Evidence map›Paper›PMID 26963283›Full record

ReviewGenetics in medicine : official journal of the American College of Medical Genetics2016

Towards a more representative morphology: clinical and ethical considerations for including diverse populations in diagnostic genetic atlases.

Maya Koretzky, Vence L Bonham, Benjamin E Berkman, Paul Kruszka, Adebowale Adeyemo, Maximilian Muenke, Sara Chandros Hull

Open access · hybridAbstract readReview
In one paragraph

Review in Genetics in medicine : official journal of the American College of Medical Genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Williams-Beuren syndrome in diverse populations.American journal of medical genetics. Part A · 2018
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Privacy, bias and the clinical use of facial recognition technology: A survey of genetics professionals.American journal of medical genetics. Part C, Seminars in medical genetics · 2023
    Article
  9. Role of genomic medicine and implementing equitable access for critically ill infants in neonatal intensive care units.Journal of perinatology : official journal of the California Perinatal Association · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Review
  16. Love in the time of COVID-19.American journal of medical genetics. Part A · 2020
    Article
  17. Review
  18. Medical genetics and genomic medicine in Nigeria.Molecular genetics & genomic medicine · 2018
    Article
  19. Article
  20. An electronic atlas of human malformation syndromes in diverse populations.Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    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

7 authors at 2 institutions in 1 country.

Maya KoretzkyDepartment of Bioethics, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.
Vence L BonhamSocial and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Benjamin E BerkmanDepartment of Bioethics, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0002-9098-0799
Paul KruszkaMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Adebowale AdeyemoCenter for Research on Genomics and Global Health, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0002-3105-3231
Maximilian MuenkeMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.
Sara Chandros HullDepartment of Bioethics, Clinical Center, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0001-8742-4997
National Institutes of Health · USNational Institutes of Health Clinical Center · US

Funding

NHGRI/DIR Bioethics CoreZIDHG200347 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BERKMAN, BENJAMIN · 2010 to 2025
$15.5M
Understanding the Relationships between Race, Ethnicity, Ancestry and GenomicsZIAHG200324 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BONHAM, VENCE L · 2009 to 2025
$3.5M
Intramural NIH HHS Z99 HG999999
6 · The paper itself

Abstract

An important gap exists in textbooks (or atlases) of dysmorphology used by health-care professionals to help diagnose genetic syndromes. The lack of varied phenotypic images in available atlases limits the utility of these atlases as diagnostic tools in globally diverse populations, causing geneticists difficulty in diagnosing conditions in individuals of different ancestral backgrounds who may present with variable morphological features. Proposals to address the underinclusion of images from diverse populations in existing atlases can take advantage of the Internet and digital photography to create new resources that take into account the broad global diversity of populations affected by genetic disease. Creating atlases that are more representative of the global population will expand resources available to care for diverse patients with these conditions, many of whom have been historically underserved by the medical system. However, such projects also raise ethical questions that are grounded in the complex intersection of imagery, medicine, history, and race and ethnicity. We consider here the benefits of producing such a resource while also considering ethical and practical concerns, and we offer recommendations for the ethical creation, structure, equitable use, and maintenance of a diverse morphological atlas for clinical diagnosis.Genet Med 18 11, 1069-1074.

Indexed as

Education, MedicalScientific MisconductGenetic Diseases, InbornHumansInternetPublishing

Identifiers

PMID26963283
PMCPMC5018238
OpenAlexW2296725385

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.