Evidence map›Paper›PMID 27247957›Full record

ArticleMolecular genetics & genomic medicine2016

Carrier screening by next-generation sequencing: health benefits and cost effectiveness.

Mohammad Azimi, Kyle Schmaus, Valerie Greger, Dana Neitzel, Robert Rochelle, Tuan Dinh

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
5.4field-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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Review
  10. Clinical experience with carrier screening in a general population: support for a comprehensive pan-ethnic approach.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  11. Review
  12. Clinical impact and cost-effectiveness of a 176-condition expanded carrier screen.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  13. Population genomic screening of all young adults in a health-care system: a cost-effectiveness analysis.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  14. Article
  15. Article
  16. Article
  17. Systematic design and comparison of expanded carrier screening panels.Genetics in medicine : official journal of the American College of Medical Genetics · 2018
    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

6 authors at 2 institutions in 1 country.

Mohammad AzimiEvidera 450 Sansome Street Suite 650 San Francisco CA.
Kyle SchmausEvidera 450 Sansome Street Suite 650 San Francisco CA.
Valerie GregerGood Start Genetics, Inc. 237 Putnam Ave. Cambridge MA.
Dana NeitzelGood Start Genetics, Inc. 237 Putnam Ave. Cambridge MA.
Robert RochelleGood Start Genetics, Inc. 237 Putnam Ave. Cambridge MA.
Tuan DinhEvidera 450 Sansome Street Suite 650 San Francisco CA.
Healthy Start · USIthaka Harbors · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared with conventional genotyping, which typically tests for a limited number of mutations, next-generation DNA sequencing (NGS) provides increased accuracy for carrier screening. The objective of this study was to evaluate the cost effectiveness of carrier screening using NGS versus genotyping for 14 of the recessive disorders for which medical society guidelines recommend screening.

methodsData from published literature, population surveys, and expert opinion were used to develop a decision tree model capturing decisions and outcomes related to carrier screening and reproductive health.

resultsModeling a population of 1,000,000 couples that was representative of the United States population and that contained 83,421 carriers of pathogenic mutations, carrier screening using NGS averted 21 additional affected births as compared with genotyping, and reduced costs by approximately $13 million. As compared with no screening, NGS carrier screening averted 223 additional affected births. The results are sensitive to assumptions regarding mutation detection rates and carrier frequencies in multiethnic populations.

conclusionThis study demonstrated that NGS-based carrier screening offers the greater benefit in clinical outcomes and lower total healthcare cost as compared with genotyping.

Indexed as

Carrier screeningcost effectivenessgenotypingnext‐generation sequencing

Identifiers

PMID27247957
PMCPMC4867563
OpenAlexW2262795293

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.