Evidence map›Paper›PMID 40533884›Full record

Observational studyClinical genetics2026

Diagnostic Yield and Clinical Impact of a Small Genetic Panel for Kidney Disease: A Multicenter, Retrospective European Study.

Silvia Giovanella, Antonio Miguel Poyatos-Andújar, Maria Mar Aguila Garcia, Almudena Avila-Fernandez, Ana Bustamante-Aragonés, Carmen Ayuso, Antonio Percesepe, Davide Martorana, Maria Ferri, Alessandra Terracciano and 13 more

Erratum issuedAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Clinical genetics, 2026. 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors.

Silvia GiovanellaDepartment CHIMOMO, University of Modena and Reggio Emilia, Modena, Italy.
Antonio Miguel Poyatos-AndújarUnidad de Gestión Clínica de Laboratorios, GEEPAD, Hospital Universitario Virgen de las Nieves, Granada, Spain.ORCID 0000-0003-4559-2647
Maria Mar Aguila GarciaUnidad de Gestión Clínica de Laboratorios, GEEPAD, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Almudena Avila-FernandezDepartment of Genetics & Genomics, Centre for Biomedical Network Research on Rare Diseases, Madrid, Spain.
Ana Bustamante-AragonésDepartment of Genetics & Genomics, Centre for Biomedical Network Research on Rare Diseases, Madrid, Spain.
Carmen AyusoDepartment of Genetics & Genomics, Centre for Biomedical Network Research on Rare Diseases, Madrid, Spain.
Antonio PercesepeDepartment of Surgery and Medicine, University Hospital Parma, Italy.ORCID 0000-0002-3268-6786
Davide MartoranaUO Genetica Medica-University Hospital Parma, Italy.
Maria FerriUniversity Hospital of Modena, Nephrology, Dialysis and Kidney Transplantation, Modena, Italy.
Alessandra TerraccianoLaboratory of Medical Genetics, Translational Cytogenomics Research Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Laura MassellaDivision of Nephrology, Bambino Gesù di Roma Children's Hospital, IRCSS, Rome, Italy.
Johanna ChesterDepartment CHIMOMO, University of Modena and Reggio Emilia, Modena, Italy.
Francesca TestaUniversity Hospital of Modena, Nephrology, Dialysis and Kidney Transplantation, Modena, Italy.
Giulia LigabueDepartment CHIMOMO, University of Modena and Reggio Emilia, Modena, Italy.
Marco FerrariniDepartment CHIMOMO, University of Modena and Reggio Emilia, Modena, Italy.
Dino GibertoniIRCCS University Hospital of Bologna, Epidemiology and Statistics Unit, Bologna, Italy.
Gaetano AlfanoUniversity Hospital of Modena, Nephrology, Dialysis and Kidney Transplantation, Modena, Italy.
Elena TenediniDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, University Hospital of Modena, Diagnostic Hematology and Clinical Genomics Unit, Modena, Italy.
Lucia ArtusoDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, University Hospital of Modena, Diagnostic Hematology and Clinical Genomics Unit, Modena, Italy.
Marco MarinoUniversity Hospital of Modena, Diagnostic Hematology and Clinical Genomics Unit, Modena, Italy.
Olga CalabreseUniversity Hospital of Modena, Medical Genetics, Modena, Italy.
Enrico TagliaficoDepartment of Medical and Surgical Sciences, University of Modena and Reggio Emilia, University Hospital of Modena, Diagnostic Hematology and Clinical Genomics Unit, Modena, Italy.
Riccardo MagistroniDepartment CHIMOMO, University of Modena and Reggio Emilia, Modena, Italy.

Funding

Ministero della Salute PNRR-MCNT2-2023-12377268
6 · The paper itself

Abstract

Chronic kidney disease (CKD) has a genetic origin in 10% of patients. The most effective and cost-beneficial genetic testing methodology is debated. A multicenter, retrospective analysis of 692 patients with panel genetic testing (44 genes) evaluated the diagnostic yield, independent predictors of genetic diagnoses, and clinical impact. Diagnostic variants identified totaled 252, resulting in a 36% yield. The highest yields were associated with cystic disease (49%). No diagnostic variants were identified in unknown CKD. Independent clinical predictors of diagnosis were clinical presentation, family history, and early disease onset. Genetic diagnoses confirmed clinical suspicion in 70%, defined the diagnosis in 23%, and altered clinical diagnosis in 7%. Despite study limitations, a 44 gene panel seems to have a similar diagnostic yield as larger panels and whole-exome sequencing (WES) approaches. Patient selection based on independent predictors of genetic diagnosis may further increase diagnostic yield and cost-effectiveness, especially useful in cost-restricted contexts.

Indexed as

Genetic Predisposition to DiseaseGenetic TestingKidney DiseasesRenal Insufficiency, ChronicAdolescentAdultAgedCost-Benefit AnalysisEuropeExome SequencingFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultCKDclinical impactclinical predictorsdiagnostic yieldgenetic panel

Identifiers

PMID40533884
PMCPMC12674980

What OpenQuestion holds

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Registered trials

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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.