Evidence map›Paper›PMID 37752660›Full record

ArticlePrenatal diagnosis2023

Access to prenatal exome sequencing for fetal malformations: A qualitative landscape analysis in the US.

Nuriye N Sahin-Hodoglugil, Billie R Lianoglou, Sara Ackerman, Teresa N Sparks, Mary E Norton

Abstract read
In one paragraph

Article in Prenatal diagnosis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

5 authors.

Nuriye N Sahin-HodoglugilDivision of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA.ORCID 0009-0002-1121-6897
Billie R LianoglouCenter for Maternal-Fetal Precision Medicine, University of California San Francisco, San Francisco, California, USA.
Sara AckermanDepartment of Social & Behavioral Sciences, School of Nursing, University of California San Francisco, San Francisco, California, USA.
Teresa N SparksDivision of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0002-8593-2186
Mary E NortonDivision of Maternal Fetal Medicine, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California, USA.

Funding

BUILDING THE EVIDENCE BASE FOR APPROPRIATE AND EFFICIENT IMPLEMENTATION OF EMERGING GENOMIC TESTS FOR DISEASE MANAGEMENT AND SCREENINGR01HG011792 · NHGRI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PHILLIPS, KATHRYN A · 2021 to 2025
$4.6M
Uncovering the etiologies of non-immune hydrops fetalis through comprehensive genomic analyses and phenotypingR01HD107190 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Teresa N Sparks · 2022 to 2026
$3.6M
Doris Duke Charitable Foundation 2021187NHGRI NIH HHS R01 HG011792NICHD NIH HHS R01 HD107190
6 · The paper itself

Abstract

objectiveThere is increasing evidence supporting the clinical utility of next generation sequencing for identifying fetal genetic disorders. However, there are limited data on the demand for and accessibility of these tests, as well as payer coverage in the prenatal context. We sought to identify clinician perspectives on the utility of prenatal exome sequencing (ES) and on equitable access to genomic technologies for the care of pregnancies complicated by fetal structural anomalies.

methodWe conducted two focus group discussions and six interviews with a total of 13 clinicians (11 genetic counselors; 2 Maternal Fetal Medicine/Geneticists) from U.S. academic centers and community clinics.

resultsParticipants strongly supported ES for prenatal diagnostic testing in pregnancies with fetal structural anomalies. Participants emphasized the value of prenatal ES as an opportunity for a continuum of care before, during, and after a pregnancy, not solely as informing decisions about abortions. Cost and coverage of the test was the main access barrier, and research was the main pathway to access ES in academic centers.

conclusionFurther integrating the perspectives of additional key stakeholders are important for understanding clinical utility, developing policies and practices to address access barriers, and assuring equitable provision of prenatal diagnostic testing.

Indexed as

Abortion, SpontaneousUltrasonography, PrenatalExome SequencingFemaleFetusHumansPregnancyPregnancy Trimester, FirstPrenatal Diagnosis

Identifiers

PMID37752660
PMCPMC10846391

What OpenQuestion holds

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Registered trials

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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.