Evidence map›Paper›PMID 30311386›Full record

ArticleHuman mutation2018

Expert specification of the ACMG/AMP variant interpretation guidelines for genetic hearing loss.

Andrea M Oza, Marina T DiStefano, Sarah E Hemphill, Brandon J Cushman, Andrew R Grant, Rebecca K Siegert, Jun Shen, Alex Chapin, Nicole J Boczek, Lisa A Schimmenti and 13 more

Abstract read
In one paragraph

Article in Human mutation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 321 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
321citing papers in PubMed, 3 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

321 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Genetics of Waardenburg Syndrome in Africa: A Systematic Review.International journal of molecular sciences · 2025
    Pooled it
  2. Guideline
  3. Pooled it
  4. Article
  5. ACMG/AMP variant classification specifications from the ClinGen Epilepsy Sodium Channel Variant Curation Expert Panel.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. AAVC: An automated framework for high-accuracy ACMG-based variant classification.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  10. Article
  11. Article
  12. A UniqueInternational journal of molecular sciences · 2026
    Article
  13. Genotype-phenotype correlation-driven precision management in hereditary conductive and mixed hearing loss.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  14. Article
  15. Article
  16. Heterozygous Nonsense Mutation in the Nuclear Transport FactorInternational journal of molecular sciences · 2026
    Article
  17. Article
  18. Review
  19. Article
  20. Identification of a novelExperimental and therapeutic medicine · 2026
    Article

261 more citing papers are in PubMed but not listed here.

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

23 authors.

Andrea M OzaLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.ORCID 0000-0003-3125-7119
Marina T DiStefanoLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Sarah E HemphillLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Brandon J CushmanLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Andrew R GrantLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Rebecca K SiegertLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Jun ShenLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Alex ChapinARUP Laboratories, Salt Lake City, Utah.
Nicole J BoczekDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Lisa A SchimmentiDepartment of Otorhinolaryngology, Clinical Genomics and Biochemistry and Molecular Biology, Mayo Clinic, Rochester, Minnesota.
Jaclyn B MurryLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.
Linda HasadsriDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Kiyomitsu NaraDivision of Hearing and Balance Research, National Institute of Sensory Organs, National Hospital Organization Tokyo Medical Center, Tokyo, Japan.
Margaret KennaDepartment of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, Massachusetts.
Kevin T BoothMolecular Otolaryngology and Renal Research Laboratories, Department of Otolaryngology, University of Iowa Hospital and Clinics, Iowa City, Iowa.
Hela AzaiezMolecular Otolaryngology and Renal Research Laboratories, Department of Otolaryngology, University of Iowa Hospital and Clinics, Iowa City, Iowa.
Andrew GriffithAudiology Unit, National Institute on Deafness and Other Communication Disorders (NIDCD), NIH, Bethesda, Maryland.
Karen B AvrahamDepartment of Human Molecular Genetics and Biochemistry, Sackler Faculty of Medicine and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel.
Hannie KremerDepartment of Otorhinolaryngology and Department of Human Genetics, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.
Heidi L RehmLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.ORCID 0000-0002-6025-0015
Sami S AmrLaboratory for Molecular Medicine, Partners Healthcare Personalized Medicine, Cambridge, Massachusetts.ORCID 0000-0003-0927-6057
Ahmad N Abou TayounThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-9134-1673
ClinGen Hearing Loss Clinical Domain Working Group

Funding

Resource ProjectU41HG006834 · NHGRI · BRIGHAM AND WOMEN'S HOSPITAL · PI MARTIN, CHRISTA LESE, REHM, HEIDI L · 2013 to 2020
$26.9M
Molecular Analysis Of Human Hereditary DeafnessZIADC000060 · NIDCD · NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS · PI ROUX, ISABELLE · 2009 to 2022
$18.4M
NHGRI NIH HHS U41 HG006834
6 · The paper itself

Abstract

Due to the high genetic heterogeneity of hearing loss (HL), current clinical testing includes sequencing large numbers of genes, which often yields a significant number of novel variants. Therefore, the standardization of variant interpretation is crucial to provide consistent and accurate diagnoses. The Hearing Loss Variant Curation Expert Panel was created within the Clinical Genome Resource to provide expert guidance for standardized genomic interpretation in the context of HL. As one of its major tasks, our Expert Panel has adapted the American College of Medical Genetics and Genomics/Association for Molecular Pathology (ACMG/AMP) guidelines for the interpretation of sequence variants in HL genes. Here, we provide a comprehensive illustration of the newly specified ACMG/AMP HL rules. Three rules remained unchanged, four rules were removed, and the remaining 21 rules were specified. These rules were further validated and refined using a pilot set of 51 variants assessed by curators and disease experts. Of the 51 variants evaluated in the pilot, 37% (19/51) changed category based upon application of the expert panel specified rules and/or aggregation of evidence across laboratories. These HL-specific ACMG/AMP rules will help standardize variant interpretation, ultimately leading to better care for individuals with HL.

Indexed as

Gene FrequencyGenetic TestingGenetic VariationGenome, HumanGenomicsHearing LossHumansMutationSequence Analysis, DNASocieties, MedicalUnited StatesACMG/AMP guidelinesClinGendeafnessgenetic diagnosishearing lossvariant interpretation

Identifiers

PMID30311386
PMCPMC6188673

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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.