Evidence map›Paper›PMID 34404688›Full record

ArticleCMAJ open

Estimate of the contemporary live-birth prevalence of recurrent 22q11.2 deletions: a cross-sectional analysis from population-based newborn screening.

Christina Blagojevic, Tracy Heung, Mylene Theriault, Aoy Tomita-Mitchell, Pranesh Chakraborty, Kristin Kernohan, Dennis E Bulman, Anne S Bassett

Open access · diamondAbstract read
In one paragraph

Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
8.7field-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

88 citing papers in PubMed, 2 syntheses or guidelines pooled it, 148 citations in OpenAlex.

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

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

8 authors at 3 institutions in 2 countries.

Christina BlagojevicClinical Genetics Research Program (Blagojevic, Heung, Bassett), Centre for Addiction and Mental Health; The Dalglish Family 22q Clinic (Blagojevic, Heung, Bassett), University Health Network; Department of Psychiatry (Bassett), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Theriault, Chakraborty, Kernohan, Bulman), University of Ottawa, Ottawa, Ont.; Division of Pediatric Cardiothoracic Surgery (Tomita-Mitchell), Department of Surgery, Medical College of Wisconsin, Herma Heart Institute, Milwaukee, Wisc.
Tracy HeungClinical Genetics Research Program (Blagojevic, Heung, Bassett), Centre for Addiction and Mental Health; The Dalglish Family 22q Clinic (Blagojevic, Heung, Bassett), University Health Network; Department of Psychiatry (Bassett), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Theriault, Chakraborty, Kernohan, Bulman), University of Ottawa, Ottawa, Ont.; Division of Pediatric Cardiothoracic Surgery (Tomita-Mitchell), Department of Surgery, Medical College of Wisconsin, Herma Heart Institute, Milwaukee, Wisc.
Mylene TheriaultClinical Genetics Research Program (Blagojevic, Heung, Bassett), Centre for Addiction and Mental Health; The Dalglish Family 22q Clinic (Blagojevic, Heung, Bassett), University Health Network; Department of Psychiatry (Bassett), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Theriault, Chakraborty, Kernohan, Bulman), University of Ottawa, Ottawa, Ont.; Division of Pediatric Cardiothoracic Surgery (Tomita-Mitchell), Department of Surgery, Medical College of Wisconsin, Herma Heart Institute, Milwaukee, Wisc.
Aoy Tomita-MitchellClinical Genetics Research Program (Blagojevic, Heung, Bassett), Centre for Addiction and Mental Health; The Dalglish Family 22q Clinic (Blagojevic, Heung, Bassett), University Health Network; Department of Psychiatry (Bassett), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Theriault, Chakraborty, Kernohan, Bulman), University of Ottawa, Ottawa, Ont.; Division of Pediatric Cardiothoracic Surgery (Tomita-Mitchell), Department of Surgery, Medical College of Wisconsin, Herma Heart Institute, Milwaukee, Wisc.
Pranesh ChakrabortyClinical Genetics Research Program (Blagojevic, Heung, Bassett), Centre for Addiction and Mental Health; The Dalglish Family 22q Clinic (Blagojevic, Heung, Bassett), University Health Network; Department of Psychiatry (Bassett), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Theriault, Chakraborty, Kernohan, Bulman), University of Ottawa, Ottawa, Ont.; Division of Pediatric Cardiothoracic Surgery (Tomita-Mitchell), Department of Surgery, Medical College of Wisconsin, Herma Heart Institute, Milwaukee, Wisc.
Kristin KernohanClinical Genetics Research Program (Blagojevic, Heung, Bassett), Centre for Addiction and Mental Health; The Dalglish Family 22q Clinic (Blagojevic, Heung, Bassett), University Health Network; Department of Psychiatry (Bassett), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Theriault, Chakraborty, Kernohan, Bulman), University of Ottawa, Ottawa, Ont.; Division of Pediatric Cardiothoracic Surgery (Tomita-Mitchell), Department of Surgery, Medical College of Wisconsin, Herma Heart Institute, Milwaukee, Wisc.
Dennis E BulmanClinical Genetics Research Program (Blagojevic, Heung, Bassett), Centre for Addiction and Mental Health; The Dalglish Family 22q Clinic (Blagojevic, Heung, Bassett), University Health Network; Department of Psychiatry (Bassett), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Theriault, Chakraborty, Kernohan, Bulman), University of Ottawa, Ottawa, Ont.; Division of Pediatric Cardiothoracic Surgery (Tomita-Mitchell), Department of Surgery, Medical College of Wisconsin, Herma Heart Institute, Milwaukee, Wisc.
Anne S BassettClinical Genetics Research Program (Blagojevic, Heung, Bassett), Centre for Addiction and Mental Health; The Dalglish Family 22q Clinic (Blagojevic, Heung, Bassett), University Health Network; Department of Psychiatry (Bassett), University of Toronto, Toronto, Ont.; Children's Hospital of Eastern Ontario Research Institute (Theriault, Chakraborty, Kernohan, Bulman), University of Ottawa, Ottawa, Ont.; Division of Pediatric Cardiothoracic Surgery (Tomita-Mitchell), Department of Surgery, Medical College of Wisconsin, Herma Heart Institute, Milwaukee, Wisc. anne.bassett@utoronto.ca.
University Health Network · CAHealth Net · USCentre for Addiction and Mental Health · CA

