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ArticleInternational journal of neonatal screening2025

Expanded Newborn Screening in Italy: The First Report of Lombardy Region.

Clarissa Berardo, Alessandra Vasco, Alessia Mauri, Simona Lucchi, Laura Cappelletti, Laura Saielli, Manuela Rizzetto, Davide Biganzoli, Cristina Montrasio, Diana Postorivo and 15 more

Erratum issuedAbstract read
In one paragraph

Article in International journal of neonatal screening, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Clarissa BerardoPediatric Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Sciences, University of Milan, 20157 Milan, Italy.ORCID 0000-0002-1257-5843
Alessandra VascoCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Alessia MauriPediatric Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Sciences, University of Milan, 20157 Milan, Italy.ORCID 0000-0001-5675-5347
Simona LucchiCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Laura CappellettiCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.ORCID 0000-0003-2863-5596
Laura SaielliCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Manuela RizzettoCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Davide BiganzoliCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.ORCID 0000-0002-6509-6870
Cristina MontrasioCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.ORCID 0000-0002-8276-3663
Diana PostorivoCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Michela Perrone DonnorsoCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Elisa PratiffiCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Andrea MetaCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Stephana CarelliPediatric Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Sciences, University of Milan, 20157 Milan, Italy.ORCID 0000-0003-4603-396X
Alessandro AmorosiWelfare General Directorate, Regione Lombardia, Palazzo Lombardia, Piazza Città di Lombardia, 1, 20124 Milan, Italy.
Sabrina PaciClinical Department of Pediatrics, ASST Santi Paolo e Carlo Hospital, University of Milan, 20142 Milan, Italy.
Graziella CefaloClinical Department of Pediatrics, ASST Santi Paolo e Carlo Hospital, University of Milan, 20142 Milan, Italy.ORCID 0000-0001-7177-7982
Francesca FurlanPediatric Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0003-2750-1975
Francesca MenniPediatric Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0003-2724-2811
Serena GasperiniPediatric Rare Diseases Unit, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.ORCID 0000-0001-8743-4407
Viola CrescitelliPediatric Rare Diseases Unit, Fondazione IRCCS San Gerardo dei Tintori, 20900 Monza, Italy.
Giuseppe BanderaliClinical Department of Pediatrics, ASST Santi Paolo e Carlo Hospital, University of Milan, 20142 Milan, Italy.
Gianvincenzo ZuccottiPediatric Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Sciences, University of Milan, 20157 Milan, Italy.ORCID 0000-0002-2795-9874
Luisella AlbertiCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.
Cristina CeredaCenter of Functional Genomics and Rare diseases, Department of Pediatrics, Buzzi Children's Hospital, 20154 Milan, Italy.ORCID 0000-0001-9571-0862

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNewborn screening (NBS) is a preventive healthcare program aiming at identifying the inborn errors of metabolism (IEMs) in asymptomatic infants to reduce the risk of severe complications. The aim of this study was to report the first years (2016-2020) of the expanded NBS program in the Lombardy region, Italy.

methodsDried blood spots were collected from newborns' heels at 48-72 h after birth. FIA-MS/MS was performed to evaluate specific biochemical markers. Genetic confirmation was achieved via Sanger or NGS on newborns and reported to a clinical reference center (CRC).

resultsA total of 343,507 newborns were tested; 1414/343,507 resulted as positive to NBS and were reported to the CRC. A total of 209 newborns were diagnosed with IEMs: 206 infants received a diagnosis of IEM through NBS, confirmed by genetic analysis; three neonates were not positive to NBS but were subsequentially diagnosed with IEMs. A total of 1208/343,507 were false positive cases. Twenty-seven types of IEMs were diagnosed in 209 patients: 111 newborns were affected by aminoacidemias, 11 by urea cycle disorders, 27 by organic acidemias, 34 by fatty acid oxidation disorders, and 26 by secondary conditions.

conclusionsWe report here for the first time the IEM incidence and distribution in the Lombardy region in the first five years of NBS.

Indexed as

aminoacidemias (AAs)fatty acid oxidation disorders (FAODs)inborn errors of metabolism (IEMs)mass spectrometry (MS)newborn screening (NBS)organic acidemias (OAs)rare diseasesurea cycle defects (UCDs)

Identifiers

PMID40407514
PMCPMC12101260

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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.