Evidence map›Paper›PMID 34285390›Full record

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

Screening for autosomal recessive and X-linked conditions during pregnancy and preconception: a practice resource of the American College of Medical Genetics and Genomics (ACMG).

Anthony R Gregg, Mahmoud Aarabi, Susan Klugman, Natalia T Leach, Michael T Bashford, Tamar Goldwaser, Emily Chen, Teresa N Sparks, Honey V Reddi, Aleksandar Rajkovic and 2 more

Erratum issuedOpen access · greenAbstract 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. An erratum has been issued. Cited by 190 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
190citing papers in PubMed, 5 pooled it
36.4field-weighted citation impact, top 1% 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

190 citing papers in PubMed, 5 syntheses or guidelines pooled it, 359 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  6. Article
  7. Review
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  11. Review
  12. Review
  13. The clinical utility of carrier screening.NPJ genomic medicine · 2026
    Article
  14. Review
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  16. Article
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  20. Article

130 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 10 institutions in 2 countries.

Anthony R GreggDepartment of Obstetrics and Gynecology, Prisma Health, Columbia, SC, USA.
Mahmoud AarabiDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada.
Susan KlugmanDepartment of Obstetrics & Gynecology and Women's Health, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY, USA.
Natalia T LeachLaboratory Corporation of America, Westborough, MA, USA.
Michael T BashfordDepartment of Obstetrics, Gynecology, and Reproductive Science, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Tamar GoldwaserDepartment of Obstetrics, Gynecology, and Reproductive Science, Mount Sinai School of Medicine, New York, NY, USA.
Emily ChenDepartment of Genetics, Kaiser Permanente Medical Center, San Francisco, CA, USA.
Teresa N SparksDepartment of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, CA, USA.
Honey V ReddiDepartment of Pathology and Laboratory Medicine and Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Aleksandar RajkovicDepartment of Obstetrics, Gynecology, & Reproductive Sciences, University of California, San Francisco, CA, USA.
Jeffrey S DunganDepartment of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
ACMG Professional Practice and Guidelines Committee
University of California, San Francisco · USAlbert Einstein College of Medicine · USAmerican College of Medical Genetics · USKaiser Permanente San Francisco Medical Center · USLeco Corporation (United States) · USMedical College of Wisconsin · USMount Sinai Hospital · USPrisma Health · USUniversity of Pittsburgh Medical Center · USUniversity of Toronto · CA

Funding

WOMEN'S REPRODUCTIVE HEALTH RESEARCH CENTERK12HD001262 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Andrea Vashti Jackson · 1998 to 2026
$9.3M
NICHD NIH HHS K12 HD001262
6 · The paper itself

Abstract

Carrier screening began 50 years ago with screening for conditions that have a high prevalence in defined racial/ethnic groups (e.g., Tay-Sachs disease in the Ashkenazi Jewish population; sickle cell disease in Black individuals). Cystic fibrosis was the first medical condition for which panethnic screening was recommended, followed by spinal muscular atrophy. Next-generation sequencing allows low cost and high throughput identification of sequence variants across many genes simultaneously. Since the phrase "expanded carrier screening" is nonspecific, there is a need to define carrier screening processes in a way that will allow equitable opportunity for patients to learn their reproductive risks using next-generation sequencing technology. An improved understanding of this risk allows patients to make informed reproductive decisions. Reproductive decision making is the established metric for clinical utility of population-based carrier screening. Furthermore, standardization of the screening approach will facilitate testing consistency. This practice resource reviews the current status of carrier screening, provides answers to some of the emerging questions, and recommends a consistent and equitable approach for offering carrier screening to all individuals during pregnancy or preconception.

Indexed as

Anemia, Sickle CellCystic FibrosisGenetics, MedicalTay-Sachs DiseaseFemaleGenetic Carrier ScreeningGenetic TestingGenomicsHumansPregnancyUnited States

Identifiers

PMID34285390
PMCPMC8488021
OpenAlexW3184730432

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.