Evidence map›Paper›PMID 27287197›Full record

ArticleOrphanet journal of rare diseases2016

The rare and undiagnosed diseases diagnostic service - application of massively parallel sequencing in a state-wide clinical service.

Gareth Baynam, Nicholas Pachter, Fiona McKenzie, Sharon Townshend, Jennie Slee, Cathy Kiraly-Borri, Anand Vasudevan, Anne Hawkins, Stephanie Broley, Lyn Schofield and 15 more

Abstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–field-weighted citation impact
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

33 citing papers in PubMed.

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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

25 authors.

Gareth BaynamGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia. Gareth.baynam@health.wa.gov.au.
Nicholas PachterGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Fiona McKenzieGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Sharon TownshendGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Jennie SleeGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Cathy Kiraly-BorriGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Anand VasudevanGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Anne HawkinsGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Stephanie BroleyGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Lyn SchofieldGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.
Hedwig VerhoefSchool of Spatial Sciences, Curtin University, Perth, WA, Australia.
Caroline E WalkerOffice of Population Health Genomics, Public Health Division, Department of Health, Government of Western Australia, Perth, WA, Australia.
Caron MolsterOffice of Population Health Genomics, Public Health Division, Department of Health, Government of Western Australia, Perth, WA, Australia.
Jenefer M BlackwellTelethon Kids Institute, University of Western Australia, Perth, WA, Australia.
Sarra JamiesonTelethon Kids Institute, University of Western Australia, Perth, WA, Australia.
Dave TangTelethon Kids Institute, University of Western Australia, Perth, WA, Australia.
Timo LassmannTelethon Kids Institute, University of Western Australia, Perth, WA, Australia.
Kym MinaDiagnostic Genomics, PathWest, Department of Health, Government of Western Australia, Perth, WA, Australia.
John BeilbyDiagnostic Genomics, PathWest, Department of Health, Government of Western Australia, Perth, WA, Australia.
Mark DavisDiagnostic Genomics, PathWest, Department of Health, Government of Western Australia, Perth, WA, Australia.
Nigel LaingDiagnostic Genomics, PathWest, Department of Health, Government of Western Australia, Perth, WA, Australia.
Lesley MurphyCentre for Comparative Genomics, Murdoch University, Perth, WA, Australia.
Tarun WeeramanthriPublic Health Division, Department of Health, Government of Western Australia, Perth, WA, Australia.
Hugh DawkinsOffice of Population Health Genomics, Public Health Division, Department of Health, Government of Western Australia, Perth, WA, Australia.
Jack GoldblattGenetic Services of Western Australia, Department of Health, Government of Western Australia, Perth, WA, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Rare and Undiagnosed Diseases Diagnostic Service (RUDDS) refers to a genomic diagnostic platform operating within the Western Australian Government clinical services delivered through Genetic Services of Western Australia (GSWA). GSWA has provided a state-wide service for clinical genetic care for 28 years and it serves a population of 2.5 million people across a geographical area of 2.5milion Km(2). Within this context, GSWA has established a clinically integrated genomic diagnostic platform in partnership with other public health system managers and service providers, including but not limited to the Office of Population Health Genomics, Diagnostic Genomics (PathWest Laboratories) and with executive level support from the Department of Health. Herein we describe report presents the components of this service that are most relevant to the heterogeneity of paediatric clinical genetic care.

resultsBriefly the platform : i) offers multiple options including non-genetic testing; monogenic and genomic (targeted in silico filtered and whole exome) analysis; and matchmaking; ii) is delivered in a patient-centric manner that is resonant with the patient journey, it has multiple points for entry, exit and re-entry to allow people access to information they can use, when they want to receive it; iii) is synchronous with precision phenotyping methods; iv) captures new knowledge, including multiple expert review; v) is integrated with current translational genomic research activities and best practice; and vi) is designed for flexibility for interactive generation of, and integration with, clinical research for diagnostics, community engagement, policy and models of care.

conclusionThe RUDDS has been established as part of routine clinical genetic services and is thus sustainable, equitably managed and seeks to translate new knowledge into efficient diagnostics and improved health for the whole community.

Indexed as

Diagnostic ServicesAustraliaDelivery of Health CareGenomicsHigh-Throughput Nucleotide SequencingHumansRare DiseasesClinical best practiceDiagnosisDiagnostic odysseyGenomicsPolicyPrecision public healthUndiagnosed

Identifiers

PMID27287197
PMCPMC4902909

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.