemaleHumansMaleMiddle AgedOphthalmologyPedigreeRetinal DystrophiesSequence Analysis, DNADNA

Identifiers

PMID25910913
PMCPMC4506879
OpenAlexW2119845149

What OpenQuestion holds

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Registered trials

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.