Evidence map›Paper›PMID 39468051›Full record

ArticleNPJ genomic medicine2024

Clinical genome sequencing in patients with suspected rare genetic disease in Peru.

Jeny Bazalar-Montoya, Mario Cornejo-Olivas, Milagros M Duenas-Roque, Nelson Purizaca-Rosillo, Richard S Rodriguez, Karina Milla-Neyra, Carlos A De La Torre-Hernandez, Elison Sarapura-Castro, Carolina I Galarreta Aima, Gioconda Manassero-Morales and 7 more

Abstract read
In one paragraph

Article in NPJ genomic medicine, 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. Review
  2. 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

17 authors.

Jeny Bazalar-Montoya *Instituto Nacional de Salud del Niño San Borja, Lima, Peru.ORCID http://orcid.org/0000-0003-4974-6156
Mario Cornejo-Olivas *Neurogenetics Working Group, Universidad Cientifica del Sur, Lima, Peru.
Milagros M Duenas-Roque *Hospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Peru.ORCID http://orcid.org/0000-0001-8366-8740
Nelson Purizaca-RosilloHospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Peru.ORCID http://orcid.org/0000-0003-4773-328X
Richard S RodriguezSchool of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.ORCID http://orcid.org/0000-0002-0088-653X
Karina Milla-NeyraNeurogenetics Research Center, Instituto Nacional de Ciencias Neurológicas, Lima, Peru.
Carlos A De La Torre-HernandezHospital Nacional Edgardo Rebagliati Martins, EsSalud, Lima, Peru.ORCID http://orcid.org/0000-0001-7990-2389
Elison Sarapura-CastroNeurogenetics Working Group, Universidad Cientifica del Sur, Lima, Peru.
Carolina I Galarreta AimaNational Human Genome Research Institute (NHGRI), Bethesda, MD, USA.
Gioconda Manassero-MoralesInstituto Nacional de Salud del Niño San Borja, Lima, Peru.
Giulliana Chávez-PascoInstituto Nacional de Salud del Niño San Borja, Lima, Peru.
Luis Celis-GarcíaInstituto Nacional de Salud del Niño San Borja, Lima, Peru.
Jorge E La Serna-InfantesNeurogenetics Research Center, Instituto Nacional de Ciencias Neurológicas, Lima, Peru.
Illumina Laboratory Services Bioinformatics, Software, Interpretation and Customer Support
Evgenii ChekalinIllumina Inc, San Diego, CA, USA.
Erin ThorpeIllumina Inc, San Diego, CA, USA.
Ryan J TaftIllumina Inc, San Diego, CA, USA. rtaft@geneticalliance.org.ORCID http://orcid.org/0000-0003-4538-3343

Funding

Peru Infectious Diseases Epidemiology Research Training ConsortiumD43TW007393 · FIC · UNIVERSIDAD PERUANA CAYETANO HEREDIA · PI Andres G Lescano · 2005 to 2026
$5.9M
FIC NIH HHS D43 TW007393
6 · The paper itself

Abstract

There is limited access to molecular genetic testing in most low- and middle-income countries. The iHope program provides clinical genome sequencing (cGS) to underserved individuals with signs or symptoms of rare genetic diseases and limited or no access to molecular genetic testing. Here we describe the performance and impact of cGS in 247 patients from three clinics in Peru. Although most patients had at least one genetic test prior to cGS (70.9%), the most frequent was karyotyping (53.4%). The diagnostic yield of cGS was 54.3%, with candidate variants reported in an additional 22.3% of patients. Clinical GS results impacted clinician diagnostic evaluation in 85.0% and genetic counseling in 72.1% of cases. Changes in management were reported in 71.3%, inclusive of referrals (64.7%), therapeutics (26.3%), laboratory or physiological testing (25.5%), imaging (19%), and palliative care (17.4%), suggesting that increased availability of genomic testing in Peru would enable improved patient management.

Identifiers

PMID39468051
PMCPMC11519459

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.