Evidence map›Paper›PMID 41190428›Full record

ArticleCirculation. Genomic and precision medicine2025

Population Genomic Screening and Improved Lipid Management in Patients With Familial Hypercholesterolemia.

Matthew E Levy, Kelly M Schiabor Barrett, Megan N Betts, David Kann, Alexandre Bolze, Basil Khuder, Natalie Telis, Lisa M McEwen, Amy C Sturm, Chad Haldeman-Englert and 11 more

Abstract read
In one paragraph

Article in Circulation. Genomic and precision medicine, 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. Genetic factors contributing to atherosclerosis.Current opinion in cardiology · 2026
    Review
  3. Article
  4. Review
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

21 authors.

Matthew E LevyHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0000-0002-2164-1726
Kelly M Schiabor BarrettHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0000-0001-6194-787X
Megan N BettsCenter for Inherited Cardiovascular Diseases, WellSpan Health, Ephrata, PA (M.N.B., D.K., C.A.A.C.).ORCID 0009-0004-7308-103X
David KannCenter for Inherited Cardiovascular Diseases, WellSpan Health, Ephrata, PA (M.N.B., D.K., C.A.A.C.).
Alexandre BolzeHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0000-0001-7399-2766
Basil KhuderHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0009-0006-9870-5819
Natalie TelisHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).
Lisa M McEwenHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0000-0002-0500-9173
Amy C SturmThe Ohio State University Wexner Medical Center, Columbus (A.C.S.).ORCID 0000-0001-6839-7786
Chad Haldeman-EnglertCone Health Precision Health, Greensboro, NC (C.H.-E.).ORCID 0000-0001-7581-5333
Jeremy CauwelsSanford Health, Sioux Falls, SD (J.C.).ORCID 0000-0001-5175-1902
Douglas StollerUniversity of Nebraska Medical Center, Omaha (D.S.).ORCID 0000-0002-4064-4324
C Anwar A ChahalCenter for Inherited Cardiovascular Diseases, WellSpan Health, Ephrata, PA (M.N.B., D.K., C.A.A.C.).ORCID 0000-0001-7825-8827
Christopher N ChapmanDepartment of Pathology & Laboratory Medicine, St. Luke's University Health Network, Bethlehem, PA (C.N.C.).
Ashley A WaringDivision of Cardiology, Medical University of South Carolina, Charleston (A.A.W.).
Douglas A OlsonHealthPartners, Minneapolis, MN (D.A.O.).
Joseph J GrzymskiUniversity of Nevada, School of Medicine, Reno (J.J.G.).ORCID 0000-0003-2646-8958
Nicole L WashingtonHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0000-0001-8936-9143
William LeeHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0000-0001-9582-4413
Elizabeth T CirulliHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0000-0001-7808-2809
Catherine HajekHelix, San Mateo, CA (M.E.L., K.M.S.B., A.B., B.K., N.T., L.M.M., N.L.W., W.L., E.T.C., C.H.).ORCID 0000-0002-7497-4540

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Helix Research Network program is a large population genomics initiative that screens an all-comers population of patients for Centers for Disease Control and Prevention Tier 1 genetic conditions, including familial hypercholesterolemia (FH). We evaluated changes in clinical management and low-density lipoprotein cholesterol (LDL-C) levels among patients we identified to have FH.

methodsParticipants across 9 US health systems provided samples that underwent clinical-grade exome sequencing. Individuals with a positive screening result for a Tier 1 condition were offered no-cost genetic counseling through their health system. Using medication and laboratory testing records, we evaluated changes in patients' lipid-lowering therapies and LDL-C levels.

resultsAmong 228 602 adults enrolled between 2017 to 2025, 1155 (≈1/198) had a pathogenic FH variant in

conclusionsFollowing genetic screening, many patients with a pathogenic FH variant experienced improvements in clinical management and LDL-C levels. Electronic health record documentation of the diagnosis code was associated with a greater likelihood of therapeutic modifications, which, in turn, were associated with larger LDL-C reductions. Findings underscore the powerful potential of population genomic screening for supporting optimal lipid management in individuals with FH.

Indexed as

Genetic TestingHyperlipoproteinemia Type IIAdultAgedApolipoprotein B-100Cholesterol, LDLExome SequencingFemaleGenomicsHumansMaleMiddle AgedProprotein Convertase 9Receptors, LDLAPOB protein, humanApolipoprotein B-100Cholesterol, LDLLDLR protein, humanPCSK9 protein, humanProprotein Convertase 9Receptors, LDLcholesterol, LDLexome sequencinggenetic testinggenomicshyperlipoproteinemia type IIhypolipidemic agentprecision medicine

Identifiers

PMID41190428
PMCPMC12711266

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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.