Evidence map›Paper›PMID 30948858›Full record

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

All-cause mortality and survival in adults with 22q11.2 deletion syndrome.

Lily Van, Tracy Heung, Justin Graffi, Enoch Ng, Sarah Malecki, Spencer Van Mil, Erik Boot, Maria Corral, Eva W C Chow, Kathleen A Hodgkinson and 2 more

Open access · hybridAbstract 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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

30 citing papers in PubMed, 62 citations in OpenAlex.

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  8. Gynecologic oncology reports · 2025
    Article
  9. Obesity and metabolic syndrome in adults with a 22q11.2 microdeletion.International journal of obesity (2005) · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Drosophila as a Model to Understand Second Heart Field Development.Journal of cardiovascular development and disease · 2023
    Review
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  15. Article
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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

12 authors at 6 institutions in 1 country.

Lily VanClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Tracy HeungClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Justin GraffiClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Enoch NgClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Sarah MaleckiClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Spencer Van MilClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Erik BootClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Maria CorralThe Dalglish Family 22q Clinic, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
Eva W C ChowClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Kathleen A HodgkinsonUnit of Clinical Epidemiology, Memorial University of Newfoundland, St. Johns, NL, Canada.
Candice SilversidesThe Dalglish Family 22q Clinic, Toronto General Hospital, University Health Network, Toronto, ON, Canada.
Anne S BassettClinical Genetics Research Program, Centre for Addiction and Mental Health, Toronto, ON, Canada. anne.bassett@utoronto.ca.
Centre for Addiction and Mental Health · CAToronto General Hospital · CAMemorial University of Newfoundland · CAMental Health Research Canada · CAUniversity Health Network · CAUniversity of Toronto · CA

Funding

CIHR MOP-111238CIHR MOP-313331
6 · The paper itself

Abstract

purposeGiven limited data available on long-term outcomes in 22q11.2 deletion syndrome (22q11.2DS), we investigated mortality risk in adults with this microdeletion syndrome.

methodsWe studied 309 well-characterized adults (age ≥17 years) with 22q11.2DS and their 1014 unaffected parents and siblings, using a prospective case-control design. We used Cox proportional hazards regression modeling and Kaplan-Meier curves to investigate effects of the 22q11.2 deletion and its associated features on all-cause mortality and survival.

resultsThe 22q11.2 deletion (hazard ratio [HR] 8.86, 95% CI 2.87-27.37) and major congenital heart disease (CHD; HR 5.03, 95% CI 2.27-11.17), but not intellectual disability or psychotic illness, were significant independent predictors of mortality for adults with 22q11.2DS compared with their siblings. Amongst those with 22q11.2DS, there were 31 deaths that occurred at a median age of 46.4 (range 18.1-68.6) years; a substantial minority had outlived both parents. Probability of survival to age 45 years was approximately 72% for those with major CHD, and 95% for those with no major CHD (p < 0.0001).

conclusionFor adults with 22q11.2DS, the 22q11.2 deletion and more severe forms of CHD both contribute to a lower life expectancy than family-based expectations. The results have implications for genetic counseling and anticipatory care.

Indexed as

AdolescentAdultAgedCase-Control StudiesChromosome DeletionChromosomes, Human, Pair 22DiGeorge SyndromeFemaleGenetic CounselingHeart Defects, CongenitalHumansIntellectual DisabilityMaleMiddle AgedProspective StudiesDiGeorge syndromeheart defectsprognosisschizophreniavelocardiofacial syndrome

Identifiers

PMID30948858
PMCPMC6774995
OpenAlexW2932627705

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.