Evidence map›Paper›PMID 29261177›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2018

Reproductive genetic carrier screening for cystic fibrosis, fragile X syndrome, and spinal muscular atrophy in Australia: outcomes of 12,000 tests.

Alison Dalton Archibald, Melanie Jane Smith, Trent Burgess, Katrina Louise Scarff, Justine Elliott, Clare Elizabeth Hunt, Zoe McDonald, Caitlin Barns-Jenkins, Chelsea Holt, Karina Sandoval and 13 more

Erratum issuedOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 pooled it
15.4field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 121 citations in OpenAlex.

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  4. Prenatal genetic testing for cystic fibrosis: a systematic review of clinical effectiveness and an ethics review.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 3 institutions in 1 country.

Alison Dalton ArchibaldVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Melanie Jane SmithVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Trent BurgessVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Katrina Louise ScarffVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Justine ElliottVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Clare Elizabeth HuntVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Zoe McDonald
Caitlin Barns-JenkinsVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Chelsea HoltVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Karina SandovalVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Vanessa Siva KumarVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Lisa WardVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Emily Caroline AllenMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
Sarah Valerie CollisMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
Shannon CowieVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
David FrancisVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Martin B DelatyckiVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Eppie Mildred YiuMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
R John MassieMurdoch Childrens Research Institute, Parkville, Victoria, Australia.
Mark Domenic PertileVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Desirée du SartVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Damien BrunoVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
David J AmorVictorian Clinical Genetics Services, Parkville, Victoria, Australia.
Victorian Clinical Genetics Services · AUThe University of Melbourne · AURoyal Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PurposeTo describe our experience of offering simultaneous genetic carrier screening for cystic fibrosis (CF), fragile X syndrome (FXS), and spinal muscular atrophy (SMA).MethodsCarrier screening is offered through general practice, obstetrics, fertility, and genetics settings before or in early pregnancy. Carriers are offered genetic counseling with prenatal/preimplantation genetic diagnosis available to those at increased risk.ResultsScreening of 12,000 individuals revealed 610 carriers (5.08%; 1 in 20): 342 CF, 35 FXS, 241 SMA (8 carriers of 2 conditions), approximately 88% of whom had no family history. At least 94% of CF and SMA carriers' partners were tested. Fifty couples (0.42%; 1 in 240) were at increased risk of having a child with one of the conditions (14 CF, 35 FXS, and 1 SMA) with 32 pregnant at the time of testing. Of these, 26 opted for prenatal diagnosis revealing 7 pregnancies affected (4 CF, 2 FXS, 1 SMA).ConclusionThe combined affected pregnancy rate is comparable to the population risk for Down syndrome, emphasizing the need to routinely offer carrier screening. The availability of appropriate genetic counseling support and a collaborative approach between laboratory teams, genetics services, health professionals offering screening, and support organizations is essential.

Indexed as

Genetic Carrier ScreeningAdultAustraliaCystic FibrosisFemaleFragile X SyndromeGene FrequencyGenetic TestingHumansMaleMass ScreeningMiddle AgedMuscular Atrophy, SpinalPregnancyPrenatal DiagnosisPrevalence

Identifiers

PMID29261177
OpenAlexW2765868216

What OpenQuestion holds

Textmetadata
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.