Evidence map›Paper›PMID 29869463›Full record

ArticleYonsei medical journal2018

A New Integrated Newborn Screening Workflow Can Provide a Shortcut to Differential Diagnosis and Confirmation of Inherited Metabolic Diseases.

Jung Min Ko, Kyung Sun Park, Yeeok Kang, Seong Hyeuk Nam, Yoonjung Kim, Inho Park, Hyun Wook Chae, Soon Min Lee, Kyung A Lee, Jong Won Kim

Abstract read
In one paragraph

Article in Yonsei medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

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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

10 authors.

Jung Min KoDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0407-7828
Kyung Sun ParkSD Genomics Co., Ltd., Seoul, Korea.
Yeeok KangSD Genomics Co., Ltd., Seoul, Korea.
Seong Hyeuk NamSD Genomics Co., Ltd., Seoul, Korea.
Yoonjung KimDepartment of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea.
Inho ParkSD Genomics Co., Ltd., Seoul, Korea.
Hyun Wook ChaeDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Soon Min LeeDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Korea.
Kyung A LeeDepartment of Laboratory Medicine, Yonsei University College of Medicine, Seoul, Korea. KAL1119@yuhs.ac.ORCID https://orcid.org/0000-0001-5320-6705
Jong Won KimDepartment of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kimjw@skku.edu.ORCID https://orcid.org/0000-0002-0708-9242

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe developed a new workflow design which included results from both biochemical and targeted gene sequencing analysis interpreted comprehensively. We then conducted a pilot study to evaluate the benefit of this new approach in newborn screening (NBS) and demonstrated the efficiency of this workflow in detecting causative genetic variants. MATERIALS AND

methodsTen patients in Group 1 were diagnosed clinically using biochemical assays only, and 10 newborns in Group 2 were diagnosed with suspected inherited metabolic disease (IMD) in NBS. We applied NewbornDiscovery (SD Genomics), an integrated workflow design that encompasses analyte-phenotype-gene, single nucleotide variant/small insertion and deletion/copy number variation analyses along with clinical interpretation of genetic variants related to each participant's condition.

resultsA molecular genetic diagnosis was established in 95% (19/20) of individuals. In Group 1, 13 and 7 of 20 alleles were classified as pathogenic and likely pathogenic, respectively. In Group 2, 11 and 6 of 17 alleles with identified causative variants were pathogenic and likely pathogenic, respectively. There were no variants of uncertain significance. For each individual, the NewbornDiscovery and biochemical analysis results reached 100% concordance, since the single newborn testing negative for causative genetic variant in Group 2 showed a benign clinical course.

conclusionThis integrated diagnostic workflow resulted in a high yield. This approach not only enabled early confirmation of specific IMD, but also detected conditions not included in the current NBS.

Indexed as

Computational BiologyDiagnosis, DifferentialNeonatal ScreeningAllelesDNA Copy Number VariationsDried Blood Spot TestingFemaleGenetic TestingGenomicsHigh-Throughput Nucleotide SequencingHumansInfant, NewbornMaleMetabolic DiseasesPilot ProjectsSequence Analysis, DNAdried blood spotinherited metabolic diseaseNewborn screeningnext-generation sequencingtargeted gene panel sequencing

Identifiers

PMID29869463
PMCPMC5990675

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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.