Evidence map›Paper›PMID 40167520›Full record

Observational studyPediatric pulmonology2025

Genetic Testing Utilization in the U.S. Registry for Childhood Interstitial and Diffuse Lung Diseases.

Laura A Voss, Rebekah J Nevel, Jennifer A Wambach, Lawrence M Nogee, Robin R Deterding, Alicia M Casey, Michael G O'Connor, Daniel I Craven, Jane B Taylor, Gail H Deutsch and 14 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. 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

24 authors.

Laura A VossPediatrics, Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.ORCID http://orcid.org/0000-0002-3572-2447
Rebekah J NevelPediatrics, Division of Pediatric Pulmonary Medicine, University of Missouri School of Medicine and Children's Hospital, Columbia, Missouri, USA.ORCID http://orcid.org/0000-0001-9386-3398
Jennifer A WambachDivision of Newborn Medicine, Edward Mallinckrodt Department of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID http://orcid.org/0000-0002-9299-0499
Lawrence M NogeePediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0003-0540-8083
Robin R DeterdingPediatrics, Section of Pediatric Pulmonary and Sleep Medicine, University of Colorado Denver, Aurora, Colorado, USA.
Alicia M CaseyMedicine, Boston Children's Hospital, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0002-3566-9690
Michael G O'ConnorPediatric Pulmonary, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Daniel I CravenPediatric Pulmonology, Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.ORCID http://orcid.org/0009-0009-0194-3207
Jane B TaylorPediatrics, Division of Pulmonology, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID http://orcid.org/0000-0003-4992-520X
Gail H DeutschPathology, Seattle Children's Hospital, Seattle, Washington, USA.ORCID http://orcid.org/0000-0002-0571-0285
Jade B Tam-WilliamsPulmonology & Sleep Medicine, Children's Mercy Hospital, Kansas City, Missouri, USA.ORCID http://orcid.org/0000-0002-0958-6277
Lea C SteffesPediatrics, Division of Pulmonary Medicine, Stanford University School of Medicine, Palo Alto, California, USA.
Steven K BrennanDivision of Pediatric Allergy and Pulmonary Medicine, Edward Mallinckrodt Department of Pediatrics, St. Louis Children's Hospital, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID http://orcid.org/0000-0002-9445-8148
Maria T SantiagoPediatric Pulmonary, Cohen Children's Medical Center of NY, Lake Success, New York, USA.ORCID http://orcid.org/0000-0002-2853-0615
Sara C SadreameliDivision of Pediatric Respiratory Sciences, Johns Hopkins Medical Institute, Baltimore, Maryland, USA.ORCID http://orcid.org/0000-0001-9167-6994
Andrea F HerasPediatrics, Division of Pediatric Pulmonology, Weill Cornell Medicine, New York, New York, USA.
Michael R PowersPediatric Pulmonology and Sleep Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Antonia P PopovaPediatrics, Division of Pediatric Pulmonology, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Manvi BansalPediatric Pulmonology, Children's Hospital Los Angeles, Los Angeles, California, USA.ORCID http://orcid.org/0000-0002-3030-7754
Aaron HamvasDivision of Neonatology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0002-5749-7797
William A GowerPediatric Pulmonology, University of North Carolina School of Medicine, Chapel Hill, Chapel Hill, North Carolina, USA.ORCID http://orcid.org/0000-0001-5863-7379
Fernando UrregoPediatrics, Division of Pediatric Pulmonary Medicine, University of California San Francisco, San Francisco, California, USA.
Lisa R YoungDivision of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
ChILD Registry Collaborative

Funding

Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
Functional Characterization of ABCA3 Genomic VariantsR01HL149853 · NHLBI · WASHINGTON UNIVERSITY · PI Jennifer Wambach · 2020 to 2026
$3.9M
INTEGRATIVE GENOMICS OF CHILDHOOD INTERSTITIAL LUNG DISEASER01HL170151 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI Benjamin Alexander Raby, Lisa R. Young · 2024 to 2026
$2.3M
Financial support was provided by the National Institutes of Health, the Children's Discovery Institute at St. Louis Children's Hospital, and the Children's Hospital of Philadelphia.NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NHLBI NIH HHS R01 HL149853NHLBI NIH HHS R01 HL170151
6 · The paper itself

Abstract

introductionChildhood interstitial and diffuse lung diseases (chILD) comprise a diverse group of rare disorders. Identifying the underlying cause is crucial for treatment, prognosis, and estimating recurrence risk. The objective of this study was to assess the utilization of genetic testing for subjects enrolled in the United States National Registry for ChILD, a multicenter observational study.

methodsGenetic data from participating sites were reviewed and analyzed in relationship to clinical characteristics.

resultsOf 609 children enrolled from 22 centers, genetic testing was performed for 55.5% (n = 338). Genetic testing results were positive (diagnostic) for 22.8% (n = 77), negative for 60.7% (n = 205), and uncertain for 16.6% (n = 56). Most testing was performed through gene panels (55.9%), followed by exome sequencing (ES) or whole genome sequencing (WGS) (26.9%), single gene testing (24.6%), and/or chromosomal microarray (11.8%). For participants with positive (diagnostic) genetic testing results, the majority were diagnosed through gene panel (33.8%; n = 26) or single gene testing (32.5%; n = 25). The most common diagnosis confirmed by genetic testing was SFTPC-associated surfactant metabolism dysfunction. Of the 59 subjects with unclassified ILD, only 22% (n = 13) had undergone ES or WGS, 61% (n = 36) had received panel testing, and 27% (n = 16) did not have any genetic testing reported.

conclusionThe utilization of genetic testing has been variable in infants and children enrolled in the ChILD Registry. Additional efforts are needed to develop genetic testing recommendations for children with suspected ILD. Furthermore, there is opportunity for broader utilization of ES/WGS and genetic discovery for children with lung disease of unclear etiology.

Indexed as

Genetic TestingLung Diseases, InterstitialAdolescentChildChild, PreschoolExome SequencingFemaleHumansInfantMaleRegistriesUnited Stateschildhood interstitial lung disease (chILD)genetic testingrare lung diseases

Identifiers

PMID40167520
PMCPMC11960725

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.