Evidence map›Paper›PMID 38154813›Full record

ArticleJournal of medical genetics2024

Recommendations for laboratory workflow that better support centralised amalgamation of genomic variant data: findings from CanVIG-UK national molecular laboratory survey.

Sophie Allen, Lucy Loong, Alice Garrett, Bethany Torr, Miranda Durkie, James Drummond, Alison Callaway, Rachel Robinson, George J Burghel, Helen Hanson and 27 more

Abstract read
In one paragraph

Article in Journal of medical genetics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

37 authors.

Sophie Allen *Division of Genetics and Epidemiology, Institute of Cancer Research, Sutton, UK.ORCID 0000-0003-4928-2240
Lucy Loong *Division of Genetics and Epidemiology, Institute of Cancer Research, Sutton, UK.
Alice GarrettDivision of Genetics and Epidemiology, Institute of Cancer Research, Sutton, UK.ORCID 0000-0001-8942-283X
Bethany TorrDivision of Genetics and Epidemiology, Institute of Cancer Research, Sutton, UK.ORCID 0000-0003-3487-9749
Miranda DurkieSheffield Diagnostic Genetics Service, NEY Genomic Laboratory Hub, Sheffield Children's NHS Foundation Trust, Sheffield, UK.
James DrummondEast Anglian Medical Genetics Service, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Alison CallawayWessex Regional Genetics Laboratory, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Rachel RobinsonYorkshire Regional Genetics Service, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
George J BurghelManchester Centre for Genomic Medicine and NW Laboratory Genetics Hub, Manchester University Hospitals NHS Foundation Trust, Manchester, UK.ORCID 0000-0001-9360-8194
Helen HansonDivision of Genetics and Epidemiology, Institute of Cancer Research, Sutton, UK.ORCID 0000-0002-3303-8713
Joanne FieldGenomics and Molecular Medicine Service, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Trudi McDevittDepartment of Clinical Genetics, CHI at Crumlin, Dublin, Ireland.
Terri P McVeighCancer Genetics Unit, The Royal Marsden NHS Foundation Trust, London, UK.
Tina BedenhamWest Midlands, Oxford and Wessex Genomic Laboratory Hub, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Christopher BowlesDepartment of Molecular Genetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Kirsty BradshawEast Midlands and East of England Genomics Laboratory, Nottingham University Hospitals NHS Trust, Nottingham, UK.
Claire BrooksNorth Thames Genomic Laboratory Hub, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Samantha ButlerCentral and South Genomic Laboratory Hub, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
Juan Carlos Del Rey JimenezDepartment of Clinical Genetics, St George's University Hospitals NHS Foundation Trust, London, UK.
Lorraine HawkesSouth East Genomics Laboratory Hub, Guy's Hospital, London, UK.
Victoria StintonNorth West Genomic Laboratory Hub, Manchester Centre for Genomic Medicine, Manchester, UK.
Suzanne MacMahonCentre for Molecular Pathology, Institute of Cancer Research Sutton, Sutton, UK.
Martina OwensDepartment of Molecular Genetics, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Sheila Palmer-SmithInstitute of Medical Genetics, Cardiff and Vale University Health Board, University Hospital of Wales, Cardiff, UK.
Kenneth SmithSouth West Genomic Laboratory Hub, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
James TellezNorth East and Yorkshire Genomic Laboratory Hub, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Mikel Valganon-PetrizanCentre for Molecular Pathology, Institute of Cancer Research Sutton, Sutton, UK.
Erik WaskiewiczInstitute of Medical Genetics, Cardiff and Vale University Health Board, University Hospital of Wales, Cardiff, UK.
Michael YauSouth East Genomics Laboratory Hub, Guy's Hospital, London, UK.
Diana M EcclesCancer Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.ORCID 0000-0002-9935-3169
Marc TischkowitzDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.
Shilpi GoelNHS England, National Disease Registration Service, London, UK.
Fiona McRonaldNHS England, National Disease Registration Service, London, UK.
Antonis C AntoniouDepartment of Public Health and Primary Care, University of Cambridge Centre for Cancer Genetic Epidemiology, Cambridge, UK.ORCID 0000-0001-9223-3116
Eva MorrisNuffield Department of Population Health, University of Oxford, Oxford, UK.
Steven HardyNHS England, National Disease Registration Service, London, UK.
Clare TurnbullDivision of Genetics and Epidemiology, Institute of Cancer Research, Sutton, UK turnbull.lab@icr.ac.uk.ORCID 0000-0002-3797-7398

Funding

Cancer Research UK 27223Cancer Research UK EDDPGM-NOV22/100004
6 · The paper itself

Abstract

backgroundNational and international amalgamation of genomic data offers opportunity for research and audit, including analyses enabling improved classification of variants of uncertain significance. Review of individual-level data from National Health Service (NHS) testing of cancer susceptibility genes (2002-2023) submitted to the National Disease Registration Service revealed heterogeneity across participating laboratories regarding (1) the structure, quality and completeness of submitted data, and (2) the ease with which that data could be assembled locally for submission.

methodsIn May 2023, we undertook a closed online survey of 51 clinical scientists who provided consensus responses representing all 17 of 17 NHS molecular genetic laboratories in England and Wales which undertake NHS diagnostic analyses of cancer susceptibility genes. The survey included 18 questions relating to 'next-generation sequencing workflow' (11), 'variant classification' (3) and 'phenotypical context' (4).

resultsWidely differing processes were reported for transfer of variant data into their local LIMS (Laboratory Information Management System), for the formatting in which the variants are stored in the LIMS and which classes of variants are retained in the local LIMS. Differing local provisions and workflow for variant classifications were also reported, including the resources provided and the mechanisms by which classifications are stored.

conclusionThe survey responses illustrate heterogeneous laboratory workflow for preparation of genomic variant data from local LIMS for centralised submission. Workflow is often labour-intensive and inefficient, involving multiple manual steps which introduce opportunities for error. These survey findings and adoption of the concomitant recommendations may support improvement in laboratory dataflows, better facilitating submission of data for central amalgamation.

Indexed as

LaboratoriesNeoplasmsGenomicsHumansState MedicineUnited KingdomWorkflowClinical Laboratory TechniquesGeneticsGenetic TestingGenomicsMolecular Diagnostic Techniques

Identifiers

PMID38154813
PMCPMC10982625

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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.