Evidence map›Paper›PMID 27432187›Full record

ArticleBritish journal of haematology2016

A novel 33-Gene targeted resequencing panel provides accurate, clinical-grade diagnosis and improves patient management for rare inherited anaemias.

Noémi B A Roy, Edward A Wilson, Shirley Henderson, Katherine Wray, Christian Babbs, Steven Okoli, Wale Atoyebi, Avery Mixon, Mary R Cahill, Peter Carey and 18 more

Abstract read
In one paragraph

Article in British journal of haematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–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

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Article
  4. Molecular surprises in evaluations of red cell disorders.Hematology. American Society of Hematology. Education Program · 2025
    Review
  5. Review
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  14. Article
  15. Ablation ofInternational journal of molecular sciences · 2022
    Article
  16. Article
  17. Diagnosis and clinical management of enzymopathies.Hematology. American Society of Hematology. Education Program · 2021
    Article
  18. Article
  19. Article
  20. 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

28 authors.

Noémi B A RoyBRC Blood Theme and BRC/NHS Translational Molecular Diagnostics Centre, John Radcliffe Hospital, Oxford, UK.
Edward A WilsonBRC Blood Theme and BRC/NHS Translational Molecular Diagnostics Centre, John Radcliffe Hospital, Oxford, UK.
Shirley HendersonBRC Blood Theme and BRC/NHS Translational Molecular Diagnostics Centre, John Radcliffe Hospital, Oxford, UK.
Katherine WrayMolecular Haematology Unit, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, UK.
Christian BabbsMolecular Haematology Unit, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, UK.
Steven OkoliMolecular Haematology Unit, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, UK.
Wale AtoyebiDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Churchill Hospital, Oxford, UK.
Avery MixonDivision of Pediatric Hematology/Oncology, Children's Hospital at Erlanger, Chattanooga, TN, USA.
Mary R CahillDepartment of Haematology, Cork University Hospital, Cork, Ireland.
Peter CareyDepartment of Haematology, The Royal Victoria Infirmary, Newcastle-upon-Tyne, UK.
Jonathan CullisDepartment of Haematology, Salisbury NHS Foundation Trust, Salisbury, UK.
Julie CurtinDepartment of Haematology, Sydney Children's Hospitals Network, Westmead, Australia.
Helene DreauBRC Blood Theme and BRC/NHS Translational Molecular Diagnostics Centre, John Radcliffe Hospital, Oxford, UK.
David J P FergusonNuffield Department of Clinical Laboratory Sciences, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Brenda GibsonDepartment of Paediatric Haematology/Oncology, Royal Hospital for Children, Glasgow, UK.
Georgina HallPaediatric Haematology/Oncology Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.
Joanne MasonBRC Blood Theme and BRC/NHS Translational Molecular Diagnostics Centre, John Radcliffe Hospital, Oxford, UK.
Mary MorganDepartment of Paediatric Haematology-Oncology, University Hospital Southampton, Southampton, UK.
Melanie ProvenBRC Blood Theme and BRC/NHS Translational Molecular Diagnostics Centre, John Radcliffe Hospital, Oxford, UK.
Amrana QureshiPaediatric Haematology/Oncology Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK.
Joaquin Sanchez GarciaLaboratorio Diagnóstico UGC de Hematología Hospital Universitario Reina Sofía, Córdoba, Spain.
Nongnuch SirachainanDivision of Haemato-Oncology, Department of Paediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Juliana TeoDepartment of Haematology, Sydney Children's Hospitals Network, Westmead, Australia.
Ulf TedgårdDepartment of Paediatrics, Skåne University Hospital, Lund, Sweden.
Doug HiggsMolecular Haematology Unit, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, UK.
David RobertsNHS Blood and Transplant, NHSBT - John Radcliffe Hospital, Level 2, Oxford, UK.
Irene RobertsMolecular Haematology Unit, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, UK. Irene.roberts@paediatrics.ox.ac.uk.
Anna SchuhBRC Blood Theme and BRC/NHS Translational Molecular Diagnostics Centre, John Radcliffe Hospital, Oxford, UK. anna.schuh@oncology.ox.ac.uk.

Funding

Medical Research Council MC_U137961145Medical Research Council MC_UU_12009/1
6 · The paper itself

Abstract

Accurate diagnosis of rare inherited anaemias is challenging, requiring a series of complex and expensive laboratory tests. Targeted next-generation-sequencing (NGS) has been used to investigate these disorders, but the selection of genes on individual panels has been narrow and the validation strategies used have fallen short of the standards required for clinical use. Clinical-grade validation of negative results requires the test to distinguish between lack of adequate sequencing reads at the locations of known mutations and a real absence of mutations. To achieve a clinically-reliable diagnostic test and minimize false-negative results we developed an open-source tool (CoverMi) to accurately determine base-coverage and the 'discoverability' of known mutations for every sample. We validated our 33-gene panel using Sanger sequencing and microarray. Our panel demonstrated 100% specificity and 99·7% sensitivity. We then analysed 57 clinical samples: molecular diagnoses were made in 22/57 (38·6%), corresponding to 32 mutations of which 16 were new. In all cases, accurate molecular diagnosis had a positive impact on clinical management. Using a validated NGS-based platform for routine molecular diagnosis of previously undiagnosed congenital anaemias is feasible in a clinical diagnostic setting, improves precise diagnosis and enhances management and counselling of the patient and their family.

Indexed as

Genetic Predisposition to DiseaseGenetic TestingAnemiaComputational BiologyDisease ManagementGenetic Association StudiesHigh-Throughput Nucleotide SequencingHumansInfantMaleMutationPolymorphism, Single NucleotideRare DiseasesReproducibility of ResultsWorkflowcongenital dyserythropoietic anaemiainherited anaemiamolecular geneticsnext-generation sequencingpyruvate kinase deficiency

Identifiers

PMID27432187
PMCPMC5132128

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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.