Bridging clinical care and research in Ontario, Canada: Maximizing diagnoses from reanalysis of clinical exome sequencing data

T Hartley, É Soubry, M Acker, M Osmond… - Clinical …, 2023 - Wiley Online Library
We examined the utility of clinical and research processes in the reanalysis of publicly‐
funded clinical exome sequencing data in Ontario, Canada. In partnership with eight sites …

Evaluation of the diagnostic accuracy of exome sequencing and its impact on diagnostic thinking for patients with rare disease in a publicly funded health care system …

T Hartley, D Marshall, M Acker, K Fooks… - Genetics in …, 2024 - Elsevier
Purpose To evaluate the diagnostic utility of publicly funded clinical exome sequencing (ES)
for patients with suspected rare genetic diseases. Methods We prospectively enrolled 297 …

Impact of integrated translational research on clinical exome sequencing

EW Klee, MA Cousin, F Pinto e Vairo… - Genetics in …, 2021 - nature.com
Purpose Exome sequencing often identifies pathogenic genetic variants in patients with
undiagnosed diseases. Nevertheless, frequent findings of variants of uncertain significance …

Limitations of exome sequencing in detecting rare and undiagnosed diseases

KJ Burdick, JD Cogan, LC Rives… - American Journal of …, 2020 - Wiley Online Library
While exome sequencing (ES) is commonly the final diagnostic step in clinical genetics, it
may miss diagnoses. To clarify the limitations of ES, we investigated the diagnostic yield of …

[HTML][HTML] Automated clinical exome reanalysis reveals novel diagnoses

SW Baker, JR Murrell, AI Nesbitt, KB Pechter… - The Journal of Molecular …, 2019 - Elsevier
Clinical exome sequencing (CES) has a reported diagnostic yield of 20% to 30% for most
clinical indications. The ongoing discovery of novel gene–disease and variant–disease …

Recommendations for reporting of secondary findings in clinical exome and genome sequencing, 2016 update (ACMG SF v2. 0): a policy statement of the American …

SS Kalia, K Adelman, SJ Bale, WK Chung, C Eng… - Genetics in …, 2017 - nature.com
Disclaimer: These recommendations are designed primarily as an educational resource for
medical geneticists and other healthcare providers to help them provide quality medical …

The current landscape of clinical exome and genome reanalysis in the US

M Frees, JN Carter, MT Wheeler… - Journal of Genetic … - Wiley Online Library
The majority of patients undergoing exome or genome sequencing receive a nondiagnostic
result. Periodic reanalysis is known to increase diagnostic yield from exome sequencing, yet …

The implementation of an enhanced clinical model to improve the diagnostic yield of exome sequencing for patients with a rare genetic disease: A Canadian …

GU Ediae, G Lemire, C Chisholm… - American Journal of …, 2023 - Wiley Online Library
The introduction of clinical exome sequencing (ES) has provided a unique opportunity to
decrease the diagnostic odyssey for patients living with a rare genetic disease (RGD). ES …

A toolkit for genetics providers in follow‐up of patients with non‐diagnostic exome sequencing

DB Zastrow, JN Kohler, D Bonner… - Journal of genetic …, 2019 - Wiley Online Library
There are approximately 7,000 rare diseases affecting 25–30 million Americans, with 80%
estimated to have a genetic basis. This presents a challenge for genetics practitioners to …

Debunking Occam's razor: Diagnosing multiple genetic diseases in families by whole‐exome sequencing

TB Balci, T Hartley, Y Xi, DA Dyment… - Clinical …, 2017 - Wiley Online Library
Background Recent clinical whole exome sequencing (WES) cohorts have identified
unanticipated multiple genetic diagnoses in single patients. However, the frequency of …