Evidence map›Paper›PMID 35888005›Full record

ArticleJournal of clinical medicine2022

A Multi-Disciplinary Team Approach to Genomic Testing for Drug-Resistant Epilepsy Patients-The GENIE Study.

Lata Vadlamudi, Carmen Maree Bennett, Melanie Tom, Ghusoon Abdulrasool, Kristian Brion, Ben Lundie, Hnin Aung, Chiyan Lau, Jonathan Rodgers, Kate Riney and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

11 authors at 3 institutions in 1 country.

Lata VadlamudiThe University of Queensland, UQ Centre for Clinical Research, Herston, QLD 4029, Australia.ORCID 0000-0002-8742-0125
Carmen Maree BennettThe University of Queensland, UQ Centre for Clinical Research, Herston, QLD 4029, Australia.
Melanie TomThe University of Queensland, UQ Centre for Clinical Research, Herston, QLD 4029, Australia.
Ghusoon AbdulrasoolPathology Queensland, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia.
Kristian BrionPathology Queensland, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia.
Ben LundiePathology Queensland, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia.
Hnin AungPathology Queensland, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia.
Chiyan LauPathology Queensland, Royal Brisbane and Women's Hospital, Herston, QLD 4029, Australia.ORCID 0000-0002-9129-8783
Jonathan RodgersFaculty of Medicine, The University of Queensland, Herston, QLD 4029, Australia.
Kate RineyFaculty of Medicine, The University of Queensland, Herston, QLD 4029, Australia.
Louisa GordonQIMR Berghofer Medical Research, 300 Herston Road, Herston, QLD 4006, Australia.ORCID 0000-0002-3159-4249
The University of Queensland · AURoyal Brisbane and Women's Hospital · AUQueensland University of Technology · AU

Funding

Metro North Clinician Research Fellowship Not applicableQueensland Genomics not applicable
6 · The paper itself

Abstract

backgroundThe genomic era has led to enormous progress in clinical care and a multi-disciplinary team (MDT) approach is imperative for integration of genomics into epilepsy patient care.

methodsThe MDT approach involved patient selection, genomic testing choice, variant discussions and return of results. Genomics analysis included cytogenomic testing and whole exome sequencing (WES). Neurologist surveys were undertaken at baseline and after genomic testing to determine if genomic diagnoses would alter their management, and if there was a change in confidence in genomic testing and neurologist perceptions of the MDT approach.

resultsThe total diagnostic yield from all genomic testing was 17% (11/66), with four diagnoses from cytogenomic analyses. All chromosomal microarray (CMA) diagnoses were in patients seen by adult neurologists. Diagnostic yield for WES was 11% (7/62). The most common gene with pathogenic variants was

conclusionsWe demonstrated diagnostic yield from genomic testing, and the impact on management in a cohort with drug-resistant epilepsy. The MDT approach increased confidence in genomic testing and neurologists valued the input from this approach. The utility of CMA was demonstrated in epilepsy patients seen by adult neurologists as was the importance of considering mosaicism for previously undiagnosed patients.

Indexed as

diagnosisdrug-resistantepilepsygenomics

Identifiers

PMID35888005
PMCPMC9319736
OpenAlexW4286491063

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.