Evidence map›Paper›PMID 39609445›Full record

ArticleNPJ genomic medicine2024

Implementing genomic medicine in clinical practice for adults with undiagnosed rare diseases.

Jong Hyeon Ahn, Jihoon G Yoon, Jaeso Cho, Seungbok Lee, Sheehyun Kim, Man Jin Kim, Soo Yeon Kim, Soon-Tae Lee, Kon Chu, Sang Kun Lee and 6 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. Article
  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

16 authors.

Jong Hyeon Ahn *Department of Neurology, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Jihoon G Yoon *Department of Genomic Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-4401-7803
Jaeso Cho *Department of Genomic Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID http://orcid.org/0000-0002-2479-3856
Seungbok LeeDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Sheehyun KimDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Man Jin KimDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Soo Yeon KimDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Soon-Tae LeeDepartment of Neurology, Seoul National University Hospital, Seoul, Republic of Korea.
Kon ChuDepartment of Neurology, Seoul National University Hospital, Seoul, Republic of Korea.
Sang Kun LeeDepartment of Neurology, Seoul National University Hospital, Seoul, Republic of Korea.
Han-Joon KimDepartment of Neurology, Seoul National University Hospital, Seoul, Republic of Korea.
Jinyoung YounDepartment of Neurology, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Ja-Hyun JangDepartment of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
Jong-Hee ChaeDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Jangsup MoonDepartment of Genomic Medicine, Seoul National University Hospital, Seoul, Republic of Korea. jangsup.moon@gmail.com.
Jin Whan ChoDepartment of Neurology, Samsung Medical Centre, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. jinwhan.cho@samsung.com.

Funding

Ministry of Health, Welfare and Family Affairs | Korea Centers for Disease Control & Prevention (KCDC) 2020-ER6904-01Ministry of Health, Welfare and Family Affairs | Korea Centers for Disease Control & Prevention (KCDC) 2021-ER0701-01
6 · The paper itself

Abstract

The global burden of undiagnosed diseases, particularly in adults, is rising due to their significant socioeconomic impact. To address this, we enrolled 232 adult probands with undiagnosed conditions, utilizing bioinformatics tools for genetic analysis. Alongside exome and genome sequencing, repeat-primed PCR and Cas9-mediated nanopore sequencing were applied to suspected short tandem repeat disorders. Probands were classified into probable genetic (n = 128) or uncertain (n = 104) origins. The study found genetic causes in 66 individuals (28.4%) and non-genetic causes in 12 (5.2%), with a longer diagnostic journey for those in the probable genetic group or with pediatric symptom onset, emphasizing the need for increased efforts in these populations. Genetic diagnoses facilitated effective surveillance, cascade screening, drug repurposing, and pregnancy planning. This study demonstrates that integrating sequencing technologies improves diagnostic accuracy, may shorten the time to diagnosis, and enhances personalized management for adults with undiagnosed diseases.

Identifiers

PMID39609445
PMCPMC11604660

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.