Evidence map›Paper›PMID 34240408›Full record

ReviewClinical genetics2022

A standard of care for individuals with PIK3CA-related disorders: An international expert consensus statement.

Sofia Douzgou, Myfanwy Rawson, Eulalia Baselga, Moise Danielpour, Laurence Faivre, Alon Kashanian, Kim M Keppler-Noreuil, Paul Kuentz, Grazia M S Mancini, Marie-Cecile Maniere and 10 more

Open access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Clinical genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Tumour spectrum inJournal of medical genetics · 2025
    Pooled it
  2. Article
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  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. An Extremely Preterm Infant WithCase reports in genetics · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Somatic Mosaicism inNeurology. Genetics · 2024
    Article
  14. Article
  15. Review
  16. Uncovering somatic mosaic variants ofFrontiers in genetics · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Article
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

20 authors at 13 institutions in 7 countries.

Sofia DouzgouDepartment of Medical Genetics, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0001-8890-7544
Myfanwy RawsonManchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Sciences Centre, Manchester, UK.
Eulalia BaselgaDepartment of Dermatology, Hospital Sant Joan de Déu, Passeig de Sant Joan de Déu, Barcelona, Spain.ORCID 0000-0003-1086-8439
Moise DanielpourBoard of Governors Regenerative Medicine Institute, Cedars-Sinai Medical Centre, Los Angeles, California, USA.
Laurence FaivreCentre de Référence Anomalies du Développement et Syndromes Malformatifs, FHU TRANSLAD, Hôpital d'Enfants, Dijon, France.
Alon KashanianDepartment of Neurosurgery, Cedars-Sinai Medical Centre, Los Angeles, California, USA.ORCID 0000-0001-8074-0567
Kim M Keppler-NoreuilDivision of Genetics and Metabolism, Department of Paediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA.ORCID 0000-0001-8250-164X
Paul KuentzOncobiologie Génétique Bioinformatique PCBio, CHU, Besançon, France.ORCID 0000-0003-2814-6303
Grazia M S ManciniDepartment of Clinical Genetics, Erasmus MC University Medical Centre, Rotterdam, Netherlands.ORCID 0000-0002-1211-9979
Marie-Cecile ManiereCentre de Référence, Maladies orales et dentaires rares, Pôle de Médecine et Chirurgie Bucco-dentaires, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.
Victor Martinez-GlezIdiPAZ Research Institute, Madrid, Spain.ORCID 0000-0002-4680-881X
Victoria E ParkerThe National Institute for Health Research, Cambridge Biomedical Research Centre, Cambridge, UK.
Robert K SempleCentre for Cardiovascular Science, Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-6539-3069
Siddharth SrivastavaDepartment of Neurology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Pierre VabresCentre de Référence Anomalies du Développement et Syndromes Malformatifs, FHU TRANSLAD, Hôpital d'Enfants, Dijon, France.ORCID 0000-0001-8693-3183
Marie-Claire Y De WitDepartment of Child Neurology, Sophia Children's hospital, Erasmus MC University Medical Centre Rotterdam, Rotterdam, Netherlands.
John M GrahamDepartment of Paediatrics, Division of Medical Genetics, Cedars Sinai Medical Centre, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.ORCID 0000-0003-4297-1078
Jill Clayton-SmithManchester Centre for Genomic Medicine, St Mary's Hospital, Manchester University Hospitals NHS Foundation Trust, Manchester Academic Health Sciences Centre, Manchester, UK.ORCID 0000-0002-9602-2321
Ghayda M MirzaaGenetic Medicine, Department of Paediatrics, University of Washington, Seattle, Washington, USA.
Leslie G BieseckerCentre for Precision Health Research, National Human Genome Research Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0002-0197-3811
Cedars-Sinai Medical Center · USManchester Academic Health Science Centre · GBErasmus MC · NLHôpital d'Enfants · FRBoston Children's Hospital · USHôpitaux Universitaires de Strasbourg · FRHospital Sant Joan de Déu Barcelona · ESHospital Universitario La Paz · ESNational Institute for Health Research · GBNational Institutes of Health · USThe Queen's Medical Research Institute · GBUniversity of Washington · USUniversity of Wisconsin–Madison · US

Funding

Rare & Mosaic Disorders - Clinical ResearchZIAHG200388 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BIESECKER, LESLIE · 2013 to 2025
$17.3M
Mechanisms of Brain Dysmorphology in MN1 C-Terminal Truncation Syndrome, a Novel Intellectual Developmental Disability Disorder P50HD103524 · NICHD · UNIVERSITY OF WASHINGTON · PI DANIEL DOHERTY · 2020 to 2026
$9.9M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Hisashi Umemori · 2021 to 2026
$9.4M
Megalencephaly and segmental brain overgrowth in humansR01NS092772 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI MILLEN, KATHLEEN JOYCE · 2015 to 2019
$3.3M
Intramural NIH HHS ZIA HG200388Jordan's Guardian AngelsM-CM Network, M-CM UK and AMCME EspañaNHGRI NIH HHS HG200388-07NICHD NIH HHS P50 HD103524NICHD NIH HHS P50 HD105351NINDS NIH HHS R01 NS092772The Brotman Baty InstituteThe Sunderland FoundationWellcome TrustWellcome Trust 210752/Z/18/Z
6 · The paper itself

Abstract

Growth promoting variants in PIK3CA cause a spectrum of developmental disorders, depending on the developmental timing of the mutation and tissues involved. These phenotypically heterogeneous entities have been grouped as PIK3CA-Related Overgrowth Spectrum disorders (PROS). Deep sequencing technologies have facilitated detection of low-level mosaic, often necessitating testing of tissues other than blood. Since clinical management practices vary considerably among healthcare professionals and services across different countries, a consensus on management guidelines is needed. Clinical heterogeneity within this spectrum leads to challenges in establishing management recommendations, which must be based on patient-specific considerations. Moreover, as most of these conditions are rare, affected families may lack access to the medical expertise that is needed to help address the multi-system and often complex medical issues seen with PROS. In March 2019, macrocephaly-capillary malformation (M-CM) patient organizations hosted an expert meeting in Manchester, United Kingdom, to help address these challenges with regards to M-CM syndrome. We have expanded the scope of this project to cover PROS and developed this consensus statement on the preferred approach for managing affected individuals based on our current knowledge.

Indexed as

Genetic Association StudiesGenetic Predisposition to DiseaseStandard of CareClass I Phosphatidylinositol 3-KinasesConsensus Statements as TopicDiagnosis, DifferentialDisease ManagementGenetic TestingGrowth DisordersHumansPhenotypePrenatal DiagnosisClass I Phosphatidylinositol 3-KinasesPIK3CA protein, humanclinical managementexpert consensusmosaicPIK3CA-related overgrowth spectrum

Identifiers

PMID34240408
PMCPMC8664971
OpenAlexW3179366516

What OpenQuestion holds

Textmetadata
LicenceTDM
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.