Evidence map›Paper›PMID 42745844›Full record

ArticleFrontiers in genetics2026

Clinical implementation of next-generation sequencing in tertiary health system: the Rijeka retrospective study.

Nina Pereza, Sanja Dević Pavlić, Tea Mladenić, Željka Hrupački, Dorotea Vukelić Drašković, Luca Lovrečić, Aleš Maver, Jadranka Vraneković, Iva Bilić Čače, Igor Prpić and 11 more

Abstract read
In one paragraph

Article in Frontiers in genetics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nina PerezaDepartment of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Sanja Dević PavlićDepartment of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Tea MladenićDepartment of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Željka HrupačkiDepartment of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Dorotea Vukelić DraškovićClinical Hospital Centre Rijeka, Clinic for Pediatrics, Rijeka, Croatia.
Luca LovrečićClinical Institute for Genomic Medicine, University Hospital Centre Ljubljana, Ljubljana, Slovenia.
Aleš MaverClinical Institute for Genomic Medicine, University Hospital Centre Ljubljana, Ljubljana, Slovenia.
Jadranka VranekovićDepartment of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Iva Bilić ČačeClinical Hospital Centre Rijeka, Clinic for Pediatrics, Rijeka, Croatia.
Igor PrpićClinical Hospital Centre Rijeka, Clinic for Pediatrics, Rijeka, Croatia.
Ivona Butorac AhelClinical Hospital Centre Rijeka, Clinic for Pediatrics, Rijeka, Croatia.
Vladimira VuletićClinical Hospital Centre Rijeka, Clinic for Neurology, Rijeka, Croatia.
Koraljka BenkoClinical Hospital Centre Rijeka, Clinic for Cardiovascular Diseases, Rijeka, Croatia.
Tea Čaljkušić ManceClinical Hospital Centre Rijeka, Clinic for Ophthalmology, Rijeka, Croatia.
Marko KlarićClinical Hospital Centre Rijeka, Clinic for Gynecology and Obstetrics, Rijeka, Croatia.
Nada Starčević ČizmarevićDepartment of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Ivana Babić BožovićDepartment of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Goran HauserDepartment of Internal Medicine, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Alen RužićClinical Hospital Centre Rijeka, Clinic for Cardiovascular Diseases, Rijeka, Croatia.
Saša OstojićDepartment of Medical Biology and Genetics, Faculty of Medicine, University of Rijeka, Rijeka, Croatia.
Borut PeterlinClinical Institute for Genomic Medicine, University Hospital Centre Ljubljana, Ljubljana, Slovenia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to assess the diagnostic yield, clinical indications, and utility of next-generation sequencing (NGS) testing since its implementation through collaboration between the University of Rijeka Faculty of Medicine and the Clinical Hospital Centre Rijeka. Materials and Methods: This retrospective study included patients referred between 2018 and 2023 from the Clinical Hospital Centre Rijeka to the University of Rijeka Faculty of Medicine for genetic testing, primarily using exome sequencing. Results: Between April 2018 and December 2023, 412 patients were referred for exome sequencing, of whom 353 (85.7%) underwent diagnostic genetic testing. A notable increase in tests ordered was observed over time. Patients were most frequently referred from Pediatrics (55.0%), Neurology (29.5%), Cardiology (7.4%), Ophthalmology (3.4%), and others (4.7%). A diagnosis was confirmed in 103/353 patients, corresponding to an overall diagnostic yield of 29.2%, and an adjusted diagnostic yield of 27.2% after collapsing related individuals into single family units. In these confirmed cases, 83 distinct disorders involving 71 unique genes were identified, with most patients showing heterozygous variants and several recurrent disorders and genes. Variants of uncertain significance were reported in 35/353 (9.9%) patients. Conclusion: The 27.2% diagnostic yield demonstrates effective integration of NGS into tertiary clinical practice. The recent introduction of medical genetics specialization is expected to further improve referral quality, variant interpretation, and overall diagnostic outcomes.

Indexed as

exome sequencinggenetic testinggenomic medicineindicationsnext-generation sequencing

Identifiers

PMID42745844
PMCPMC13574805

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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.