Evidence map›Paper›PMID 26833040›Full record

ArticleMaternal and child health journal2016

Evaluating Harms in the Assessment of Net Benefit: A Framework for Newborn Screening Condition Review.

Aaron J Goldenberg, Anne Marie Comeau, Scott D Grosse, Susan Tanksley, Lisa A Prosser, Jelili Ojodu, Jeffrey R Botkin, Alex R Kemper, Nancy S Green

Abstract read
In one paragraph

Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Screening for reducing morbidity and mortality in malignant melanoma.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. A framework for evaluating long-term impact of newborn screening.European journal of human genetics : EJHG · 2024
    Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Scaling genetic resources: New paradigms for diagnosis and treatment of rare genetic disease.American journal of medical genetics. Part C, Seminars in medical genetics · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. "EClinicalMedicine · 2021
    Article
  20. Review
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

9 authors at 9 institutions in 1 country.

Aaron J GoldenbergDepartment of Bioethics, Case Western Reserve University, School of Medicine, 10900 Euclid Avenue, Cleveland, OH, 44106-4976, USA.
Anne Marie ComeauNew England Newborn Screening Program, University of Massachusetts Medical School, 305 South St., Jamaica Plain, MA, 02130, USA.
Scott D GrosseNational Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 4770 Buford Highway, Atlanta, GA, 30341, USA.
Susan TanksleyLaboratory Services Section, Newborn Screening Laboratory, Texas Department of State Health Services, PO Box 149347, MC 1947, Austin, TX, 78714-9347, USA.
Lisa A ProsserCHEAR Unit, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, 48109, USA.
Jelili OjoduAssociation of Public Health Laboratories, 8515 Georgia Avenue, Suite 700, Silver Spring, MD, 20910, USA.
Jeffrey R BotkinDepartment of Pediatrics, University of Utah, 75 South 2000 East #108, Salt Lake City, UT, 84112-8930, USA.
Alex R KemperDepartment of Pediatrics, Duke University/Duke Clinical Research Institute, 2400 Pratt Street Rm 0311, Terrace Level, NP, Durham, NC, 27705, USA.
Nancy S GreenDepartment of Pediatrics, Columbia University Medical Center, 630 West 168 St, Black Building 2-241, Box 168, New York, NY, 10032, USA. nsg11@columbia.edu.
Association of Public Health Laboratories · USClinical Research Institute · USColumbia University Irving Medical Center · USNational Center on Birth Defects and Developmental Disabilities · USTexas Department of State Health Services · USUniversity of Massachusetts Chan Medical School · USUniversity of Michigan–Ann Arbor · USUniversity of Utah · USUniversity School · US

Funding

UCEER: Utah Center for Excellence in ELSI Research P20P20HG007249 · NHGRI · UNIVERSITY OF UTAH · PI BOTKIN, JEFFREY R. · 2013 to 2015
$777k
Intramural CDC HHS CC999999NHGRI NIH HHS P20 HG007249
6 · The paper itself

Abstract

backgroundThe Department of Health and Human Services (HHS) Advisory Committee on Heritable Disorders in Newborns and Children ("Advisory Committee") makes recommendations to the HHS Secretary regarding addition of new conditions to the national Recommended Uniform Screening Panel for newborns. The Advisory Committee's decision-making process includes assessing the net benefit of screening for nominated conditions, informed by systematic evidence reviews generated by an independent Condition Review Workgroup. The evidence base regarding harms associated with screening for specific conditions is often more limited than that for benefits. PROCEDURES: The process for defining potential harms from newborn screening reviewed the frameworks from other public health evidence-based review processes, adapted to newborn screening by experts in systematic review, newborn screening programs and bioethics, with input from and approval by the Advisory Committee. MAIN

findingsTo support the Advisory Committee's review of nominated conditions, the Workgroup has developed a standardized approach to evaluation of harms and relevant gaps in the evidence. Types of harms include the physical burden to infants; psychosocial and logistic burdens to families from screening or diagnostic evaluation; increased risk of medical treatment for infants diagnosed earlier than children with clinical presentation; delayed diagnosis from false negative results; psychosocial harm from false positive results; uncertainty of clinical diagnosis, age of onset or clinical spectrum; and disparities in access to diagnosis or therapy.

conclusionsEstimating the numbers of children at risk, the magnitude, timing and likelihood of harms will be integrated into Workgroup reports to the Advisory Committee.

Indexed as

Advisory CommitteesMass ScreeningProgram EvaluationDecision MakingEvidence-Based MedicineFemaleHumansInfantInfant, NewbornNational Health ProgramsNeonatal ScreeningBurdensFalse positiveHarmsNet benefitNewborn screening

Identifiers

PMID26833040
PMCPMC4819963
OpenAlexW2269531592

What OpenQuestion holds

Textmetadata
LicenceTDM
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.