Evidence map›Paper›PMID 35304021›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2022

Perspectives of United States neonatologists on genetic testing practices.

Monica H Wojcik, Maya C Del Rosario, Pankaj B Agrawal

Open access · greenAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Understanding perspectives of safety-net NICU neonatologists disclosing genomic sequencing results: a mixed methods approach.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  3. Quality improvement initiative to optimize use of rapid genomic sequencing in a level IV NICU.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. "It's hard to wait": Provider perspectives on current genomic care in safety-net NICUs.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  9. Article
  10. NeoGx: Machine-Recommended Rapid Genome Sequencing for Neonates.medRxiv : the preprint server for health sciences · 2024
    Article
  11. Article
  12. Article
  13. Genomic medicine in neonatal care: progress and challenges.European journal of human genetics : EJHG · 2023
    Review
  14. Provision and availability of genomic medicine services in Level IV neonatal intensive care units.Genetics in medicine : official journal of the American College of Medical Genetics · 2023
    Article
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

3 authors at 1 institution in 1 country.

Monica H WojcikDivision of Newborn Medicine, Department of Pediatrics, Boston Children' Hospital and Harvard Medical School, Boston, MA; Division of Genetics & Genomics, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA; The Manton Center for Orphan Disease Research, Boston Children's Hospital, Boston, MA. Electronic address: monica.wojcik@childrens.harvard.edu.
Maya C Del RosarioDivision of Newborn Medicine, Department of Pediatrics, Boston Children' Hospital and Harvard Medical School, Boston, MA; Division of Genetics & Genomics, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Pankaj B AgrawalDivision of Newborn Medicine, Department of Pediatrics, Boston Children' Hospital and Harvard Medical School, Boston, MA; Division of Genetics & Genomics, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, MA; The Manton Center for Orphan Disease Research, Boston Children's Hospital, Boston, MA. Electronic address: pankaj.agrawal@enders.tch.harvard.edu.
Boston Children's Hospital · US

Funding

The Burden of Genetic Disorders in Infant MortalityK23HD102589 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI WOJCIK, MONICA HSIUNG · 2020 to 2024
$840k
NICHD NIH HHS K23 HD102589
6 · The paper itself

Abstract

purposeGenetic disorders often present in the neonatal intensive care unit (NICU), and detecting or confirming these diagnoses has been shown to impact care. However, the availability and use of genetic testing, particularly exome or genome sequencing, among NICUs varies widely. We therefore sought to investigate practice patterns related to genetic testing in NICUs around the country to identify and quantify potential discrepancies.

methodsWe designed a survey that was distributed to neonatologists via email. The survey contained questions related to test availability and desirability, the process of test ordering in NICU, and general comfort with ordering and interpreting genetic testing. Demographic data related to the survey participants and characteristics of their NICU were also obtained.

resultsIn total, 162 neonatologists completed the survey, representing 40 states and 112 distinct NICUs. Although nearly all (93.2%) neonatologists attributed a high level of importance to identifying a genetic diagnosis for their patients, genetic consultations were only available at 78% of NICUs and exome or genome sequencing was not available on a regular basis (69% of NICUs).

conclusionAlthough, among US neonatologists surveyed, most feel that genetic tests are indicated for their patients, these are not always clinically available. Further research into implementation barriers is warranted.

Indexed as

Intensive Care Units, NeonatalNeonatologistsExome SequencingGenetic TestingHumansInfant, NewbornSurveys and QuestionnairesUnited StatesExome sequencingGeneticsGenomicsNeonatology

Identifiers

PMID35304021
PMCPMC9272826
OpenAlexW4220742081

What OpenQuestion holds

Textmetadata
LicenceTDM
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.