학술논문
Putting genome-wide sequencing in neonates into perspective
Document Type
Original Paper
Author
van der Sluijs, Pleuntje J.; Aten, Emmelien; Barge-Schaapveld, Daniela Q. C. M.; Bijlsma, Emilia K.; Bökenkamp-Gramann, Regina; Donker Kaat, Laura; van Doorn, Remco; van de Putte, Dietje Fransen; van Haeringen, Arie; ten Harkel, Arend D. J.; Hilhorst-Hofstee, Yvonne; Hoffer, Mariette J. V.; den Hollander, Nicolette S.; van Ierland, Yvette; Koopmans, Marije; Kriek, Marjolein; Moghadasi, Setareh; Nibbeling, Esther A. R.; Peeters-Scholte, Cacha M. P. C. D.; Potjer, Thomas P.; van Rij, Maartje; Ruivenkamp, Claudia A. L.; Rutten, Julie W.; Steggerda, Sylke J.; Suerink, Manon; Tan, Ratna N. G. B.; van der Tuin, Karin; Visser, Remco; van der Werf –’t Lam, Anne-Sophie; Williams, Monique; Witlox, Ruben; Santen, Gijs W. E.
Source
Genetics in Medicine: Official journal of the American College of Medical Genetics and Genomics. 21(5):1074-1082
Subject
Language
English
ISSN
1098-3600
1530-0366
1530-0366
Abstract
Purpose: Several studies have reported diagnostic yields up to 57% for rapid exome or genome sequencing (rES/GS) as a single test in neonatal intensive care unit (NICU) patients, but the additional yield of rES/GS compared with other available diagnostic options still remains unquantified in this population.Methods: We retrospectively evaluated all genetic NICU consultations in a 2-year period.Results: In 132 retrospectively evaluated NICU consultations 27 of 32 diagnoses (84.4%) were made using standard genetic workup. Most diagnoses (65.6%) were made within 16 days. Diagnostic ES yield was 5/29 (17.2%). Genetic diagnoses had a direct effect on clinical management in 90.6% (29/32) of patients.Conclusions: Our study shows that exome sequencing has a place in NICU diagnostics, but given the associated costs and the high yield of alternative diagnostic strategies, we recommend to first perform clinical genetic consultation.