Evidence map›Paper›PMID 29525930›Full record

ArticleJournal of genetic counseling2018

Exploring the Issues Surrounding Clinical Exome Sequencing in the Prenatal Setting.

Swetha Narayanan, Bruce Blumberg, Marla L Clayman, Vivian Pan, Catherine Wicklund

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of genetic counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Review
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  15. Beyond diagnostic yield: prenatal exome sequencing results in maternal, neonatal, and familial clinical management changes.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  16. Review
  17. Application of exome sequencing for prenatal diagnosis: a rapid scoping review.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  18. Review
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

5 authors at 5 institutions in 1 country.

Swetha NarayananDivision of Medical Genetics, University of Texas Medical Branch, Galveston, TX, USA. swetha.narayanan91@gmail.com.ORCID 0000-0001-7512-0064
Bruce BlumbergDepartment of Genetics, Kaiser Permanente, Oakland, CA, USA.
Marla L ClaymanDepartment of Health Care Research and Evaluation, American Institutes for Research, Washington, DC, USA.
Vivian PanDivision of Genetics, Advocate Medical Group, Park Ridge, IL, USA.
Catherine WicklundDepartment of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, 645 N. Michigan Avenue, Suite 630, Chicago, IL, 60611, USA. c-wicklund@northwestern.edu.
Advocate Health Care · USAmerican Institutes for Research · USKaiser Permanente · USNorthwestern University · USThe University of Texas Medical Branch at Galveston · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exome sequencing is a clinical diagnostic test offered primarily for children and adults with suspected genetic conditions. The purpose of this study was to explore issues related to exome sequencing in a reproductive clinical setting. This was a qualitative study using semi-structured interviews. Participants were professionals drawn from four key stakeholder groups-healthcare providers, laboratory/industry, ethics, and government. Transcribed interviews were analyzed for emergent themes. Most participants saw potential clinical utility in offering prenatal exome sequencing for diagnostic purposes as opposed to screening. Participants expressed similar challenges already encountered with using exome sequencing in a pediatric setting, such as difficulty interpreting results and voiced many of the same concerns posed by prenatal testing, such as adequate pretest counseling. While previously reported issues and challenges were mentioned, participants agreed those difficulties are anticipated to be much greater with prenatal exome sequencing because of the scope of testing and the option for pregnancy decision-making. The results of this study help gain a better understanding of the implications of using exome sequencing in a prenatal setting. Development of guidelines is also warranted to aid clinical practice and laboratory standards for reporting prenatal results.

Indexed as

Exome SequencingAdultChildFemaleGenetic CounselingGenetic TestingHumansInfant, NewbornMalePregnancyPrenatal DiagnosisClinicalExome sequencingPrenatalQualitativeWES

Identifiers

PMID29525930
OpenAlexW2790629632

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.