Evidence map›Paper›PMID 34839535›Full record

ArticleDevelopmental medicine and child neurology2022

Integrating newborn screening for spinal muscular atrophy into health care systems: an Australian pilot programme.

Arlene M D'Silva, Didu S T Kariyawasam, Stephanie Best, Veronica Wiley, Michelle A Farrar, NSW SMA NBS Study Group

Open access · hybridAbstract read
In one paragraph

Article in Developmental medicine and child neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
7.1field-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

32 citing papers in PubMed, 67 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Arlene M D'SilvaDepartment of Neurology, Sydney Children's Hospital Network, Sydney, New South Wales, Australia.ORCID 0000-0002-6265-3053
Didu S T KariyawasamDepartment of Neurology, Sydney Children's Hospital Network, Sydney, New South Wales, Australia.
Stephanie BestAustralian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.
Veronica WileyNSW Newborn Screening Programme, Children's Hospital Westmead, Westmead, New South Wales, Australia.
Michelle A FarrarDepartment of Neurology, Sydney Children's Hospital Network, Sydney, New South Wales, Australia.ORCID 0000-0002-4472-0902
NSW SMA NBS Study Group
UNSW Sydney · AUMurdoch Children's Research Institute · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study dynamically designed, evaluated, and implemented the components of an Australian newborn bloodspot screening (NBS) pilot programme for spinal muscular atrophy (SMA).

methodWe used an implementation-effectiveness study design and continuous interdisciplinary review to measure SMA NBS test protocol performance, identify and overcome laboratory and clinical barriers to implementation, and describe progress during the 2-year pilot study.

resultsThe NBS programme screened 252 081 newborn infants from 1st August 2018 to 31st January 2021. Using an NBS pilot test protocol, 21 infants were diagnostically confirmed with SMA. The NBS pilot test protocol had a sensitivity of 100%, specificity greater than 99.9%, false-positive rate less than 0.001%, a false-negative rate of 0%, and positive predictive value of 95.5%. A severe phenotype was predicted on the basis of two copies of SMN2 in 57.2% of newborn infants screening positive for SMA. Clinical signs consistent with SMA were evident in 6 out of 21 screen-positive newborn infants within the first 4 weeks of life. A multidisciplinary team establishing strong partnerships across clinical and laboratory staff was key to implementation.

interpretationThis pilot programme suggests that NBS is essential for early identification of newborn infants at risk of SMA and can be effectively translated into clinical practice.

Indexed as

Muscular Atrophy, SpinalNeonatal ScreeningAustraliaDelivery of Health CareHumansInfant, NewbornPilot Projects

Identifiers

PMID34839535
PMCPMC9299803
OpenAlexW3216811003

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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.