Evidence map›Paper›PMID 31981373›Full record

ArticlePrenatal diagnosis2020

Utility of chromosomal microarray for diagnosis in cases of nonimmune hydrops fetalis.

Anne H Mardy, Naseem Rangwala, Yessenia Hernandez-Cruz, Kristen A Gosnell, Juan M Gonzalez, Mary E Norton, Teresa N Sparks

Open access · greenAbstract read
In one paragraph

Article in Prenatal diagnosis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 28% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Fetal hydrops and the Incremental yield of Next-generation sequencing over standard prenatal Diagnostic testing (FIND) study: prospective cohort study and meta-analysis.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2021
    Pooled it
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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

7 authors at 2 institutions in 1 country.

Anne H MardyDivision of Maternal Fetal Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0003-3675-4528
Naseem RangwalaDivision of Maternal Fetal Medicine, University of California, San Francisco, San Francisco, California, USA.
Yessenia Hernandez-CruzUniversity of California, Berkeley, Berkeley, California, USA.
Kristen A GosnellUniversity of California, Berkeley, Berkeley, California, USA.
Juan M GonzalezDivision of Maternal Fetal Medicine, University of California, San Francisco, San Francisco, California, USA.
Mary E NortonDivision of Maternal Fetal Medicine, University of California, San Francisco, San Francisco, California, USA.
Teresa N SparksDivision of Maternal Fetal Medicine, University of California, San Francisco, San Francisco, California, USA.ORCID 0000-0002-8593-2186
University of California, San Francisco · USUniversity of California, Berkeley · US

Funding

WOMEN'S REPRODUCTIVE HEALTH RESEARCH CENTERK12HD001262 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Andrea Vashti Jackson · 1998 to 2026
$9.3M
NICHD NIH HHS K12 HD001262
6 · The paper itself

Abstract

purposeChromosomal microarray (CMA) is recommended in the diagnostic evaluation of cases with fetal structural anomalies when invasive testing is pursued. However, the utility of CMA for nonimmune hydrops fetalis (NIHF) specifically is not well known. Our objective was to describe the overall yield of CMA in the diagnostic evaluation of NIHF, comparing isolated cases to those with concurrent structural anomalies.

methodsThis was a retrospective cohort study of all prenatally diagnosed NIHF cases evaluated at the University of California, San Francisco from 2008 to 2018. NIHF due to twin-twin transfusion syndrome was excluded.

resultsThere were 131 cases of prenatally diagnosed NIHF. In 43/44 cases with a CMA performed, results were categorized as normal or likely benign. One case was found on CMA to have a large pathogenic duplication of 21p11.2q22.3, which could have been detected by karyotype and was consistent with a diagnosis of Down syndrome. There was no incremental yield demonstrated for CMA over karyotype.

conclusionsAmong a cohort of prenatally diagnosed NIHF cases, CMA did not identify any copy number variants beyond those detectable by karyotype, and the vast majority of CMAs were normal. These results suggest that CMA has low diagnostic utility for NIHF.

Indexed as

AdolescentAdultChromosome DisordersCohort StudiesCongenital AbnormalitiesDown SyndromeFemaleHumansHydrops FetalisKaryotypingMicroarray AnalysisMiddle AgedPregnancyRetrospective StudiesTurner SyndromeUltrasonography, Prenatal

Identifiers

PMID31981373
PMCPMC7153803
OpenAlexW3001013727

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.