Evidence map›Paper›PMID 35997437›Full record

ArticleInternational journal of neonatal screening2022

Expanded Newborn Screening in Italy Using Tandem Mass Spectrometry: Two Years of National Experience.

Margherita Ruoppolo, Sabrina Malvagia, Sara Boenzi, Carla Carducci, Carlo Dionisi-Vici, Francesca Teofoli, Alberto Burlina, Antonio Angeloni, Tommaso Aronica, Andrea Bordugo and 40 more

Abstract read
In one paragraph

Article in International journal of neonatal screening, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
–field-weighted citation impact
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

47 citing papers in PubMed.

  1. Clinical spectrum and genetic landscape of MTHFR deficiency: a cohort study including novel variants.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Article
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  19. Arginase 1 deficiency: a treatable form of spastic paraplegia.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  20. Variants inGenes · 2025
    Review
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

50 authors.

Margherita RuoppoloDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0002-7364-0602
Sabrina MalvagiaNewborn Screening, Clinical Chemistry and Pharmacology Lab, Meyer Children's University Hospital, 50139 Florence, Italy.
Sara BoenziDivision of Metabolic Disease, Bambino Gesù Childrens Hospital IRCCS, 00165 Rome, Italy.ORCID 0000-0002-9153-4950
Carla CarducciDepartment of Experimental Medicine, Sapienza University of Rome, 00161 Rome, Italy.ORCID 0000-0003-2384-1550
Carlo Dionisi-ViciDivision of Metabolic Disease, Bambino Gesù Childrens Hospital IRCCS, 00165 Rome, Italy.ORCID 0000-0002-0007-3379
Francesca TeofoliDepartment of Mother and Child, The Regional Center for Neonatal Screening, Diagnosis and Treatment of Inherited Congenital Metabolic and Endocrinological Diseases, AOUI, 37126 Verona, Italy.
Alberto BurlinaDivision of Inherited Metabolic Diseases, University Hospital of Padova, 35128 Padova, Italy.ORCID 0000-0001-7724-137X
Antonio AngeloniDipartimento di Medicina Sperimentale, Sapienza University of Rome, 00161 Rome, Italy.
Tommaso AronicaOspedale Civico ARNAS PA, 90127 Palermo, Italy.
Andrea BordugoInherited Metabolic Disease Unit, Pediatric Department, AOUI, 37126 Verona, Italy.ORCID 0000-0003-1927-8187
Ines BucciCenter for Advanced Studies and Technology (CAST) and Department of Medicine and Aging Science, "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
Marta CamilotDepartment of Mother and Child, The Regional Center for Neonatal Screening, Diagnosis and Treatment of Inherited Congenital Metabolic and Endocrinological Diseases, AOUI, 37126 Verona, Italy.ORCID 0000-0002-7550-8461
Maria Teresa CarboneUOS Malattie Metaboliche e Rare, AORN Santobono, 80131 Naples, Italy.
Roberta CardinaliU.O.S.D. Screening Neonatale e Patologia Clinica AOU Policlinico Consorziale Ospedale Pediatrico Giovanni XXII Bari, 70121 Bari, Italy.
Claudia CarducciDipartimento di Medicina Sperimentale, Sapienza University of Rome, 00161 Rome, Italy.
Michela CassanelloLABSIEM (Laboratory for the Study of Inborn Errors of Metabolism), Pediatric Clinic, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.
Cinzia CastanaOspedale Civico ARNAS PA, 90127 Palermo, Italy.
Chiara CazzorlaDivision of Inherited Metabolic Diseases, University Hospital of Padova, 35128 Padova, Italy.
Renzo CiattiCentro Screening Neonatale Regione Marche, U.O.C. Neuropsichiatria Infantile-A.O. Ospedali Riuniti Marche Nord, 61032 Fano, Italy.
Simona FerrariUO Genetica Medica, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Giulia FrissoDepartment of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy.ORCID 0000-0003-3487-7743
Silvia FunghiniNewborn Screening, Clinical Chemistry and Pharmacology Lab, Meyer Children's University Hospital, 50139 Florence, Italy.
Francesca FurlanFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Pediatria Alta Intensità di Cura, 20122 Milan, Italy.
Serena GasperiniPediatric Department, San Gerardo Hospital, 20900 Monza, Italy.ORCID 0000-0001-8743-4407
Vincenza GragnanielloDivision of Inherited Metabolic Diseases, University Hospital of Padova, 35128 Padova, Italy.
Chiara GuzzettiSSD Endocrinologia Pediatrica e Centro Screening Neonatale, Ospedale Pediatrico Microcitemico "A. Cao", 09121 Cagliari, Italy.
Giancarlo La MarcaNewborn Screening, Clinical Chemistry and Pharmacology Lab, Meyer Children's University Hospital, 50139 Florence, Italy.
Luisa La SpinaLaboratorio Screening Neonatale-Clinica Pediatrica AOU Policlinico "G. Rodolico-San Marco", 95123 Catania, Italy.ORCID 0000-0003-1218-6407
Tania LorèU.O.S.D. Screening Neonatale e Patologia Clinica AOU Policlinico Consorziale Ospedale Pediatrico Giovanni XXII Bari, 70121 Bari, Italy.
