Evidence map›Paper›PMID 39415915›Full record

ArticleEJHaem2024

Certainty in uncertainty: Determining the rate and reasons for reclassification of variants of uncertain significance in haematological malignancies.

Anoop K Enjeti, Natasha Walker, Oliver Fahey, Elizabeth Johnston, Hannah Legge-Wilkinson, Nateika Ramsurrun, Jonathan Sillar, Lisa F Lincz, Andrew Ziolkowski, David Mossman

Abstract read
In one paragraph

Article in EJHaem, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Genomic Medicine and Individual Autonomy: Reflections on Knowledge Societies and Governmentality.International journal of environmental research and public health · 2026
    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

10 authors.

Anoop K EnjetiDepartment of Molecular Medicine NSW Health Pathology, John Hunter Hospital Waratah Australia.ORCID https://orcid.org/0000-0001-8069-090X
Natasha WalkerPrecision Medicine Research Program, University of Newcastle Waratah Australia.
Oliver FaheyPrecision Medicine Research Program, University of Newcastle Waratah Australia.
Elizabeth JohnstonPrecision Medicine Research Program, University of Newcastle Waratah Australia.
Hannah Legge-WilkinsonPrecision Medicine Research Program, University of Newcastle Waratah Australia.
Nateika RamsurrunPrecision Medicine Research Program, University of Newcastle Waratah Australia.
Jonathan SillarDepartment of Haematology Calvary Mater Newcastle Waratah Australia.
Lisa F LinczDepartment of Haematology Calvary Mater Newcastle Waratah Australia.
Andrew ZiolkowskiDepartment of Molecular Medicine NSW Health Pathology, John Hunter Hospital Waratah Australia.
David MossmanDepartment of Molecular Medicine NSW Health Pathology, John Hunter Hospital Waratah Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Variants of uncertain significance (VUS) are commonly reported in cancer with the widespread adoption of diagnostic massive parallel sequencing. The rate of reclassification of VUS in patients with haematological malignancy is not known and we evaluated this retrospectively. We also investigated whether re-evaluating VUS in 12-24 months or greater than 24 months post-initial classification was significant. Method: A retrospective audit of patients with haematological malignancies referred to the Molecular Medicine Department at the John Hunter Hospital in Newcastle, Australia between September 2018 and December 2021. Data was analysed for VUS, which was then re-analysed in standard software using current somatic variant guidelines. Proportions of VUS at baseline were compared to post-re-analysis. Results: The most common diagnoses in the patient cohort ( Conclusion: This study on reclassification of VUS in blood cancers demonstrated that one in seven VUS were re-classified 12 months post initial classification. This can inform practice guidelines and potentially impact the prognosis, diagnosis and treatment of haematological malignancies.

Indexed as

haematological malignancyleukaemiamassive parallel sequencingreclassificationvariants of uncertain significance

Identifiers

PMID39415915
PMCPMC11474286

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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.