Evidence map›Paper›PMID 33249554›Full record

ArticleActa obstetricia et gynecologica Scandinavica2021

The potential diagnostic yield of whole exome sequencing in pregnancies complicated by fetal ultrasound anomalies.

Karin E M Diderich, Kathleen Romijn, Marieke Joosten, Lutgarde C P Govaerts, Marike Polak, Hennie T Bruggenwirth, Martina Wilke, Marjon A van Slegtenhorst, Yolande van Bever, Alice S Brooks and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
7.5field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 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

19 authors at 2 institutions in 1 country.

Karin E M DiderichDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Kathleen RomijnDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Marieke JoostenDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Lutgarde C P GovaertsDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Marike PolakDepartment of Psychology, Education & Child Studies (DPECS), Erasmus University Rotterdam, Rotterdam, the Netherlands.ORCID 0000-0002-5012-5480
Hennie T BruggenwirthDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Martina WilkeDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Marjon A van SlegtenhorstDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Yolande van BeverDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Alice S BrooksDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Grazia M S ManciniDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Ingrid M B H van de LaarDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Joan N R KromosoetoDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Maarten F C M KnapenDepartment of Obstetrics and Prenatal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
Attie T J I GoDepartment of Obstetrics and Prenatal Medicine, Erasmus Medical Center, Rotterdam, the Netherlands.
Diane Van OpstalDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Lies H HoefslootDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Robert-Jan H GaljaardDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.
Malgorzata I SrebniakDepartment of Clinical Genetics, Erasmus Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-3429-6156
Erasmus MC · NLErasmus University Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe aim of this retrospective cohort study was to determine the potential diagnostic yield of prenatal whole exome sequencing in fetuses with structural anomalies on expert ultrasound scans and normal chromosomal microarray results. MATERIAL AND

methodsIn the period 2013-2016, 391 pregnant women with fetal ultrasound anomalies who received normal chromosomal microarray results, were referred for additional genetic counseling and opted for additional molecular testing pre- and/or postnatally. Most of the couples received only a targeted molecular test and in 159 cases (40.7%) whole exome sequencing (broad gene panels or open exome) was performed. The results of these molecular tests were evaluated retrospectively, regardless of the time of the genetic diagnosis (prenatal or postnatal).

resultsIn 76 of 391 fetuses (19.4%, 95% CI 15.8%-23.6%) molecular testing provided a genetic diagnosis with identification of (likely) pathogenic variants. In the majority of cases (91.1%, 73/76) the (likely) pathogenic variant would be detected by prenatal whole exome sequencing analysis.

conclusionsOur retrospective cohort study shows that prenatal whole exome sequencing, if offered by a clinical geneticist, in addition to chromosomal microarray, would notably increase the diagnostic yield in fetuses with ultrasound anomalies and would allow early diagnosis of a genetic disorder irrespective of the (incomplete) fetal phenotype.

Indexed as

Abnormalities, MultipleAdultChromosome DisordersExome SequencingFemaleFetal DiseasesGenetic TestingHumansPregnancyPrenatal DiagnosisRetrospective StudiesUltrasonography, Prenataldiagnostic yieldfetal anomaliesprenatal diagnosisprenatal whole exome sequencing testingultrasound anomalieswhole exome sequencing

Identifiers

PMID33249554
PMCPMC8247008
OpenAlexW3108872343

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.