Funding

Development of Population-Based Screening for DiGeorge Syndrome Type 1R21HD060309 · NICHD · MEDICAL COLLEGE OF WISCONSIN · PI MITCHELL, AOY TOMITA · 2008 to 2009
$529k
CIHR PJT-148924NICHD NIH HHS R21 HD060309
6 · The paper itself

Abstract

backgroundAlthough pathogenic 22q11.2 deletions are an important cause of developmental delays and lifelong disease burden, their variable and complex clinical expression contributes to under-recognition, delayed molecular diagnosis and uncertainty about prevalence. We sought to estimate the contemporary live-birth prevalence of typical 22q11.2 deletions using a population-based newborn screening sample and to examine data available for associated clinical features.

methodsUsing DNA available from an unbiased sample of about 12% of all dried blood spots collected for newborn screening in Ontario between January 2017 and September 2018, we prospectively screened for 22q11.2 deletions using multiplex quantitative polymerase chain reaction assays and conducted independent confirmatory studies. We used cross-sectional analyses to compare available clinical and T-cell receptor excision circle (TREC, used in newborn screening for severe combined immunodeficiency) data between samples with and without 22q11.2 deletions.

resultsThe estimated minimum prevalence of 22q11.2 deletions was 1 in 2148 (4.7 per 10 000) live births (95% confidence interval [CI] 2.5 to 7.8 per 10 000), based on a total of 30 074 samples screened, with 14 having confirmed 22q11.2 deletions. Of term singletons, samples with 22q11.2 deletions had significantly younger median maternal age (25.5 v. 32.0 yr, difference -6.5 yr, 95% CI -7 to -2 yr), a greater proportion with small birth weight for gestational age (odds ratio 7.00, 95% CI 2.36 to 23.18) and lower median TREC levels (108.9 v. 602.5 copies/3 μL,

interpretationThese results indicate that the 22q11.2 deletion syndrome is one of the most common of rare genetic conditions and may be associated with relatively younger maternal ages and with prenatal growth abnormalities. The findings support the public health importance of early - prenatal and neonatal - diagnosis that would enable prompt screening for and management of well-known actionable features associated with 22q11.2 deletions.

Indexed as

Developmental DisabilitiesDiGeorge SyndromeSevere Combined ImmunodeficiencyCross-Sectional StudiesEarly Medical InterventionFemaleGestational AgeHumansInfant, Low Birth WeightInfant, NewbornLive BirthMaleMaternal AgeMolecular Diagnostic TechniquesNeonatal ScreeningOntario

Identifiers

PMID34404688
PMCPMC8373039
OpenAlexW3193738716

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.