Evidence map›Paper›PMID 30623622›Full record

ArticleAnnals of laboratory medicine2019

Chromosomal Microarray Analysis as a First-Tier Clinical Diagnostic Test in Patients With Developmental Delay/Intellectual Disability, Autism Spectrum Disorders, and Multiple Congenital Anomalies: A Prospective Multicenter Study in Korea.

Woori Jang, Yonggoo Kim, Eunhee Han, Joonhong Park, Hyojin Chae, Ahlm Kwon, Hayoung Choi, Jiyeon Kim, Jung Ok Son, Sang Jee Lee and 10 more

Open access · diamondAbstract readMulticenter Study
In one paragraph

Article in Annals of laboratory medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
7.7field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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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

20 authors at 6 institutions in 1 country.

Woori JangDepartment of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yonggoo KimDepartment of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Eunhee HanDepartment of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Joonhong ParkDepartment of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Hyojin ChaeDepartment of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Ahlm KwonCatholic Genetic Laboratory Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Hayoung ChoiCatholic Genetic Laboratory Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Jiyeon KimCatholic Genetic Laboratory Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Jung Ok SonCatholic Genetic Laboratory Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Sang Jee LeeDepartment of Rehabilitation Medicine, Daejeon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Daejeon, Korea.
Bo Young HongDepartment of Rehabilitation Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
Dae Hyun JangDepartment of Rehabilitation Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea.
Ji Yoon HanDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Jung Hyun LeeDepartment of Pediatrics, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
So Young KimDepartment of Pediatrics, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
In Goo LeeDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
In Kyung SungDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yeonsook MoonDepartment of Laboratory Medicine, Inha University School of Medicine, Incheon, Korea.
Myungshin KimDepartment of Laboratory Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0001-8632-0168
Joo Hyun ParkDepartment of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Catholic University of Korea · KRThe Catholic University of Korea St. Vincent's Hospital · KRInha University · KRThe Catholic University of Korea Daejeon St. Mary's Hospital · KRThe Catholic University of Korea Incheon St. Mary's Hospital · KRThe Catholic University of Korea Yeouido St. Mary's Hospital · KR

Funding

National Research Foundation of Korea 2018M3A9E8020866
6 · The paper itself

Abstract

backgroundTo validate the clinical application of chromosomal microarray analysis (CMA) as a first-tier clinical diagnostic test and to determine the impact of CMA results on patient clinical management, we conducted a multicenter prospective study in Korean patients diagnosed as having developmental delay/intellectual disability (DD/ID), autism spectrum disorders (ASD), and multiple congenital anomalies (MCA).

methodsWe performed both CMA and G-banding cytogenetics as the first-tier tests in 617 patients. To determine whether the CMA results directly influenced treatment recommendations, the referring clinicians were asked to complete a 39-item questionnaire for each patient separately after receiving the CMA results.

resultsA total of 122 patients (19.8%) had abnormal CMA results, with either pathogenic variants (N=65) or variants of possible significance (VPS, N=57). Thirty-five well-known diseases were detected: 16p11.2 microdeletion syndrome was the most common, followed by Prader-Willi syndrome, 15q11-q13 duplication, Down syndrome, and Duchenne muscular dystrophy. Variants of unknown significance (VUS) were discovered in 51 patients (8.3%). VUS of genes putatively associated with developmental disorders were found in five patients:

conclusionsClinical application of CMA as a first-tier test improves diagnostic yields and the quality of clinical management in patients with DD/ID, ASD, and MCA.

Indexed as

Abnormalities, MultipleAdolescentAdultAutism Spectrum DisorderChildChild, PreschoolChromosome BandingChromosomesComparative Genomic HybridizationDevelopmental DisabilitiesFemaleGene DeletionGene DuplicationHumansInfantInfant, NewbornAutism spectrum disordersBenignChromosomal microarray analysisClinical managementDevelopmental delayIntellectual disabilityMultiple congenital anomaliesPathogenicVariant of possible significanceVariant of unknown significance

Identifiers

PMID30623622
PMCPMC6340852
OpenAlexW2909020029

What OpenQuestion holds

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LicenceCC BY-NC
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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.