Evidence map›Paper›PMID 30380189›Full record

Observational studyAmerican journal of medical genetics. Part A2018

Club foot in association with the 22q11.2 deletion syndrome: An observational study.

Jelle F Homans, Terrence B Crowley, Erin Chen, Daniel E McGinn, Vincent F X Deeney, Ralph J B Sakkers, Richard S Davidson, René M Castelein, Donna M McDonald-McGinn

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in American journal of medical genetics. Part A, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Observational
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

9 authors at 2 institutions in 2 countries.

Jelle F HomansDepartment of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-0172-7335
Terrence B CrowleyDivision of Human Genetics and 22q and You Center, The Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania.ORCID 0000-0002-3272-5458
Erin ChenDivision of Human Genetics and 22q and You Center, The Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania.
Daniel E McGinnDivision of Human Genetics and 22q and You Center, The Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania.
Vincent F X DeeneyDepartment of Orthopaedic Surgery, The Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania.
Ralph J B SakkersDepartment of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Richard S DavidsonDepartment of Orthopaedic Surgery, The Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania.
René M CasteleinDepartment of Orthopaedic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Donna M McDonald-McGinnDivision of Human Genetics and 22q and You Center, The Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania.
Children's Hospital of Philadelphia · USUtrecht University · NL

Funding

K2MKoninklijke Nederlandse Akademie van Wetenschappen Ter Meulen Grant (Travel grant)
6 · The paper itself

Abstract

The 22q11.2 Deletion Syndrome (22q11.2DS) occurs in ~1:3,000-6,000 individuals. Features less typically associated with 22q11.2DS, such as orthopedic manifestations, may be overlooked or may not lead to appropriate diagnostic testing. Club foot has a general population prevalence of ~1:1,000 and has been occasionally described in association with 22q11.2DS. Our hypothesis is that the prevalence of club foot is higher in patients with 22q11.2DS. We performed a retrospective review in two specialized 22q11.2DS centers to determine the prevalence of club foot. "True club foot" requires treatment (either conservative or surgical), therefore we only included those patients with proof of treatment. We investigated whether congenital heart disease (CHD) and/or cleft palate were associated with the presence of club foot within 22q11.2DS. The records of 1,466 patients were reviewed. Of these, 48 (3.3%) had confirmation of club foot (95% Confidence Interval: 2.4-4.3): 22 (46%) had a bilateral, 12 (25%) left, and 14 (29%) right club foot. Within our study, neither a CHD and/or a cleft palate were associated with a club foot. The prevalence of club foot in 22q11.2DS is 30 times higher than that observed in the general population. This suggests the diagnosis of club foot, especially in the face of other typically associated abnormalities of 22q11.2DS, should provoke consideration of 22q11.2DS as an underlying diagnosis, particularly in the neonatal setting.

Indexed as

ClubfootDiGeorge SyndromeHumansInfant, NewbornIn Situ Hybridization, FluorescenceMale22q11.2 deletion syndrome22q11.2DSclub footclubfootorthopedicspes equinovarus

Identifiers

PMID30380189
PMCPMC6221052
OpenAlexW2898999445

What OpenQuestion holds

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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.