Evidence map›Paper›PMID 40242192›Full record

ArticleResearch and practice in thrombosis and haemostasis2025

Clinical utility of panel-based genetic sequencing for von Willebrand disease.

Radha Ramanan, Christine Van Laer, Sarissa Baert, Cyrielle Kint, Chris Van Geet, Quentin Van Thillo, Peter Verhamme, Thomas Vanassche, James D McFadyen, Andrew C Perkins and 3 more

Abstract read
In one paragraph

Article in Research and practice in thrombosis and haemostasis, 2025. 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. Review
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

13 authors.

Radha RamananDepartment of Cardiovascular Sciences, Centre for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
Christine Van LaerDepartment of Cardiovascular Sciences, Centre for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
Sarissa BaertCentre for Human Genetics, University Hospitals Leuven, Leuven, Belgium.
Cyrielle KintCentre for Human Genetics, University Hospitals Leuven, Leuven, Belgium.
Chris Van GeetDepartment of Cardiovascular Sciences, Centre for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
Quentin Van ThilloDepartment of Vascular Medicine and Haemostasis, University Hospitals Leuven, Leuven, Belgium.
Peter VerhammeDepartment of Cardiovascular Sciences, Centre for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
Thomas VanasscheDepartment of Cardiovascular Sciences, Centre for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
James D McFadyenAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia.
Andrew C PerkinsAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia.
Huyen A TranAustralian Centre for Blood Diseases, Monash University, Melbourne, Australia.
Veerle LabarqueDepartment of Cardiovascular Sciences, Centre for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.
Kathleen FresonDepartment of Cardiovascular Sciences, Centre for Molecular and Vascular Biology, KU Leuven, Leuven, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: von Willebrand disease (VWD) is the most prevalent inherited bleeding disorder with a wide spectrum of causative variants. Next-generation sequencing analyzes the entire Objectives: We aimed to assess the clinical impact of panel-based sequencing in all VWD patients sequenced at UZ Leuven. Methods: We conducted a single-center retrospective study of all patients with confirmed or suspected VWD who were screened with panel-based whole-exome sequencing. Presequencing diagnosis was performed using laboratory measures of VWF activity and quantity. Postsequencing diagnosis was informed by variant curation in combination with laboratory measures. We measured clinically meaningful changes in the pre- vs postgenetic sequencing diagnosis and subtyping. Results: The study included 108 patients. The population was predominantly composed of pediatric patients <18 years old (77/108; 71%) and females (66/108; 61%). The largest presequencing subgroup was those with low VWF (61/108; 56%), followed by type 1 VWD (21/108; 19%) and type 2 not otherwise specified (18/108; 17%). A clinically meaningful change in management occurred in 19% (20/108) of the study population. The largest effect was seen in the presequencing type 2 group (16/24; 67%). In the type 2 group who could not be accurately subtyped into 2A/B/M/N prior to sequencing (type 2 not otherwise specified), 15/18 (83%) were able to be subtyped or given a different diagnosis postsequencing. Conclusion: Panel-based sequencing for VWD in a well-selected cohort, particularly those with type 2 and type 3 VWD, was clinically relevant in differentiating genocopies, directing therapies, and family planning. Sequencing in those with low VWF and type 1 VWD rarely changed management.

Indexed as

genotypehigh-throughput nucleotide sequencingphenotypevon Willebrand diseases

Identifiers

PMID40242192
PMCPMC12002656

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.