Evidence map›Paper›PMID 8644747›Full record

ArticleAmerican journal of human genetics1996

Cystic fibrosis heterozygote screening in 5,161 pregnant women.

D R Witt, C Schaefer, P Hallam, S Wi, B Blumberg, A Fishbach, J Holtzman, S Kornfeld, R Lee, L Nemzer and 1 more

Open access · greenAbstract read
In one paragraph

Article in American journal of human genetics, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
10.2field-weighted citation impact, top 2% of its field
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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Clinical practice and genetic counseling for cystic fibrosis and CFTR-related disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2008
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Costs, effects, and savings of screening for cystic fibrosis gene carriers.Journal of epidemiology and community health · 1998
    Article
  17. 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

11 authors at 1 institution in 1 country.

D R WittRegional Genetics Program, Kaiser Permanente Medical Care Program of Northern California, San Jose, USA.
C Schaefer
P Hallam
S Wi
B Blumberg
A Fishbach
J Holtzman
S Kornfeld
R Lee
L Nemzer
R Palmer
Kaiser Permanente · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A screening program for cystic fibrosis (CF) heterozygotes was conducted in a large HMO prenatal population, to evaluate the level of interest among eligible patients, the effectiveness of prescreening education, attitudes toward the screening process, psychological effects, and utilization of prenatal diagnosis and its outcomes. The heterozygote identification rate and frequency of specific CFTR mutations were also assessed. Identified carriers were offered genetic counseling and testing of male partners. Prenatal diagnosis was offered if both parents were identified as carriers. A total of 5,161 women underwent carrier testing; 947 others completed survey instruments only. The acceptance rate of screening was high (78%), and pretest education by videotape was generally effective. Adverse psychological effects were not reported. Participants generally found screening to be desirable and useful. Screening identified 142 female heterozygotes, 109 couples in which the male partner was not a carrier, and 7 high-risk couples. The incidence of R117H mutations was much higher than expected. The number of identified carriers was much lower in Hispanics than in Caucasians. We conclude that large-scale prenatal screening for CF heterozygotes in the absence of a family history of CF is an acceptable method for identifying couples at risk for affected fetuses. Sufficient pretest education can be accomplished efficiently, test insensitivity is well accepted, adverse psychological events are not observed, and general patient satisfaction is high.

Indexed as

Genetic Carrier ScreeningGenetic TestingPregnant PeopleAdultChild, PreschoolComprehensionCystic FibrosisFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMutationPregnancyPregnancy, High-RiskPrenatal DiagnosisSurveys and QuestionnairesEmpirical ApproachGenetics and ReproductionKaiser Permanente Medical Care Program of Northern California

Identifiers

PMID8644747
PMCPMC1914676
OpenAlexW2140972586

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.