Evidence map›Paper›PMID 35627109›Full record

ArticleGenes2022

Implementation of Exome Sequencing in Prenatal Diagnosis and Impact on Genetic Counseling: The Polish Experience.

Anna Kucińska-Chahwan, Maciej Geremek, Tomasz Roszkowski, Julia Bijok, Diana Massalska, Michał Ciebiera, Hildeberto Correia, Iris Pereira-Caetano, Ana Barreta, Ewa Obersztyn and 8 more

Open access · goldAbstract read
In one paragraph

Article in Genes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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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

18 authors at 5 institutions in 2 countries.

Anna Kucińska-ChahwanDepartment of Medical Genetics, Institute of Mother and Child, 01-211 Warsaw, Poland.ORCID 0000-0002-4919-6425
Maciej GeremekDepartment of Medical Genetics, Institute of Mother and Child, 01-211 Warsaw, Poland.ORCID 0000-0002-6484-8751
Tomasz RoszkowskiDepartment of Obstetrics and Gynecology, Institute of Mother and Child, 01-211 Warsaw, Poland.
Julia BijokDepartment of Gynecology Oncology and Obstetrics, Center of Postgraduate Medical Education, 01-809 Warsaw, Poland.
Diana MassalskaDepartment of Gynecology Oncology and Obstetrics, Center of Postgraduate Medical Education, 01-809 Warsaw, Poland.
Michał CiebieraSecond Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-809 Warsaw, Poland.ORCID 0000-0001-5780-5983
Hildeberto CorreiaCytogenetics Unit, Department of Human Genetics, Nacional Health Institute Doutor Ricardo Jorge, 1649-016 Lisbon, Portugal.
Iris Pereira-CaetanoMolecular Genetics Unit, Department of Human Genetics, National Health Institute Doutor Ricardo Jorge, 1649-016 Lisbon, Portugal.
Ana BarretaMedical Genetics Service, Joaquim Chaves Saúde, 1495-148 Oeiras, Portugal.
Ewa ObersztynDepartment of Medical Genetics, Institute of Mother and Child, 01-211 Warsaw, Poland.
Anna Kutkowska-KaźmierczakDepartment of Medical Genetics, Institute of Mother and Child, 01-211 Warsaw, Poland.ORCID 0000-0001-5295-7363
Paweł WłasienkoDepartment of Medical Genetics, Institute of Mother and Child, 01-211 Warsaw, Poland.
Małgorzata Krajewska-WalasekDepartment of Genetics and Clinical Immunology, National Institute of Tuberculosis and Lung Diseases, 01-138 Warsaw, Poland.ORCID 0000-0001-8721-210X
Piotr WęgrzynDepartment of Obstetrics, Perinatology and Gynaecology, Medical University of Warsaw, 02-097 Warsaw, Poland.
Lech DudarewiczDepartment of Genetics, Polish Mother's Memorial Hospital-Research Institute, 93-338 Lodz, Poland.
Waldemar KrzeszowskiDepartment of Perinatology and Gynecology, Polish Mother's Memorial Hospital Research Institute, 93-338 Lodz, Poland.
Magda Rybak-KrzyszkowskaDepartment of Obstetrics and Perinatology, University Hospital in Krakow, 31-501 Warsaw, Poland.ORCID 0000-0002-6993-8078
Beata NowakowskaDepartment of Medical Genetics, Institute of Mother and Child, 01-211 Warsaw, Poland.
Polish Mother’s Memorial Hospital Research Institute · PLPostgraduate School of Molecular Medicine · PLNational Institute of Health Dr. Ricardo Jorge · PTKrakow Cardiovascular Research Institute · PLMedical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advances in routine prenatal cytogenetic testing, most anomalous fetuses remain without a genetic diagnosis. Exome sequencing (ES) is a molecular technique that identifies sequence variants across protein-coding regions and is now increasingly used in clinical practice. Fetal phenotypes differ from postnatal and, therefore, prenatal ES interpretation requires a large amount of data deriving from prenatal testing. The aim of our study was to present initial results of the implementation of ES to prenatal diagnosis in Polish patients and to discuss its possible clinical impact on genetic counseling.

methodsIn this study we performed a retrospective review of all fetal samples referred to our laboratory for ES from cooperating centers between January 2017 and June 2021.

resultsDuring the study period 122 fetuses were subjected to ES at our institution. There were 52 abnormal ES results: 31 in the group of fetuses with a single organ system anomaly and 21 in the group of fetuses with multisystem anomalies. The difference between groups was not statistically significant. There were 57 different pathogenic or likely pathogenic variants reported in 33 different genes. The most common were missense variants. In 17 cases the molecular diagnosis had an actual clinical impact on subsequent pregnancies or other family members.

conclusionsExome sequencing increases the detection rate in fetuses with structural anomalies and improves genetic counseling for both the affected couple and their relatives.

Indexed as

ExomeGenetic CounselingExome SequencingFemaleHumansPolandPregnancyPrenatal Diagnosisexome sequencingfetal anomaliesgenomic variantgenotype–phenotype correlationprenatal diagnosisultrasound

Identifiers

PMID35627109
PMCPMC9140952
OpenAlexW4224216714

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.