Evidence map›Paper›PMID 30172441›Full record

ArticleThe Journal of pediatrics2018

Copy Number Variants of Undetermined Significance Are Not Associated with Worse Clinical Outcomes in Hypoplastic Left Heart Syndrome.

Andrew L Dailey-Schwartz, Hanna J Tadros, Mahshid Sababi Azamian, Seema R Lalani, Shaine A Morris, Hugh D Allen, Jeffrey J Kim, Andrew P Landstrom

Abstract read
In one paragraph

Article in The Journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 2 institutions in 1 country.

Andrew L Dailey-SchwartzSection of Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Hanna J TadrosSection of Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Mahshid Sababi AzamianDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX.
Seema R LalaniDepartment of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX.
Shaine A MorrisSection of Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Hugh D AllenSection of Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Jeffrey J KimSection of Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Andrew P LandstromSection of Cardiology, Department of Pediatrics, Baylor College of Medicine, Houston, TX; Division of Cardiology, Department of Pediatrics, Duke University School of Medicine, Durham, NC. Electronic address: andrew.landstrom@duke.edu.
Baylor College of Medicine · USDuke University · US

Funding

The Role of Junctophilin Type 2 in Cardiac Node AutomaticityK08HL136839 · NHLBI · DUKE UNIVERSITY · PI LANDSTROM, ANDREW P. · 2017 to 2021
$769k
Evaluation of an Imaging Biomarker in Children and Young Adults with AortopathyK23HL127266 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI MORRIS, SHAINE ALAINE · 2015 to 2019
$761k
NHLBI NIH HHS K08 HL136839NHLBI NIH HHS K23 HL127266NHLBI NIH HHS L40 HL124303NHLBI NIH HHS L40 HL129273
6 · The paper itself

Abstract

objectiveTo determine the prevalence, spectrum, and prognostic significance of copy number variants of undetermined significance (cnVUS) seen on chromosomal microarray (CMA) in neonates with hypoplastic left heart syndrome (HLHS). STUDY

designNeonates with HLHS who presented to Texas Children's Hospital between June 2008 and December 2016 were identified. CMA results were abstracted and compared against copy number variations (CNVs) in ostensibly healthy individuals gathered from the literature. Findings were classified as normal, consistent with a known genetic disorder, or cnVUS. Survival was then compared using Kaplan-Meier analysis. Secondary outcomes included tracheostomy, feeding tube at discharge, cardiac arrest, and extracorporeal membrane oxygenation (ECMO).

resultsOur study cohort comprised 105 neonates with HLHS, including 70 (66.7%) with normal CMA results, 9 (8.6%) with findings consistent with a known genetic disorder, and 26 (24.7%) with a cnVUS. Six of the 26 (23.0%) neonates with a cnVUS had a variant that localized to a specific region of the genome seen in the healthy control population. One-year survival was 84.0% in patients with a cnVUS, 68.3% in those with normal CMA results, and 33.3% in those with a known genetic disorder (P = .003). There were no significant differences in secondary outcomes among the groups, although notably ECMO was used in 15.7% of patients with normal CMA and was not used in those with cnVUS and abnormal results (P = .038).

conclusionsAmong children with HLHS, cnVUSs detected on CMA are common. The cnVUSs do not localize to specific regions of the genome, and are not associated with worse outcomes compared with normal CMA results.

Indexed as

Cause of DeathCardiac Surgical ProceduresCohort StudiesDNA Copy Number VariationsExtracorporeal Membrane OxygenationFemaleHospitals, PediatricHumansHypoplastic Left Heart SyndromeInfant, NewbornKaplan-Meier EstimateMalePalliative CarePrognosisRetrospective StudiesRisk Assessmentcopy number variationgenetic testmutation variant of undetermined significance

Identifiers

PMID30172441
PMCPMC6203622
OpenAlexW2888867089

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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.