Evidence map›Paper›PMID 40225163›Full record

ReviewHuman mutation2023

Reasons and Resolutions for Inconsistent Variant Interpretation.

Liling Lin, Hong Pan, Yu Qi, Yinan Ma, Ling Qiu

Abstract readReview
In one paragraph

Review in Human mutation, 2023. 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. Review
  2. Article
  3. 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

5 authors.

Liling LinDepartment of Laboratory Medicine, Peking Union Medical College Hospital, No. 1 Shuaifu Yuan, Dongcheng District, Beijing 100730, China.ORCID 0000-0001-6915-0582
Hong PanDepartment of Central Laboratory, Peking University First Hospital, No. 8, Xishiku Street, Xicheng District, Beijing, China 100034.
Yu QiDepartment of Central Laboratory, Peking University First Hospital, No. 8, Xishiku Street, Xicheng District, Beijing, China 100034.
Yinan MaDepartment of Central Laboratory, Peking University First Hospital, No. 8, Xishiku Street, Xicheng District, Beijing, China 100034.ORCID 0000-0001-9213-4732
Ling QiuDepartment of Laboratory Medicine, Peking Union Medical College Hospital, No. 1 Shuaifu Yuan, Dongcheng District, Beijing 100730, China.ORCID 0000-0002-0734-8144

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the postgenomic era, variant interpretation is crucial for diagnosing monogenic diseases, which is the premise of precision medicine. The bottleneck and difficulty of genetic disease diagnosis have switched from the inaccessibility of detection technology to the interpretation of sequencing results. Multiple studies have suggested that the inconsistency rate of interlaboratory variant interpretation is approximately 10~40%. However, many clinicians have not paid enough attention to this area at present. In this review, we summarized the reasons for inconsistency, including classification methodology, information obtained by the interpreter, evidence application, and expert judgement. For clinicians, genetic counsellors, and molecular pathologists, it is necessary to reevaluate genetic reports, especially those supported by old literature and databases in clinical practice. For unresolvable cases, pedigree analysis, collaboration with research labs for functional experiments, and long-term follow-up to combine advanced clinical presentations with updated data and literature are needed.

Indexed as

Genetic Diseases, InbornGenetic TestingGenetic VariationHumansPrecision Medicine

Identifiers

PMID40225163
PMCPMC11919222

What OpenQuestion holds

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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.