Evidence map›Paper›PMID 34449549›Full record

ArticleInternational journal of neonatal screening2021

First Year of TREC-Based National SCID Screening in Sweden.

Christina Göngrich, Olov Ekwall, Mikael Sundin, Nicholas Brodszki, Anders Fasth, Per Marits, Sam Dysting, Susanne Jonsson, Michela Barbaro, Anna Wedell and 2 more

Abstract read
In one paragraph

Article in International journal of neonatal screening, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
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  18. Case report:Frontiers in immunology · 2023
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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

12 authors.

Christina GöngrichCentre for Inherited Metabolic Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden.ORCID 0000-0003-4495-1476
Olov EkwallDepartment of Pediatrics, Institute of Clinical Sciences, The Sahlgrenska Academy at University of Gothenburg, 40530 Gothenburg, Sweden.ORCID 0000-0002-4506-9955
Mikael SundinDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, 17177 Stockholm, Sweden.ORCID 0000-0002-9871-0961
Nicholas BrodszkiDepartment of Pediatric Immunology, Children's Hospital, Lund University Hospital, 22242 Lund, Sweden.
Anders FasthDepartment of Pediatrics, Institute of Clinical Sciences, The Sahlgrenska Academy at University of Gothenburg, 40530 Gothenburg, Sweden.ORCID 0000-0002-0033-740X
Per MaritsDepartment of Clinical Science, Intervention and Technology, Karolinska Institutet, 17177 Stockholm, Sweden.
Sam DystingCentre for Inherited Metabolic Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden.
Susanne JonssonCentre for Inherited Metabolic Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden.
Michela BarbaroCentre for Inherited Metabolic Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden.ORCID 0000-0002-7598-9330
Anna WedellCentre for Inherited Metabolic Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden.
Ulrika von DöbelnCentre for Inherited Metabolic Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden.ORCID 0000-0003-4137-970X
Rolf H ZetterströmCentre for Inherited Metabolic Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden.ORCID 0000-0002-3016-0019

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Screening for severe combined immunodeficiency (SCID) was introduced into the Swedish newborn screening program in August 2019 and here we report the results of the first year. T cell receptor excision circles (TRECs), kappa-deleting element excision circles (KRECs), and actin beta (ACTB) levels were quantitated by multiplex qPCR from dried blood spots (DBS) of 115,786 newborns and children up to two years of age, as an approximation of the number of recently formed T and B cells and sample quality, respectively. Based on low TREC levels, 73 children were referred for clinical assessment which led to the diagnosis of T cell lymphopenia in 21 children. Of these, three were diagnosed with SCID. The screening performance for SCID as the outcome was sensitivity 100%, specificity 99.94%, positive predictive value (PPV) 4.11%, and negative predictive value (NPV) 100%. For the outcome T cell lymphopenia, PPV was 28.77%, and specificity was 99.95%. Based on the first year of screening, the incidence of SCID in the Swedish population was estimated to be 1:38,500 newborns.

Indexed as

KRECneonatal dried blood spot screeningNPVPPVSCIDsensitivityspecificityTREC

Identifiers

PMID34449549
PMCPMC8395826

What OpenQuestion holds

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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.