Evidence map›Paper›PMID 35661141›Full record

ReviewDevelopmental medicine and child neurology2022

Delivering paediatric precision medicine: Genomic and environmental considerations along the causal pathway of childhood neurodevelopmental disorders.

Sue Woolfenden, Michelle A Farrar, Valsamma Eapen, Anne Masi, Claire E Wakefield, Nadia Badawi, Iona Novak, Natasha Nassar, Raghu Lingam, Russell C Dale

Open access · greenAbstract readReview
In one paragraph

Review 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.0field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Review
  3. Strategic consensus on the clinical translation of advanced therapies in paediatric rare neurological disorders.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
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  5. Article
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  9. Review
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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.

Sue WoolfendenDiscipline of Paediatrics, School of Clinical Medicine, UNSW Sydney, Sydney.ORCID 0000-0002-6954-5071
Michelle A FarrarDiscipline of Paediatrics, School of Clinical Medicine, UNSW Sydney, Sydney.ORCID 0000-0002-4472-0902
Valsamma EapenSchool of Psychiatry, UNSW Sydney, Sydney.
Anne MasiSchool of Psychiatry, UNSW Sydney, Sydney.
Claire E WakefieldDiscipline of Paediatrics, School of Clinical Medicine, UNSW Sydney, Sydney.
Nadia BadawiCerebral Palsy Alliance Research Institute, Specialty of Child & Adolescent Health, The University of Sydney, Sydney.
Iona NovakCerebral Palsy Alliance Research Institute, Specialty of Child & Adolescent Health, The University of Sydney, Sydney.
Natasha NassarChildren's Hospital at Westmead Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney.
Raghu LingamDiscipline of Paediatrics, School of Clinical Medicine, UNSW Sydney, Sydney.
Russell C DaleDepartment of Neurology, Sydney Children's Hospitals Network, Sydney.ORCID 0000-0002-2495-1826
UNSW Sydney · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Precision medicine refers to treatments that are targeted to an individual's unique characteristics. Precision medicine for neurodevelopmental disorders (such as cerebral palsy, attention-deficit/hyperactivity disorder, obsessive-compulsive disorder, Tourette syndrome, and autism spectrum disorder) in children has predominantly focused on advances in genomic sequencing technologies to increase our ability to identify single gene mutations, diagnose a multitude of rare neurodevelopmental disorders, and gain insights into pathogenesis. Although targeting specific gene variants with high penetrance will help some children with rare disease, this approach will not help most children with neurodevelopmental disorders. A 'pathway' driven approach targeting the cumulative influence of psychosocial, epigenetic, or cellular factors is likely to be more effective. To optimize the therapeutic potential of precision medicine, we present a biopsychosocial integrated framework to examine the 'gene-environment neuroscience interaction'. Such an approach would be supported through harnessing the power of big data, transdiagnostic assessment, impact and implementation evaluation, and a bench-to-bedside scientific discovery agenda with ongoing clinician and patient engagement. WHAT THIS PAPER ADDS: Precision medicine has predominantly focused on genetic risk factors. The impact of environmental risk factors, particularly inflammatory, metabolic, and psychosocial risks, is understudied. A holistic biopsychosocial model of neurodevelopmental disorder causal pathways is presented. The model will provide precision medicine across the full spectrum of neurodevelopmental disorders.

Indexed as

Attention Deficit Disorder with HyperactivityAutism Spectrum DisorderNeurodevelopmental DisordersChildGenomicsHumansPrecision Medicine

Identifiers

PMID35661141
PMCPMC9545914
OpenAlexW4281715523

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.