Evidence map›Paper›PMID 34643287›Full record

ArticlePrenatal diagnosis2022

Parental experiences of rapid exome sequencing in cases with major ultrasound anomalies during pregnancy.

Mirjam Plantinga, Lauren Zwienenberg, Eva van Dijk, Hanna Breet, Janouk Diphoorn, Julia El Mecky, Katelijne Bouman, Joke Verheij, Erwin Birnie, Adelita V Ranchor and 2 more

Abstract read
In one paragraph

Article in Prenatal diagnosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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

22 citing papers in PubMed.

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  10. Whole exome sequencing as a screening tool in dogs: A pilot study.Computational and structural biotechnology journal · 2025
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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.

Mirjam PlantingaDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0003-3350-9842
Lauren ZwienenbergDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Eva van DijkDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Hanna BreetDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Janouk DiphoornDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Julia El MeckyDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Katelijne BoumanDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Joke VerheijDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Erwin BirnieDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Adelita V RanchorDepartment of Health Psychology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Nicole Corsten-JanssenDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.ORCID 0000-0002-9438-2374
Irene M van LangenDepartment of Genetics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdding rapid exome sequencing (rES) to conventional genetic tests improves the diagnostic yield of pregnancies showing ultrasound abnormalities but also carries a higher chance of unsolicited findings. We evaluated how rES, including pre- and post-test counseling, was experienced by parents investigating its impact on decision-making and experienced levels of anxiety.

methodsA mixed-methods approach was adopted. Participating couples (n = 46) were asked to fill in two surveys (pre-test and post-test counseling) and 11 couples were approached for an additional interview.

resultsAll couples accepted the rES test-offer with the most important reason for testing emphasizing their hope of finding an underlying diagnosis that would aid decision-making. The actual impact on decision-making was low, however, since most parents decided to terminate the pregnancy based on the major and multiple fetal ultrasound anomalies and did not wait for their rES results. Anxiety was elevated for most participants and decreased over time.

conclusionMajor congenital anomalies detected on ultrasound seem to have more impact on prenatal parental decision-making and anxiety then the offer and results of rES. However, the impact of rES on reproductive decision-making and experienced anxiety requires further investigation, especially in pregnancies where less (severe) fetal anomalies are detected on ultrasound.

Indexed as

Abnormalities, MultiplePrenatal DiagnosisExomeExome SequencingFemaleFetusHumansParentsPregnancyUltrasonography, Prenatal

Identifiers

PMID34643287
PMCPMC9298392

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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.