Evidence map›Paper›PMID 33288889›Full record

ArticleEuropean journal of human genetics : EJHG2021

Benefits of clinical criteria and high-throughput sequencing for diagnosing children with syndromic craniosynostosis.

Elin Tønne, Bernt Johan Due-Tønnessen, Inger-Lise Mero, Ulrikke Straume Wiig, Mari Ann Kulseth, Magnus Dehli Vigeland, Ying Sheng, Charlotte von der Lippe, Kristian Tveten, Torstein Ragnar Meling and 2 more

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in European journal of human genetics : EJHG, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. The role of pathogenic TCF12 variants in children with coronal craniosynostosis-a systematic review with addition of two novel cases.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Pooled it
  2. Pooled it
  3. Expanding the phenotypic spectrum associated with ZIC1 variants: A neurodevelopmental disorder with and without craniosynostosis.Genetics in medicine : official journal of the American College of Medical Genetics · 2026
    Article
  4. Genetic Testing in Craniofacial Care: Development of Algorithms for Testing Patients with Orofacial Clefting, Branchial Arch Anomalies, and Craniosynostosis.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2025
    Article
  5. Article
  6. Non-syndromic craniosynostosis.Nature reviews. Disease primers · 2025
    Review
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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

12 authors at 3 institutions in 2 countries.

Elin TønneFaculty of Medicine, University of Oslo, Oslo, Norway. elin.tonne@gmail.com.ORCID http://orcid.org/0000-0002-3547-9280
Bernt Johan Due-TønnessenNorwegian National Unit for Craniofacial Surgery, Oslo University Hospital, Oslo, Norway.
Inger-Lise MeroDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Ulrikke Straume WiigNorwegian National Unit for Craniofacial Surgery, Oslo University Hospital, Oslo, Norway.
Mari Ann KulsethDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Magnus Dehli VigelandFaculty of Medicine, University of Oslo, Oslo, Norway.
Ying ShengDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Charlotte von der LippeCentre for Rare Disorders, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Kristian TvetenDepartment of Medical Genetics, Telemark Hospital Trust, Skien, Norway.ORCID http://orcid.org/0000-0003-1316-5843
Torstein Ragnar MelingFaculty of Medicine, University of Oslo, Oslo, Norway.ORCID http://orcid.org/0000-0001-6595-0873
Eirik HelsethFaculty of Medicine, University of Oslo, Oslo, Norway.
Ketil Riddervold HeimdalDepartment of Medical Genetics, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOTelemark Hospital · NOUniversity of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An accurate diagnosis of syndromic craniosynostosis (CS) is important for personalized treatment, surveillance, and genetic counselling. We describe detailed clinical criteria for syndromic CS and the distribution of genetic diagnoses within the cohort. The prospective registry of the Norwegian National Unit for Craniofacial Surgery was used to retrieve individuals with syndromic CS born between 1 January 2002 and 30 June 2019. All individuals were assessed by a clinical geneticist and classified using defined clinical criteria. A stepwise approach consisting of single-gene analysis, comparative genomic hybridization (aCGH), and exome-based high-throughput sequencing, first filtering for 72 genes associated with syndromic CS, followed by an extended trio-based panel of 1570 genes were offered to all syndromic CS cases. A total of 381 individuals were registered with CS, of whom 104 (27%) were clinically classified as syndromic CS. Using the single-gene analysis, aCGH, and custom-designed panel, a genetic diagnosis was confirmed in 73% of the individuals (n = 94). The diagnostic yield increased to 84% after adding the results from the extended trio-based panel. Common causes of syndromic CS were found in 53 individuals (56%), whereas 26 (28%) had other genetic syndromes, including 17 individuals with syndromes not commonly associated with CS. Only 15 individuals (16%) had negative genetic analyses. Using the defined combination of clinical criteria, we detected among the highest numbers of syndromic CS cases reported, confirmed by a high genetic diagnostic yield of 84%. The observed genetic heterogeneity encourages a broad genetic approach in diagnosing syndromic CS.

Indexed as

PhenotypeAdultChildCraniosynostosesFemaleGenetic LociGenetic TestingHigh-Throughput Nucleotide SequencingHumansMaleSensitivity and SpecificitySequence Analysis, DNASyndrome

Identifiers

PMID33288889
PMCPMC8187391
OpenAlexW3111841532

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.