Evidence map›Paper›PMID 36471706›Full record

ArticleEpilepsy & behavior reports2022

Utility of genetic testing in pediatric epilepsy: Experience from a low to middle-income country.

Fizza Akbar, Raisa Saleh, Salman Kirmani, Prem Chand, Khairunnisa Mukhtiar, Farida Jan, Raman Kumar, Shahnaz Ibrahim

Open access · goldAbstract read
In one paragraph

Article in Epilepsy & behavior reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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, 10 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Fizza AkbarDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Raisa SalehMedical College, Aga Khan University, Karachi, Pakistan.
Salman KirmaniDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Prem ChandDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Khairunnisa MukhtiarDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Farida JanLiaquat National Hospital and Medical College, Karachi, Pakistan.
Raman KumarLiaquat National Hospital and Medical College, Karachi, Pakistan.
Shahnaz IbrahimDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, Pakistan.
Aga Khan University · PKLiaquat National Hospital · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Monogenic epilepsies are a significant etiology of pediatric epilepsy. These are now more easily identified due to advances in genetic testing. However, the utility of genetic testing in low to middle-income countries (LMICs) has not been fully explored. A retrospective review was carried out in Karachi, Pakistan. Patients with symptoms suggestive of genetic epilepsy underwent next-generation sequencing (NGS). Seventy-seven patients were tested, of which 27 % (n = 21) initially had pathogenic (P) or likely pathogenic (LP) results. This increased to 32 % (n = 25) after clinical reclassification of some variants of uncertain significance (VUSs) based on American College of Medical Genetics and Genomics (ACMG) guidelines. Initially, 6 % of patients (n = 5) had no P/LP or VUS, and 66 % (n = 51) had at least one VUS. After variant resolution and reclassification, results were negative for 25% (n = 19) and 43% (n = 33) had VUSs. Genetic testing was positive in one-third of our population. The proportion of P/LP variants found in

Indexed as

Genetic TestingLMICsMonogenic EpilepsyNeurogeneticsNext-Generation SequencingPrecision Medicine

Identifiers

PMID36471706
PMCPMC9719086
OpenAlexW4309485609

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.