Evidence map›Paper›PMID 34114234›Full record

ArticleDevelopmental medicine and child neurology2021

Genetic testing in individuals with cerebral palsy.

Halie J May, Jennifer A Fasheun, Jennifer M Bain, Evan H Baugh, Louise E Bier, Anya Revah-Politi, New York Presbyterian Hospital/Columbia University Irving Medical Center Genomics Team, David P Roye, David B Goldstein, Jason B Carmel

Abstract read
In one paragraph

Article in Developmental medicine and child neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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

  1. Pooled it
  2. Article
  3. Modeling cerebral palsy in animals.Developmental medicine and child neurology · 2026
    Review
  4. A Phenotypic Paradigm for Cerebral Palsy Genetics.medRxiv : the preprint server for health sciences · 2026
    Article
  5. Review
  6. Characteristics of Cerebral Palsy in the Midwestern US.Annals of clinical and translational neurology · 2026
    Article
  7. Article
  8. Article
  9. Genetic investigations in cerebral palsy.Developmental medicine and child neurology · 2025
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Causation in cerebral palsy: Parental beliefs and associated emotions.Developmental medicine and child neurology · 2024
    Article
  16. Review
  17. Review
  18. Review
  19. Making waves: The changing tide of cerebral palsy.Journal of paediatrics and child health · 2022
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Halie J MayInstitute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-3055-7489
Jennifer A FasheunWeinberg Family Cerebral Palsy Center, Department of Orthopedics, Columbia University Irving Medical Center, New York, NY, USA.
Jennifer M BainDepartment of Neurology, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-6642-8902
Evan H BaughInstitute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY, USA.
Louise E BierInstitute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0001-9692-5611
Anya Revah-PolitiInstitute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-3328-4252
New York Presbyterian Hospital/Columbia University Irving Medical Center Genomics TeamInstitute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY, USA.
David P RoyeWeinberg Family Cerebral Palsy Center, Department of Orthopedics, Columbia University Irving Medical Center, New York, NY, USA.
David B GoldsteinInstitute for Genomic Medicine, Columbia University Irving Medical Center, New York, NY, USA.ORCID 0000-0002-1111-2820
Jason B CarmelWeinberg Family Cerebral Palsy Center, Department of Orthopedics, Columbia University Irving Medical Center, New York, NY, USA.

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
NCATS NIH HHS UL1 TR001873
6 · The paper itself

Abstract

AIM To determine which patients with cerebral palsy (CP) should undergo genetic testing, we compared the rate of likely causative genetic variants from whole-exome sequencing in individuals with and without environmental risk factors. METHOD Patients were part of a convenience and physician-referred cohort recruited from a single medical center, and research whole-exome sequencing was completed. Participants were evaluated for the following risk factors: extreme preterm birth, brain bleed or stroke, birth asphyxia, brain malformations, and intrauterine infection. RESULTS A total of 151 unrelated individuals with CP (81 females, 70 males; mean age 25y 7mo [SD 17y 5mo], range 3wks-72y) participated. Causative genetic variants were identified in 14 participants (9.3%). There was no significant difference in diagnostic rate between individuals with risk factors (10 out of 123; 8.1%) and those without (4 out of 28; 14.3%) (Fisher's exact p=0.3). INTERPRETATION While the rate of genetic diagnoses among individuals without risk factors was higher than those with risk factors, the difference was not statistically significant at this sample size. The identification of genetic diagnoses in over 8% of cases with risk factors suggests that these might confer susceptibility to environmental factors, and that further research should include individuals with risk factors. What this paper adds There is no significant difference in diagnostic rate between individuals with and without risk factors. Genetic variants may confer susceptibility to environmental risk factors. Six causative variants were identified in genes not previously associated with cerebral palsy. Global developmental delay/intellectual disability is positively associated with a genetic etiology. Extreme preterm birth, stroke/brain hemorrhage, and older age are negatively associated with a genetic etiology.

Indexed as

Genetic VariationAdolescentAdultAgedCerebral PalsyChildChild, PreschoolExome SequencingFemaleGenetic TestingHumansInfantInfant, NewbornMaleMiddle AgedPremature Birth

Identifiers

PMID34114234
PMCPMC9277698

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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.