Evidence map›Paper›PMID 36722519›Full record

ArticleSingapore medical journal2023

Missed diagnosis or misdiagnosis: Common pitfalls in genetic testing.

Tarryn Shaw, Rose Fok, Eliza Courtney, Shao-Tzu Li, Jianbang Chiang, Joanne Ngeow

Abstract read
In one paragraph

Article in Singapore medical journal, 2023. 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
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Genetics and genomics: A frontier for clinicians.Singapore medical journal · 2023
    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

6 authors.

Tarryn ShawCancer Genetics Service, Division of Medical Oncology, National Cancer Centre Singapore, Singapore.
Rose FokCancer Genetics Service, Division of Medical Oncology, National Cancer Centre Singapore, Singapore.
Eliza CourtneyCancer Genetics Service, Division of Medical Oncology, National Cancer Centre Singapore, Singapore.
Shao-Tzu LiCancer Genetics Service, Division of Medical Oncology, National Cancer Centre Singapore, Singapore.
Jianbang ChiangCancer Genetics Service, Division of Medical Oncology, National Cancer Centre Singapore; Oncology Academic Clinical Program, Duke-NUS Medical School, Singapore.
Joanne NgeowCancer Genetics Service, Division of Medical Oncology, National Cancer Centre Singapore; Oncology Academic Clinical Program, Duke-NUS Medical School; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Genetic testing has the power to identify individuals with increased predisposition to disease, allowing individuals the opportunity to make informed management, treatment and reproductive decisions. As genomic medicine continues to be integrated into aspects of everyday patient care and the indications for genetic testing continue to expand, genetic services are increasingly being offered by non-genetic clinicians. The current complexities of genetic testing highlight the need to support and ensure non-genetic professionals are adequately equipped with the knowledge and skills to provide services. We describe a series of misdiagnosed/mismanaged cases, highlighting the common pitfalls in genetic testing to identify the knowledge gaps and where education and support is needed. We highlight that education focusing on differential diagnoses, test selection and result interpretation is needed. Collaboration and communication between genetic and non-genetic clinicians and integration of genetic counsellors into different medical settings are important. This will minimise the risks and maximise the benefits of genetic testing, ensuring adverse outcomes are mitigated.

Indexed as

Genetic TestingMissed DiagnosisDiagnosis, DifferentialEducational StatusGenotypeHumansAdverse outcomescancergenetic servicesmisdiagnosismismanagement

Identifiers

PMID36722519
PMCPMC9979802

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.