Evidence map›Paper›PMID 36835410›Full record

ArticleInternational journal of molecular sciences2023

Rapid Whole Genome Sequencing Diagnoses and Guides Treatment in Critically Ill Children in Belgium in Less than 40 Hours.

Aimé Lumaka, Corinne Fasquelle, Francois-Guillaume Debray, Serpil Alkan, Adeline Jacquinet, Julie Harvengt, François Boemer, André Mulder, Sandrine Vaessen, Renaud Viellevoye and 6 more

Open access · goldAbstract read
In one paragraph

Article in International journal of molecular sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 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

16 authors at 3 institutions in 1 country.

Aimé LumakaHuman Genetic Laboratory, GIGA Institute, University of Liège, 4000 Liège, Belgium.ORCID 0000-0002-5468-8678
Corinne FasquelleCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.
Francois-Guillaume DebrayCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.
Serpil AlkanCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.
Adeline JacquinetCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.
Julie HarvengtCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.ORCID 0000-0002-0127-1668
François BoemerCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.ORCID 0000-0003-4470-9524
André MulderDepartment of Pediatrics, Division of Pediatric Critical Care Medicine, CHC Mont-Légia, 4000 Liège, Belgium.
Sandrine VaessenNeuropediatric Division, CHU de Liège-CHR de la Citadelle, University of Liège, 4000 Liège, Belgium.
Renaud ViellevoyeNeonatology Division, CHU de Liège-CHR de la Citadelle, University of Liège, 4000 Liège, Belgium.
Leonor PalmeiraCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.
Benoit CharloteauxCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.
Anne BrysseCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.ORCID 0000-0002-0970-3197
Saskia BulkCenter for Human Genetics, Centre Hospitalier Universitaire, 4032 Liège, Belgium.
Vincent RigoNeonatology Division, CHU de Liège-CHR de la Citadelle, University of Liège, 4000 Liège, Belgium.ORCID 0000-0003-1846-7162
Vincent BoursHuman Genetic Laboratory, GIGA Institute, University of Liège, 4000 Liège, Belgium.
Centre Hospitalier Universitaire de Liège · BEUniversity of Liège · BECentre Hospitalier Chrétien · BE

Funding

Region Wallonne, Belgium RWAL1710180
6 · The paper itself

Abstract

Rapid Whole Genome Sequencing (rWGS) represents a valuable exploration in critically ill pediatric patients. Early diagnosis allows care to be adjusted. We evaluated the feasibility, turnaround time (TAT), yield, and utility of rWGS in Belgium. Twenty-one unrelated critically ill patients were recruited from the neonatal intensive care units, the pediatric intensive care unit, and the neuropediatric unit, and offered rWGS as a first tier test. Libraries were prepared in the laboratory of human genetics of the University of Liège using Illumina DNA PCR-free protocol. Sequencing was performed on a NovaSeq 6000 in trio for 19 and in duo for two probands. The TAT was calculated from the sample reception to the validation of results. Clinical utility data were provided by treating physicians. A definite diagnosis was reached in twelve (57.5%) patients in 39.80 h on average (range: 37.05-43.7). An unsuspected diagnosis was identified in seven patients. rWGS guided care adjustments in diagnosed patients, including a gene therapy, an off-label drug trial and two condition-specific treatments. We successfully implemented the fastest rWGS platform in Europe and obtained one of the highest rWGS yields. This study establishes the path for a nationwide semi-centered rWGS network in Belgium.

Indexed as

Critical IllnessOff-Label UseBelgiumChildHumansInfant, NewbornIntensive Care Units, PediatricWhole Genome SequencingBase Space Sequence Hubcritically ill newbornDragenNICUNICU-Seqrapid whole genome sequencingrWGS

Identifiers

PMID36835410
PMCPMC9967120
OpenAlexW4321091465

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.