Evidence map›Paper›PMID 27362341›Full record

ReviewAnnual review of genomics and human genetics2016

Defining the Clinical Value of a Genomic Diagnosis in the Era of Next-Generation Sequencing.

Natasha T Strande, Jonathan S Berg

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Annual review of genomics and human genetics, 2016. 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 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
7.2field-weighted citation impact, top 3% 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

33 citing papers in PubMed, 70 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Opportunistic genomic screening has clinical utility: An interventional cohort study.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Genetic Testing of Movements Disorders: A Review of Clinical Utility.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Review
  12. Article
  13. UGRP1-modulated MARCOImmunity & ageing : I & A · 2023
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. The diagnostic utility of genome sequencing in a pediatric cohort with suspected mitochondrial disease.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  19. 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
  20. Parents' perceptions of personal utility of exome sequencing results.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    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

2 authors at 1 institution in 1 country.

Natasha T StrandeDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599; email: strande@email.unc.edu , jonathan_berg@med.unc.edu.
Jonathan S BergDepartment of Genetics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599; email: strande@email.unc.edu , jonathan_berg@med.unc.edu.
University of North Carolina at Chapel Hill · US

Funding

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
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
NHGRI NIH HHS U01 HG006487NHGRI NIH HHS U01 HG007437NICHD NIH HHS U19 HD077632
6 · The paper itself

Abstract

As with all fields of medicine, the first step toward medical management of genetic disorders is obtaining an accurate diagnosis, which often requires testing at the molecular level. Unfortunately, given the large number of genetic conditions without a specific intervention, only rarely does a genetic diagnosis alter patient management-which raises the question, what is the added value of obtaining a molecular diagnosis? Given the fast-paced advancement of genomic technologies, this is an important question to address in the context of genome-scale testing. Here, we address the value of establishing a diagnosis using genome-scale testing and highlight the benefits and drawbacks of such testing. We also review and compare recent major studies implementing genome-scale sequencing methods to identify a molecular diagnosis in cohorts manifesting a broad range of Mendelian monogenic disorders. Finally, we discuss potential future applications of genomic sequencing, such as screening for rare conditions.

Indexed as

Genetic TestingGenetic Diseases, InbornGenetic Predisposition to DiseaseGenome, HumanHigh-Throughput Nucleotide SequencingHumansSequence Analysis, DNAclinical diagnosticsgenomic medicinemonogenic disordersnext-generation sequencingwhole-exome sequencingwhole-genome sequencing

Identifiers

PMID27362341
PMCPMC7251520
OpenAlexW2288028614

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.