Evidence map›Paper›PMID 40585884›Full record

ArticleJournal of the Endocrine Society2025

Genetics Evaluation Outcomes From an Academic Multidisciplinary Atypical Diabetes Program.

Colby L Chase, Marie-Louise Accardo, Veronica Greve, Elizabeth G Ames, Shane C Quinonez, Anthony Scott, Lauren Hipp, Jenna Damon, Wendy R Uhlmann, David T Broome and 6 more

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2025. 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. Epigenetic, Genetic, and Functional Germline Alterations ofCurrent issues in molecular biology · 2026
    Review
  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.

Colby L ChaseDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0003-1943-1575
Marie-Louise AccardoDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Veronica GreveDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0002-6622-6622
Elizabeth G AmesDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Shane C QuinonezDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0002-8254-0216
Anthony ScottDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0003-0644-1790
Lauren HippDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0002-4209-643X
Jenna DamonDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Wendy R UhlmannDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0002-4243-438X
David T BroomeDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0002-4964-7716
Maria C Foss-FreitasDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0002-1350-1125
Baris AkinciDepartment of Technological Research, Izmir Biomedicine and Genome Center & DEPARK, Dokuz Eylul University Health Campus, Izmir 35330, Turkey.ORCID https://orcid.org/0000-0002-8634-4845
Adam H NeidertDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Goutham NarlaDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0003-4098-4203
Elif A OralDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0002-9171-1144
Kristen N LeeDepartment of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID https://orcid.org/0000-0001-7326-9973

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Rare monogenic conditions that predispose to diabetes can be misdiagnosed due to phenotypic overlap with more common conditions. Misdiagnosis can lead to ineffective, over-, or under-treatment. Specific genetic mechanisms can direct more precise treatment and facilitate clinical trial options. Recognition of characteristics of these conditions is necessary to facilitate high-yield referrals to genetics providers in order to improve diagnosis and treatment. Objective: Highlight clinical characteristics and diagnostic outcomes of patients undergoing genetics evaluation through a multidisciplinary Atypical Diabetes Program. Design Setting and Patients: Retrospective cohort review was completed for 87 patients referred to genetics from endocrinologists associated with the multidisciplinary Atypical Diabetes Program at a tertiary academic medical center between September 2019 and October 2022. Main Outcome Measure: Description of clinical characteristics of patients with a diagnostic or uncertain clinical genetic test result, as well as proportion of patients with these results. Results: Six patients (8.8%) had a pathogenic variant confirming diagnosis of lipodystrophy (4), monogenic diabetes (1), or monogenic obesity (1). Fifteen (22.0%) had a variant of uncertain significance, 5 of which correlated with their clinical features. As a result of genetics evaluation, all with a confirmed diagnosis had more precise treatment implemented and/or the opportunity to enroll in a clinical trial. Conclusion: Identification of rare genetic conditions predisposing to diabetes, enabled here through multidisciplinary genetics and endocrinology collaboration as part of the Atypical Diabetes Program, ultimately improves patient care. Endocrinologist attention to clinical features of these conditions is key to inform referral for genetics evaluation and testing.

Indexed as

familial partial lipodystrophygenetic counselinggenetic testingmaturity onset diabetes of the youngmonogenic obesity

Identifiers

PMID40585884
PMCPMC12204316

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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.