Concetta MeliLaboratorio Screening Neonatale-Clinica Pediatrica AOU Policlinico "G. Rodolico-San Marco", 95123 Catania, Italy.
MariaAnna MessinaLaboratorio Screening Neonatale-Clinica Pediatrica AOU Policlinico "G. Rodolico-San Marco", 95123 Catania, Italy.ORCID 0000-0002-8652-4248
Amelia MorroneLaboratory of Molecular Biology of Neurometabolic Diseases, Neuroscience Department, Meyer Children's University Hospital, 50139 Florence, Italy.ORCID 0000-0003-2890-8179
Francesca NardecchiaDipartimento di Neuroscienze Umane-Unità di Neuropsichiatria Infantile Università Roma Sapienza, 00161 Rome, Italy.ORCID 0000-0002-0808-2827
Rita OrtolanoUO Pediatria, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Giancarlo ParentiDipartimento di Scienze Mediche Traslazionali Università degli Studi di Napoli Federico II, 80131 Naples, Italy.
Enza PavanelloSS Screening Prenatale e Neonatale, SC Biochimica Clinica, AOU Città della Salute e della Scienza di Torino, 10126 Torino, Italy.
Damiana PieragostinoCenter for Advanced Studies and Technology (CAST) and Department of Innovative Technologies in Medicine and Dentistry, "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0003-1015-3484
Sara PillaiSSD Endocrinologia Pediatrica e Centro Screening Neonatale, Ospedale Pediatrico Microcitemico "A. Cao", 09121 Cagliari, Italy.
Francesco PortaSC Pediatria-Malattie Metaboliche, Ospedale Infantile Regina Margherita AOU Città della Salute e della Scienza di Torino, 10126 Torino, Italy.
Francesca RighettiCentro Laboratoristico Regionale di Riferimento Screening Neonatale e Malattie Endocrino-Metaboliche UO Pediatria IRCCS Azienda Ospedaliero-Universitaria di Bologna, 40138 Bologna, Italy.
Claudia RossiCenter for Advanced Studies and Technology (CAST) and Department of Psychological, Health and Territory Sciences, "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.ORCID 0000-0003-0949-0280
Valentina RovelliClinical Department of Pediatrics, San Paolo Hospital, ASST Santi Paolo e Carlo, University of Milan, 20142 Milano, Italy.ORCID 0000-0002-7703-8635
Alessandro SalinaLABSIEM (Laboratory for the Study of Inborn Errors of Metabolism), Pediatric Clinic, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.ORCID 0000-0003-0133-6705
Laura SantoroOspedale Civico ARNAS PA, 90127 Palermo, Italy.
Pina SauroSS Screening Prenatale e Neonatale, SC Biochimica Clinica, AOU Città della Salute e della Scienza di Torino, 10126 Torino, Italy.ORCID 0000-0002-7783-827X
Maria Cristina SchiaffinoPediatric Clinic, IRCCS Istituto Giannina Gaslini, 16147 Genoa, Italy.
Simonetta SimonettiU.O.S.D. Screening Neonatale e Patologia Clinica AOU Policlinico Consorziale Ospedale Pediatrico Giovanni XXII Bari, 70121 Bari, Italy.
Monica VincenziDepartment of Mother and Child, The Regional Center for Neonatal Screening, Diagnosis and Treatment of Inherited Congenital Metabolic and Endocrinological Diseases, AOUI, 37126 Verona, Italy.
Elisabetta TarsiCentro Screening Neonatale Regione Marche, U.O.C. Neuropsichiatria Infantile-A.O. Ospedali Riuniti Marche Nord, 61032 Fano, Italy.
Anna Paola UcchedduSSD Endocrinologia Pediatrica e Centro Screening Neonatale, Ospedale Pediatrico Microcitemico "A. Cao", 09121 Cagliari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Newborn screening (NBS) for inborn errors of metabolism is one of the most advanced tools for secondary prevention in medicine, as it allows early diagnosis and prompt treatment initiation. The expanded newborn screening was introduced in Italy between 2016 and 2017 (Law 167/2016; DM 13 October 2016; DPCM 12-1-2017). A total of 1,586,578 infants born in Italy were screened between January 2017 and December 2020. For this survey, we collected data from 15 Italian screening laboratories, focusing on the metabolic disorders identified by tandem mass spectrometry (MS/MS) based analysis between January 2019 and December 2020. Aminoacidemias were the most common inborn errors in Italy, and an equal percentage was observed in detecting organic acidemias and mitochondrial fatty acids beta-oxidation defects. Second-tier tests are widely used in most laboratories to reduce false positives. For example, second-tier tests for methylmalonic acid and homocysteine considerably improved the screening of CblC without increasing unnecessary recalls. Finally, the newborn screening allowed us to identify conditions that are mainly secondary to a maternal deficiency. We describe the goals reached since the introduction of the screening in Italy by exchanging knowledge and experiences among the laboratories.

Indexed as

aminoacidemiasfatty acid oxidation disordersinborn errors of metabolismnewborn screeningorganic acidemiastandem mass spectrometryurea cycle defects

Identifiers

PMID35997437
PMCPMC9397032

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