Evidence map›Paper›PMID 33114508›Full record

ArticleJournal of clinical medicine2020

Cell-Free DNA in the Investigation of Miscarriage.

Emily Colley, Adam J Devall, Helen Williams, Susan Hamilton, Paul Smith, Neil V Morgan, Siobhan Quenby, Arri Coomarasamy, Stephanie Allen

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 1 country.

Emily ColleyTommy's National Centre for Miscarriage Research, Birmingham Women's and Children's Hospital, Birmingham B15 2TG, UK.
Adam J DevallTommy's National Centre for Miscarriage Research, Birmingham Women's and Children's Hospital, Birmingham B15 2TG, UK.
Helen WilliamsTommy's National Centre for Miscarriage Research, Birmingham Women's and Children's Hospital, Birmingham B15 2TG, UK.ORCID 0000-0003-4417-9404
Susan HamiltonWest Midlands Regional Genetics Laboratory, Birmingham Women's and Children's Hospital, Birmingham B15 2TG, UK.
Paul SmithTommy's National Centre for Miscarriage Research, Birmingham Women's and Children's Hospital, Birmingham B15 2TG, UK.
Neil V MorganInstitute of Cardiovascular Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.ORCID 0000-0001-6433-5692
Siobhan QuenbyDivision of Biomedical Sciences, Warwick Medical School, University of Warwick, Coventry CV4 7HL, UK.
Arri CoomarasamyTommy's National Centre for Miscarriage Research, Birmingham Women's and Children's Hospital, Birmingham B15 2TG, UK.
Stephanie AllenWest Midlands Regional Genetics Laboratory, Birmingham Women's and Children's Hospital, Birmingham B15 2TG, UK.
University of Birmingham · GBBirmingham Women's Hospital · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GB

Funding

Department of Health PDF-2015-08-099Medical Research Council MR/R014167/1Tommy's Baby Charity na
6 · The paper itself

Abstract

Approximately one in four pregnancies result in pregnancy loss, and ~50% of these miscarriages are caused by chromosomal abnormalities. Genetic investigations are recommended after three consecutive miscarriages on products of conception (POC) tissue. Cell-free DNA (cfDNA) has been utilised for prenatal screening, but very little work has been carried out in nonviable pregnancies. We investigated the use of cfDNA from maternal blood to identify chromosomal abnormalities in miscarriage. One hundred and two blood samples from women experiencing a first trimester miscarriage were collected and stored. The mean gestational age was 7.1 weeks (range: 5-11 weeks). In this research, samples without a genetic test result from POC were not analysed. CfDNA was extracted and analysed using a modified commercial genome-wide non-invasive prenatal test. No results were provided to the patient. In 57 samples, cytogenetic results from POC analysis were available. Chromosomal abnormalities were identified in 47% (27/57) of POC analyses, and cfDNA analysis correctly identified 59% (16/27) of these. In total, 75% (43/57) of results were correctly identified. The average cfDNA fetal fraction was 6% (2-19%). In conclusion, cfDNA can be used to detect chromosomal abnormalities in miscarriages where the 'fetal fraction' is high enough; however, more studies are required to identify variables that can affect the overall results.

Indexed as

cell-free DNAchromosomal abnormalitiescytogenetic analysismiscarriage

Identifiers

PMID33114508
PMCPMC7693881
OpenAlexW3097224746

What OpenQuestion holds

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Registered trials

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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.