Evidence map›Paper›PMID 36822643›Full record

ArticleJournal of medical genetics2023

Genetic and metabolic investigations for neurodevelopmental disorders: position statement of the Canadian College of Medical Geneticists (CCMG).

Melissa T Carter, Myriam Srour, Ping-Yee Billie Au, Daniela Buhas, Sarah Dyack, Alison Eaton, Michal Inbar-Feigenberg, Heather Howley, Anne Kawamura, Suzanne M E Lewis and 4 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Journal of medical genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
19.4field-weighted citation impact, top 1% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  11. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
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  15. Closing gaps in care and knowledge for adults with complex genetic conditions.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  16. Article
  17. Expected and Desirable Preterm and Small Infant Growth Patterns.Advances in nutrition (Bethesda, Md.) · 2024
    Review
  18. Article
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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

14 authors at 11 institutions in 1 country.

Melissa T CarterDepartment of Genetics, CHEO, Ottawa, Ontario, Canada mcarter@cheo.on.ca.ORCID 0000-0001-7211-3731
Myriam SrourDivision of Neurology, McGill University Health Centre, Montreal, Québec, Canada.ORCID 0000-0003-1009-0508
Ping-Yee Billie AuDepartment of Medical Genetics, Alberta Children's Hospital, Calgary, Alberta, Canada.
Daniela BuhasDivision of Medical Genetics, Department of Specialized Medicine, McGill University Health Centre, McGill University, Montreal, Québec, Canada.
Sarah DyackDivision of Medical Genetics, IWK Health Centre, Halifax, Nova Scotia, Canada.
Alison EatonDepartment of Medical Genetics, Stollery Children's Hospital, Edmonton, Alberta, Canada.
Michal Inbar-FeigenbergDivision of Clinical and Metabolic Genetics, The Hospital for Sick Children, Toronto, Ontario, Canada.
Heather HowleyOffice of Research Services, CHEO Research Institute, Ottawa, Ontario, Canada.
Anne KawamuraDivision of Developmental Pediatrics, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada.
Suzanne M E LewisDepartment of Medical Genetics, BC Children's and Women's Hospital, Vancouver, British Columbia, Canada.
Elizabeth McCreadyDepartment of Pathology and Molecular Medicine, McMaster University, McMaster University, Hamilton, ON, Canada, Hamilton, Ontario, Canada.
Tanya N NelsonDepartment of Pathology and Laboratory Medicine, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Hilary VallanceDepartment of Pathology and Laboratory Medicine, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Canadian College of Medical Geneticists
McGill University Health Centre · CAUniversity of British Columbia · CAAgricultural Research Institute of Ontario · CAAlberta Children's Hospital · CAChildren's Hospital of Eastern Ontario · CAChildren's & Women's Health Centre of British Columbia · CADalhousie University · CAHealth Sciences Centre · CAHospital for Sick Children · CAUniversity of Alberta · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose and scopeThe aim of this position statement is to provide recommendations for clinicians regarding the use of genetic and metabolic investigations for patients with neurodevelopmental disorders (NDDs), specifically, patients with global developmental delay (GDD), intellectual disability (ID) and/or autism spectrum disorder (ASD). This document also provides guidance for primary care and non-genetics specialists caring for these patients while awaiting consultation with a clinical geneticist or metabolic specialist. METHODS OF STATEMENT DEVELOPMENT: A multidisciplinary group reviewed existing literature and guidelines on the use of genetic and metabolic investigations for the diagnosis of NDDs and synthesised the evidence to make recommendations relevant to the Canadian context. The statement was circulated for comment to the Canadian College of Medical Geneticists (CCMG) membership-at-large and to the Canadian Pediatric Society (Mental Health and Developmental Disabilities Committee); following incorporation of feedback, it was approved by the CCMG Board of Directors on 1 September 2022. RESULTS AND

conclusionsChromosomal microarray is recommended as a first-tier test for patients with GDD, ID or ASD. Fragile X testing should also be done as a first-tier test when there are suggestive clinical features or family history. Metabolic investigations should be done if there are clinical features suggestive of an inherited metabolic disease, while the patient awaits consultation with a metabolic physician. Exome sequencing or a comprehensive gene panel is recommended as a second-tier test for patients with GDD or ID. Genetic testing is not recommended for patients with NDDs in the absence of GDD, ID or ASD, unless accompanied by clinical features suggestive of a syndromic aetiology or inherited metabolic disease.

Indexed as

Autism Spectrum DisorderIntellectual DisabilityNeurodevelopmental DisordersPhysiciansCanadaChildGenetic TestingHumansclinical decision-makinggeneticsgenetics, medicalgenetic testing

Identifiers

PMID36822643
PMCPMC10313961
OpenAlexW4321610269

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.