Evidence map›Paper›PMID 38585444›Full record

ArticleNeurology. Clinical practice2024

Clinical Utility and Diagnostic Yield of Genetic Testing for Inherited Neuromuscular Disorders in a Single, Large Neuromuscular Center.

Suzahn E Ebert, James B Meiling, James B Caress, Rachana K Gandhi Mehta, Vanessa Baute Penry, Araya Puwanant, Michael S Cartwright

Abstract read
In one paragraph

Article in Neurology. Clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Suzahn E EbertDepartment of Neurology (SEE), University of Virginia, Charlottesville; Department of Physical Medicine and Rehabilitation (JBM), Mayo Clinic, Rochester, MN; and Department of Neurology (JBC, RKGM, VBP, AP, MSC), Wake Forest School of Medicine, Winston-Salem, NC.ORCID https://orcid.org/0009-0005-3023-3694
James B MeilingDepartment of Neurology (SEE), University of Virginia, Charlottesville; Department of Physical Medicine and Rehabilitation (JBM), Mayo Clinic, Rochester, MN; and Department of Neurology (JBC, RKGM, VBP, AP, MSC), Wake Forest School of Medicine, Winston-Salem, NC.ORCID https://orcid.org/0000-0002-2725-1825
James B CaressDepartment of Neurology (SEE), University of Virginia, Charlottesville; Department of Physical Medicine and Rehabilitation (JBM), Mayo Clinic, Rochester, MN; and Department of Neurology (JBC, RKGM, VBP, AP, MSC), Wake Forest School of Medicine, Winston-Salem, NC.ORCID https://orcid.org/0000-0002-5814-6083
Rachana K Gandhi MehtaDepartment of Neurology (SEE), University of Virginia, Charlottesville; Department of Physical Medicine and Rehabilitation (JBM), Mayo Clinic, Rochester, MN; and Department of Neurology (JBC, RKGM, VBP, AP, MSC), Wake Forest School of Medicine, Winston-Salem, NC.ORCID https://orcid.org/0000-0003-0185-8618
Vanessa Baute PenryDepartment of Neurology (SEE), University of Virginia, Charlottesville; Department of Physical Medicine and Rehabilitation (JBM), Mayo Clinic, Rochester, MN; and Department of Neurology (JBC, RKGM, VBP, AP, MSC), Wake Forest School of Medicine, Winston-Salem, NC.ORCID https://orcid.org/0009-0002-0355-3308
Araya PuwanantDepartment of Neurology (SEE), University of Virginia, Charlottesville; Department of Physical Medicine and Rehabilitation (JBM), Mayo Clinic, Rochester, MN; and Department of Neurology (JBC, RKGM, VBP, AP, MSC), Wake Forest School of Medicine, Winston-Salem, NC.ORCID https://orcid.org/0000-0002-9328-8749
Michael S CartwrightDepartment of Neurology (SEE), University of Virginia, Charlottesville; Department of Physical Medicine and Rehabilitation (JBM), Mayo Clinic, Rochester, MN; and Department of Neurology (JBC, RKGM, VBP, AP, MSC), Wake Forest School of Medicine, Winston-Salem, NC.ORCID https://orcid.org/0000-0003-2026-6511

Funding

Brain Structure and Clinical Endpoints in Myotonic Dystrophy Type 2-K23NS125110 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Araya Puwanant · 2022 to 2026
$1.1M
NINDS NIH HHS K23 NS125110
6 · The paper itself

Abstract

Background and Objectives: Most published studies on the clinical utility of genetic testing for neuromuscular diseases (NMDs) focus on disease-specific cohorts and/or involve multiple centers. The aim of this study was to examine the clinical utility and diagnostic yield of genetic testing at a single, large neuromuscular center. Unlike previous studies, this study is unique in that it includes a broad array of patients at a single, large neuromuscular center, providing real-world data that may assist both neuromuscular specialists as well as general neurologists in decision-making regarding the need for genetic testing in patients with suspected NMDs. Methods: Genetic testing results were reviewed for all patients who underwent testing through a single genetic testing company for NMDs in this single laboratory at a large neuromuscular center from 2015 to 2020. Retrospective chart reviews were performed to determine whether genetic testing results conferred a specific NMD diagnosis, including cases where a variant of uncertain significance (VUS) was identified. Results: Genetic testing was pursued for 192 patients. A positive result, defined as a pathogenic mutation, a VUS, or both, was found in 77.1%. A definitive diagnosis was conferred in 35.9%. The most common testing indication was suspected neuropathy (53.3%), and the indication with the highest diagnostic yield was suspected myopathy (48.7%). Discussion: This study provides further evidence of the clinical utility of genetic testing for NMDs in a real-world setting with over one-third of patients tested receiving a definitive diagnosis. Over time, genetic testing will continue to become increasingly accessible, cost-effective, and sensitive, which will lead to even more utilization.

Identifiers

PMID38585444
PMCPMC10996901

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.