Evidence map›Paper›PMID 29179688›Full record

ArticleBMC genetics2017

Evaluating genetic ancestry and self-reported ethnicity in the context of carrier screening.

Roman Shraga, Sarah Yarnall, Sonya Elango, Arun Manoharan, Sally Ann Rodriguez, Sara L Bristow, Neha Kumar, Mohammad Niknazar, David Hoffman, Shahin Ghadir and 5 more

Open access · diamondAbstract read
In one paragraph

Article in BMC genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.6field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Guideline
  2. Article
  3. The clinical utility of carrier screening.NPJ genomic medicine · 2026
    Article
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  5. Article
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  8. Review
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  15. Review
  16. Neurology · 2022
    Observational
  17. 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

15 authors at 8 institutions in 1 country.

Roman ShragaPhosphorus, Inc, 25 West 26th St, New York, NY, 10010, USA.
Sarah YarnallCooperGenomics, Livingston, NJ, USA.
Sonya ElangoSarah Lawrence College, Bronxville, New York, USA.
Arun ManoharanCooperGenomics, Livingston, NJ, USA.
Sally Ann RodriguezCooperGenomics, Livingston, NJ, USA.
Sara L BristowPhosphorus, Inc, 25 West 26th St, New York, NY, 10010, USA.
Neha KumarCooperGenomics, Livingston, NJ, USA.
Mohammad NiknazarPhosphorus, Inc, 25 West 26th St, New York, NY, 10010, USA.
David HoffmanIVF Florida Reproductive Associates, Margate, FL, USA.
Shahin GhadirDepartment of Obstetrics and Gynecology, The David Geffen School of Medicine at UCLA, California, Los Angeles, USA.
Rita VassenaClinica Eugin, Barcelona, Spain.
Serena H ChenInstitute for Reproductive Medicine and Science, Saint Barnabas Medical Center, Livingston, NJ, USA.
Avner HershlagDivision of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Hofstra Northwell School of Medicine, Manhasset, NY, USA.
Jamie GrifoDivision of Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynecology, NYU Langone, New York, NY, USA.
Oscar PuigPhosphorus, Inc, 25 West 26th St, New York, NY, 10010, USA. oscar@phosphorus.com.ORCID http://orcid.org/0000-0003-0918-2528
Faculty of 1000 (United States) · USHofstra University · USNorth Shore University Hospital · USPhosphorTech (United States) · USReproductive Biology Associates · USSaint Barnabas Medical Center · USSarah Lawrence College · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent professional society guidelines recommend genetic carrier screening be offered on the basis of ethnicity, or when using expanded carrier screening panels, they recommend to compute residual risk based on ethnicity. We investigated the reliability of self-reported ethnicity in 9138 subjects referred to carrier screening. Self-reported ethnicity gathered from test requisition forms and during post-test genetic counseling, and genetic ancestry predicted by a statistical model, were compared for concordance.

resultsWe identified several discrepancies between the two sources of self-reported ethnicity and genetic ancestry. Only 30.3% of individuals who indicated Mediterranean ancestry during consultation self-reported this on requisition forms. Additionally, the proportion of individuals who reported Southeast Asian but were estimated to have a different genetic ancestry was found to depend on the source of self-report. Finally, individuals who reported Latin American demonstrated a high degree of ancestral admixture. As a result, carrier rates and residual risks provided for patient decision-making are impacted if using self-reported ethnicity.

conclusionOur analysis highlights the unreliability of ethnicity classification based on patient self-reports. We recommend the routine use of pan-ethnic carrier screening panels in reproductive medicine. Furthermore, the use of an ancestry model would allow better estimation of carrier rates and residual risks.

Indexed as

Genetic Carrier ScreeningSelf ReportEthnicityHuman Genome ProjectHumansModels, GeneticPolymorphism, Single NucleotideRacial GroupsAncestry informative markersCarrier screeningEthnicityGenetic risk

Identifiers

PMID29179688
PMCPMC5704547
OpenAlexW2766569862

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.