Evidence map›Paper›PMID 31395441›Full record

ReviewLancet (London, England)2019

Genomic medicine for undiagnosed diseases.

Anastasia L Wise, Teri A Manolio, George A Mensah, Josh F Peterson, Dan M Roden, Cecelia Tamburro, Marc S Williams, Eric D Green

Open access · greenAbstract readReview
In one paragraph

Review in Lancet (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
12.7field-weighted citation impact, top 1% 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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 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

8 authors at 4 institutions in 1 country.

Anastasia L WiseNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA. Electronic address: anastasia.wise@nih.gov.
Teri A ManolioNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
George A MensahCenter for Translation Research and Implementation Science, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Josh F PetersonDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA.
Dan M RodenDepartment of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Pharmacology, Vanderbilt University Medical Center, Nashville, TN, USA.
Cecelia TamburroNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
Marc S WilliamsGenomic Medicine Institute, Geisinger, Danville, PA, USA.
Eric D GreenNational Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
National Institutes of Health · USVanderbilt University Medical Center · USNational Heart Lung and Blood Institute · USNational Human Genome Research Institute · US

Funding

Intramural NIH HHS Z99 HG999999
6 · The paper itself

Abstract

One of the primary goals of genomic medicine is to improve diagnosis through identification of genomic conditions, which could improve clinical management, prevent complications, and promote health. We explore how genomic medicine is being used to obtain molecular diagnoses for patients with previously undiagnosed diseases in prenatal, paediatric, and adult clinical settings. We focus on the role of clinical genomic sequencing (exome and genome) in aiding patients with conditions that are undiagnosed even after extensive clinical evaluation and testing. In particular, we explore the impact of combining genomic and phenotypic data and integrating multiple data types to improve diagnoses for patients with undiagnosed diseases, and we discuss how these genomic sequencing diagnoses could change clinical management.

Indexed as

AdultChildEarly DiagnosisExome SequencingGenomicsHumansPhenotypePrenatal DiagnosisRare DiseasesSequence Analysis, DNAWhole Genome Sequencing

Identifiers

PMID31395441
PMCPMC6709871
OpenAlexW2965310331

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.