Evidence map›Paper›PMID 41472336›Full record

SynthesisAnnals of medicine2026

Diagnostic and clinical utility of exome sequencing and chromosomal microarray in children with GDD/iD: a meta-analysis.

Maliwan Tengsujaritkul, Orawan Louthrenoo, Narueporn Likhitweerawong, Nonglak Boonchooduang, Manit Srisurapanont

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Annals of medicine, 2026. 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. Review
  2. Frontiers in genetics · 2026
    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.

Maliwan TengsujaritkulDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Orawan LouthrenooDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-7728-1117
Narueporn LikhitweerawongDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0002-1175-0021
Nonglak BoonchooduangDepartment of Pediatrics, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0001-9163-2916
Manit SrisurapanontDepartment of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.ORCID 0000-0001-6203-1206

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal developmental delay/intellectual disability (GDD/ID) is among the most common neurodevelopmental disorders, with up to half of cases are attributed to genetic factors. Chromosome microarray (CMA) has traditionally been the primary genetic test for idiopathic GDD/ID. However, whole exome sequencing (WES) and whole genome sequencing (WGS) have recently emerged, substantially increasing diagnostic yields in these populations.

methodsWe conducted a comprehensive literature search of PubMed, Scopus, EMBASE, and the Cochrane Library from inception to April 29, 2025. Studies reporting the diagnostic utility of these tests in children with GDD/ID were included and analyzed.

resultsA total of 102 studies, comprising 55,752 children, were reviewed. The pooled diagnostic yield of WES was 0.37 (95% CI: 0.33-0.41; I

conclusionIn children with unexplained GDD/ID, WES demonstrates superior diagnostic and clinical utility compared to CMA. Incorporating WES as a first-line investigation in the diagnostic evaluation of GDD/ID may be warranted.

Indexed as

Developmental DisabilitiesExome SequencingGenetic TestingIntellectual DisabilityMicroarray AnalysisChildFemaleHumansMaleWhole Genome SequencingDiagnostic yieldexome sequencinggenetic testingglobal developmental delayintellectual disability

Identifiers

PMID41472336
PMCPMC12777888

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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.