Evidence map›Paper›PMID 30940924›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Adherence of cell-free DNA noninvasive prenatal screens to ACMG recommendations.

Brian G Skotko, Megan A Allyse, Komal Bajaj, Robert G Best, Susan Klugman, Mark Leach, Stephanie Meredith, Marsha Michie, Katie Stoll, Anthony R Gregg

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Privacy practices using genetic data from cell-free DNA aneuploidy screening.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  9. Article
  10. Article
  11. Review
  12. Inaccuracies and shortcomings in "Adherence of cell-free DNA noninvasive prenatal screens to ACMG recommendations".Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  13. Response to Johansen Taber et al.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Brian G SkotkoDivision of Medical Genetics, Department of Pediatrics, Massachusetts General Hospital, Boston, MA, USA. bskotko@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-5232-9882
Megan A AllyseProgram in Biomedical Ethics Research and Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN, USA.
Komal BajajDivision of Reproductive and Medical Genetics, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.
Robert G BestUniversity of South Carolina School of Medicine Greenville/Greenville Health System, Greenville, SC, USA.
Susan KlugmanDivision of Reproductive and Medical Genetics, Department of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.
Mark LeachNational Center for Prenatal & Postnatal Resources, University of Kentucky, Lexington, KY, USA.
Stephanie MeredithNational Center for Prenatal & Postnatal Resources, University of Kentucky, Lexington, KY, USA.
Marsha MichieDepartment of Bioethics, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Katie StollGenetic Support Foundation, Olympia, WA, USA.
Anthony R GreggDepartments of Obstetrics and Gynecology and Maternal Fetal Medicine, Baylor University Medical Center, Dallas, TX, USA.

Funding

Factors Influencing Access and Utilization of Genetic Prenatal Care Services Among Women from Underserved PopulationsK01HG009542 · NHGRI · MAYO CLINIC ROCHESTER · PI ALLYSE, MEGAN A. · 2018 to 2022
$809k
NHGRI NIH HHS K01 HG009542
6 · The paper itself

Abstract

purposeNoninvasive prenatal screening (NIPS) for fetal aneuploidy via cell-free DNA has been commercially available in the United States since 2011. In 2016, the American College of Medical Genetics and Genomics (ACMG) issued a position statement with specific recommendations for testing laboratories. We sought to evaluate adherence to these recommendations.

methodsWe focused on commercial laboratories performing NIPS testing in the United States as of 1 January 2018. Sample laboratory reports and other materials were scored for compliance with ACMG recommendations. Variables scored for common and sex chromosome aneuploidy detection included detection rate, specificity, positive and negative predictive value, and fetal fraction. Labs that performed analysis of copy-number variants and results for aneuploidies other than those commonly reported were identified. Available patient education materials were similarly evaluated.

resultsNine of 10 companies reported fetal fraction in their reports, and 8 of 10 did not offer screening for autosomal aneuploidies beyond trisomy 13, 18, and 21. There was inconsistency in the application and reporting of other measures recommended by ACMG.

conclusionsLaboratories varied in the degree to which they met ACMG position statement recommendations. No company adhered to all laboratory guidance.

Indexed as

AneuploidyCell-Free Nucleic AcidsChromosome DisordersFemaleGuideline AdherenceHumansNoninvasive Prenatal TestingPregnancyPrenatal DiagnosisTrisomyTrisomy 13 SyndromeTrisomy 18 SyndromeUnited StatesCell-Free Nucleic AcidsNIPSNIPTnoninvasive prenatal screensnoninvasive prenatal teststrisomy 21

Identifiers

PMID30940924
PMCPMC11682703

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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.