Evidence map›Paper›PMID 35026032›Full record

ArticleThe Journal of clinical endocrinology and metabolism2022

Universal Germline Panel Testing for Individuals With Pheochromocytoma and Paraganglioma Produces High Diagnostic Yield.

Carolyn Horton, Holly LaDuca, Ashley Deckman, Kate Durda, Michelle Jackson, Marcy E Richardson, Yuan Tian, Amal Yussuf, Kory Jasperson, Tobias Else

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
7.6field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Guideline
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  4. Journal of the Endocrine Society · 2026
    Article
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  8. Tumor risks and surveillance outcomes inEndocrine oncology (Bristol, England) · 2026
    Article
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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

10 authors at 2 institutions in 1 country.

Carolyn HortonAmbry Genetics, Aliso Viejo, CA 92656, USA.ORCID 0000-0001-5186-6208
Holly LaDucaAmbry Genetics, Aliso Viejo, CA 92656, USA.
Ashley DeckmanAmbry Genetics, Aliso Viejo, CA 92656, USA.
Kate DurdaAmbry Genetics, Aliso Viejo, CA 92656, USA.
Michelle JacksonAmbry Genetics, Aliso Viejo, CA 92656, USA.
Marcy E RichardsonAmbry Genetics, Aliso Viejo, CA 92656, USA.
Yuan TianAmbry Genetics, Aliso Viejo, CA 92656, USA.
Amal YussufAmbry Genetics, Aliso Viejo, CA 92656, USA.
Kory JaspersonAmbry Genetics, Aliso Viejo, CA 92656, USA.
Tobias ElseDepartment of Internal Medicine, Michigan Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0002-2262-0011
Ambry Genetics (United States) · USMichigan Medicine · US

Funding

Ambry Genetics
6 · The paper itself

Abstract

backgroundPractice guidelines to identify individuals with hereditary pheochromocytomas and paragangliomas (PPGLs) advocate for sequential gene testing strategy guided by specific clinical features and predate the routine use of multigene panel testing (MGPT).

objectiveTo describe results of MGPT for hereditary PPGL in a clinically and ancestrally diverse cohort.

settingCommercial laboratory based in the United States.

methodsClinical data and test results were retrospectively reviewed in 1727 individuals who had targeted MGPT from August 2013 through December 2019 because of a suspicion of hereditary PPGL.

resultsOverall, 27.5% of individuals had a pathogenic or likely pathogenic variant (PV), 9.0% had a variant of uncertain significance, and 63.1% had a negative result. Most PVs were identified in SDHB (40.4%), followed by SDHD (21.1%), SDHA (10.1%), VHL (7.8%), SDHC (6.7%), RET (3.7%), and MAX (3.6%). PVs in FH, MEN1, NF1, SDHAF2, and TMEM127 collectively accounted for 6.5% of PVs. Clinical predictors of a PV included extra-adrenal location, early age of onset, multiple tumors, and positive family history of PPGL. Individuals with extra-adrenal PGL and a positive family history were the most likely to have a PV (85.9%). Restricting genetic testing to SDHB/C/D misses one-third (32.8%) of individuals with PVs.

conclusionOur data demonstrate a high diagnostic yield in individuals with and without established risk factors, a low inconclusive result rate, and a substantial contribution to diagnostic yield from rare genes. These findings support universal testing of all individuals with PPGL and the use of concurrent MGPT as the ideal platform.

Indexed as

Adrenal Gland NeoplasmsParagangliomaPheochromocytomaGenetic Predisposition to DiseaseGenetic TestingGerm-Line MutationHumansRetrospective StudiesSuccinate DehydrogenaseSuccinate Dehydrogenasegenetic testinghereditary cancerparagangliomapheochromocytoma

Identifiers

PMID35026032
PMCPMC9016434
OpenAlexW4205618597

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.