Evidence map›Paper›PMID 33603196›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

Systematic assessment of outcomes following a genetic diagnosis identified through a large-scale research study into developmental disorders.

H Copeland, E Kivuva, H V Firth, C F Wright

Open access · hybridAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.0field-weighted citation impact, top 10% 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, 12 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

4 authors at 3 institutions in 1 country.

H CopelandPeninsula Clinical Genetics, Royal Devon and Exeter NHS Foundation Trust, RD&E Heavitree, Exeter, UK.
E KivuvaPeninsula Clinical Genetics, Royal Devon and Exeter NHS Foundation Trust, RD&E Heavitree, Exeter, UK.
H V FirthBox 134 Addenbrooke's Hospital, Cambridge University Hospitals, Cambridge, UK.
C F WrightInstitute of Biomedical and Clinical Science, University of Exeter Medical School, RILD Building, Royal Devon & Exeter Hospital, Exeter, UK. caroline.wright@exeter.ac.uk.
Royal Devon & Exeter NHS Foundation Trust · GBAddenbrooke's Hospital · GBRoyal Devon and Exeter Hospital · GB

Funding

Department of Health HICF-1009–003Wellcome TrustWellcome Trust WT098051
6 · The paper itself

Abstract

purposeThe clinical and psychosocial outcomes associated with receiving a genetic diagnosis for developmental disorders are wide-ranging but under-studied. We sought to investigate outcomes from a subset of families who received a diagnosis through the Deciphering Developmental Disorders (DDD) study.

methodsIndividuals recruited through the Peninsula Clinical Genetics Service who received a confirmed genetic diagnosis through the DDD study before August 2019 (n = 112) were included in a clinical audit. Families with no identified clinical outcomes (n = 16) were invited to participate in semistructured telephone interviews.

resultsDisease-specific treatment was identified for 7 probands (6%), while 48 probands (43%) were referred for further investigations or screening and 60 probands (54%) were recruited to further research. Just 5 families (4%) opted for prenatal testing in a subsequent pregnancy, reflecting the relatively advanced maternal age in our cohort, and 42 families (38%) were given disease-specific information or signposting to patient-specific resources such as support groups. Six interviews were performed (response rate = 47%) and thematic analysis identified four major themes: reaching a diagnosis, emotional impact, family implications, and practical issues.

conclusionOur data demonstrate that receiving a genetic diagnosis has substantial positive medical and psychosocial outcomes for the majority of patients and their families.

Indexed as

Developmental DisabilitiesGenetic TestingChildEmotionsFemaleHumansPregnancyReferral and Consultation

Identifiers

PMID33603196
PMCPMC8187151
OpenAlexW3130290892

What OpenQuestion holds

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LicenceCC BY
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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.