Evidence map›Paper›PMID 31316167›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2020

A clinical scoring system for congenital contractural arachnodactyly.

Ilse Meerschaut, Shana De Coninck, Wouter Steyaert, Angela Barnicoat, Allan Bayat, Francesco Benedicenti, Siren Berland, Edward M Blair, Jeroen Breckpot, Anna de Burca and 33 more

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Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 29 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

43 authors at 20 institutions in 13 countries.

Ilse MeerschautCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.ORCID https://orcid.org/0000-0001-5502-0568
Shana De ConinckCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Wouter SteyaertCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Angela BarnicoatDepartment of Clinical Genetics, Great Ormond Street Hospital NHS Foundation Trust, London, UK.
Allan BayatDepartment of Pediatrics, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.
Francesco BenedicentiClinical Genetics Service and South Tyrol Coordination Center for Rare Diseases, Department of Pediatrics, Regional Hospital of Bolzano, Bolzano, Italy.
Siren BerlandDepartment of Medical Genetics, Haukeland University Hospital, Bergen, Norway.ORCID https://orcid.org/0000-0002-8048-6682
Edward M BlairOxford Centre for Genomic Medicine, Oxford, UK.
Jeroen BreckpotCenter for Human Genetics, University Hospitals Leuven, Catholic University Leuven, Leuven, Belgium.
Anna de BurcaOxford Centre for Genomic Medicine, Oxford, UK.
Anne DestréeCenter for Human Genetics, Institute of Pathology and Genetics (IPG), Gosselies, Belgium.
Sixto García-MiñaúrInstitute of Medical and Molecular Genetics (INGEMM), Hospital Universitario La Paz, Madrid, Spain.
Andrew J GreenDepartment of Clinical Genetics, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland.
Bernadette C HannaClinical Genetics Department, Westmead Hospital, Sydney, Australia.
Kathelijn KeymolenCentre for Medical Genetics, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
Marije KoopmansDepartment of Genetics, University Medical Center Utrecht, Utrecht, The Netherlands.
Damien LedererCenter for Human Genetics, Institute of Pathology and Genetics (IPG), Gosselies, Belgium.
Melissa LeesDepartment of Clinical Genetics, Great Ormond Street Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0003-0287-4134
Cheryl LongmanWest of Scotland Regional Genetics Service, Queen Elizabeth University Hospital, Glasgow, Scotland.
Sally Ann LynchDepartment of Clinical Genetics, Temple Street Children's Hospital, Dublin, Ireland.
Alison M MaleDepartment of Clinical Genetics, Great Ormond Street Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-2631-5997
Fiona McKenzieGenetic Services of Western Australia, Perth, WA, Australia.
Isabelle MigeotteCentre de Génétique Humaine, Université Libre de Bruxelles, Brussels, Belgium.
Ercan MihciDepartment of Pediatric Genetics, Akdeniz University Medical School, Akdeniz, Turkey.ORCID https://orcid.org/0000-0001-7257-4618
Banu NurDepartment of Pediatric Genetics, Akdeniz University Medical School, Akdeniz, Turkey.
Florence PetitClinique de Génétique, CHU Lille, Lille, France.ORCID https://orcid.org/0000-0002-1368-1023
Juliette PiardCentre de Génétique Humaine, Université de Franche-Comté, CHU Besançon, Besançon, France.
Frank S PlasschaertDepartment of Pediatric Orthopedics and Traumatology, Ghent University Hospital, Ghent, Belgium.
Anita RauchInstitut für Medizinische Genetik, Universität Zürich, Zürich, Switzerland.
Pascale RibaïCenter for Human Genetics, Institute of Pathology and Genetics (IPG), Gosselies, Belgium.
Iratxe Salcedo PachecoPediatria, Alava iniversity hospital, Alava, Spain.
Franco StanzialClinical Genetics Service and South Tyrol Coordination Center for Rare Diseases, Department of Pediatrics, Regional Hospital of Bolzano, Bolzano, Italy.
Irene Stolte-DijkstraDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Irene ValenzuelaDepartment of Clinical and Molecular genetics and Rare disease Unit, University Hospital Vall d'Hebron, Barcelona, Spain.
Vinod VargheseInstitute of Medical Genetics, University Hospital of Wales, Cardiff, UK.
Pradeep C VasudevanMedical Genetics, University of Leicester, University Hospitals of Leicester NHS Trust, Leicester, UK.
Emma WakelingNorth West Thames Regional Genetics Service, London North West University Healthcare NHS Trust, Harrow, UK.ORCID https://orcid.org/0000-0001-5712-0044
Carina Wallgren-PetterssonThe Folkhaelsan Institute of Genetics and the Department of Medical and Clinical Genetics, University of Helsinki, Helsinki, Finland.
Paul CouckeCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Anne De PaepeCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Daniël De WolfDepartment of Pediatric Cardiology, Ghent University Hospital, Ghent, Belgium.
Sofie SymoensCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium.
Bert CallewaertCenter for Medical Genetics, Ghent University Hospital, Ghent, Belgium. Bert.Callewaert@UGent.be.
Ghent University Hospital · BEGreat Ormond Street Hospital for Children NHS Foundation Trust · GBInstitute of Pathology and Genetics · BEAkdeniz University · TROspedale di Bolzano · ITCentre Hospitalier Universitaire de Lille · FRHaukeland University Hospital · NOHospital Universitario Araba · ESHospital Universitario La Paz · ESKU Leuven · BELondon North West Healthcare NHS Trust · GBQueen Elizabeth University Hospital · GBRigshospitalet · DKTemple Street Children's University Hospital · IEThe University of Western Australia · AUUniversité de franche-comté · FRUniversité Libre de Bruxelles · BEUniversity College Dublin · IEUniversity Hospital of Wales · GBUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCongenital contractural arachnodactyly (CCA) is an autosomal dominant connective tissue disorder manifesting joint contractures, arachnodactyly, crumpled ears, and kyphoscoliosis as main features. Due to its rarity, rather aspecific clinical presentation, and overlap with other conditions including Marfan syndrome, the diagnosis is challenging, but important for prognosis and clinical management. CCA is caused by pathogenic variants in FBN2, encoding fibrillin-2, but locus heterogeneity has been suggested. We designed a clinical scoring system and diagnostic criteria to support the diagnostic process and guide molecular genetic testing.

methodsIn this retrospective study, we assessed 167 probands referred for FBN2 analysis and classified them into a FBN2-positive (n = 44) and FBN2-negative group (n = 123) following molecular analysis. We developed a 20-point weighted clinical scoring system based on the prevalence of ten main clinical characteristics of CCA in both groups.

resultsThe total score was significantly different between the groups (P < 0.001) and was indicative for classifying patients into unlikely CCA (total score <7) and likely CCA (total score ≥7) groups.

conclusionsOur clinical score is helpful for clinical guidance for patients suspected to have CCA, and provides a quantitative tool for phenotyping in research settings.

Indexed as

ArachnodactylyChildContractureDiagnosis, DifferentialEarly DiagnosisFemaleFibrillin-2Genetic TestingHumansMaleMarfan SyndromePhenotypeRetrospective StudiesSensitivity and SpecificitySequence Analysis, DNAFBN2 protein, humanFibrillin-2Beals syndromeclinical scorecongenital contractural arachnodactylydiagnostic criteriafibrillin-2

Identifiers

PMID31316167
OpenAlexW2962254495

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