Evidence map›Paper›PMID 30459335›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2019

Discordant sex between fetal screening and postnatal phenotype requires evaluation.

Heather M Byers, Whitney Neufeld-Kaiser, Edith Y Chang, Karen Tsuchiya, Erin S Oehler, Margaret P Adam

Open access · greenAbstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Review
  9. Article
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

6 authors at 3 institutions in 1 country.

Heather M ByersDepartment of Pediatrics, Division of Medical Genetics, Stanford University, Palo Alto, CA, USA. hbyers@stanford.edu.ORCID http://orcid.org/0000-0002-9971-1368
Whitney Neufeld-KaiserDepartment of Pathology, Cytogenetics and Genomics Laboratory, University of Washington, Seattle, WA, USA.
Edith Y ChangDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Washington, Seattle, WA, USA.
Karen TsuchiyaDepartment of Laboratories, Seattle Children's Hospital, Seattle, WA, USA.
Erin S OehlerDepartment of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, University of Washington, Seattle, WA, USA.
Margaret P AdamDepartment of Pediatrics, Division of Genetic Medicine, University of Washington, Seattle, WA, USA.
University of Washington · USSeattle Children's Hospital · USStanford University · US

Funding

Medical Genetics Training GrantT32GM007454 · NIGMS · UNIVERSITY OF WASHINGTON · PI Gail Pairitz Jarvik, Andrew Ben Stergachis · 1985 to 2026
$6.9M
NIGMS NIH HHS T32 GM007454
6 · The paper itself

Abstract

objectiveNon-invasive prenatal screening (NIPS) utilizes circulating cell-free DNA (cfDNA) to screen for fetal genetic abnormalities. NIPS is the first widely-available prenatal screen to assess genotypic sex. Most pediatricians have limited familiarity with NIPS technology and potential etiologies of discordant results. Increased familiarity may provide diagnostic insight and improve clinical care. STUDY

designWe reviewed all patients with discordant genotypic fetal sex assessed by cfDNA and neonatal phenotypic sex referred to our medical center.

resultFour infants with discordant cfDNA result and phenotypic sex were identified. Etiologies include vanishing twin syndrome, difference of sexual development, sex chromosome aneuploidy and maternal chimerism.

conclusionsWe present four cases illustrating potential etiologies of discordant cfDNA result and postnatal phenotypic sex. Unanticipated cfDNA results offer the perinatologist a unique opportunity for early diagnosis and targeted treatment of various conditions, many of which may not have otherwise been detected in the perinatal period.

Indexed as

SexAdultCell-Free Nucleic AcidsDisorders of Sex DevelopmentEarly DiagnosisFemaleGenetic TestingHumansInfant, NewbornLiquid BiopsyMalePregnancyPrenatal DiagnosisSex Determination AnalysisCell-Free Nucleic Acids

Identifiers

PMID30459335
PMCPMC6340391
OpenAlexW2901577565

What OpenQuestion holds

Textmetadata
LicenceTDM
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.