Evidence map›Paper›PMID 17203377›Full record

GuidelineJournal of inherited metabolic disease2007

Guideline for the diagnosis and management of glutaryl-CoA dehydrogenase deficiency (glutaric aciduria type I).

S Kölker, E Christensen, J V Leonard, C R Greenberg, A B Burlina, A P Burlina, M Dixon, M Duran, S I Goodman, D M Koeller and 9 more

Abstract readGuideline
PubMed Publisher
In one paragraph

Guideline in Journal of inherited metabolic disease, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
8.2field-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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
  2. Carnitine supplementation for inborn errors of metabolism.The Cochrane database of systematic reviews · 2012
    Pooled it
  3. Trial
  4. Observational
  5. Article
  6. Update on Genetic Chorea.European journal of neurology · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Observational
  16. Observational
  17. Review
  18. Article
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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

19 authors at 12 institutions in 10 countries.

S KölkerDepartment of General Pediatrics, Division of Inborn Metabolic Diseases, University Children's Hospital, Heidelberg, Germany. Stefan.Koelker@med.uni-heidelberg.de
E Christensen
J V Leonard
C R Greenberg
A B Burlina
A P Burlina
M Dixon
M Duran
S I Goodman
D M Koeller
E Müller
E R Naughten
E Neumaier-Probst
J G Okun
M Kyllerman
R A Surtees
B Wilcken
G F Hoffmann
P Burgard
Heidelberg University · DEUniversity Hospital Heidelberg · DEUniversity College London · GBUniversity of Padua · ITAcademic Medical Center · NLChildren's Hospital at Westmead · AUChildren's Hospital of Winnipeg · CADoernbecher Children's Hospital · USDrottning Silvias barn- och ungdomssjukhus · SERigshospitalet · DKTemple Street Children's University Hospital · IEUniversity of Colorado Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glutaryl-CoA dehydrogenase (GCDH) deficiency is an autosomal recessive disease with an estimated overall prevalence of 1 in 100 000 newborns. Biochemically, the disease is characterized by accumulation of glutaric acid, 3-hydroxyglutaric acid, glutaconic acid, and glutarylcarnitine, which can be detected by gas chromatography-mass spectrometry of organic acids or tandem mass spectrometry of acylcarnitines. Clinically, the disease course is usually determined by acute encephalopathic crises precipitated by infectious diseases, immunizations, and surgery during infancy or childhood. The characteristic neurological sequel is acute striatal injury and, subsequently, dystonia. During the last three decades attempts have been made to establish and optimize therapy for GCDH deficiency. Maintenance treatment consisting of a diet combined with oral supplementation of L: -carnitine, and an intensified emergency treatment during acute episodes of intercurrent illness have been applied to the majority of patients. This treatment strategy has significantly reduced the frequency of acute encephalopathic crises in early-diagnosed patients. Therefore, GCDH deficiency is now considered to be a treatable condition. However, significant differences exist in the diagnostic procedure and management of affected patients so that there is a wide variation of the outcome, in particular of pre-symptomatically diagnosed patients. At this time of rapid expansion of neonatal screening for GCDH deficiency, the major aim of this guideline is to re-assess the common practice and to formulate recommendations for diagnosis and management of GCDH deficiency based on the best available evidence.

Indexed as

ChildChild, PreschoolFemaleGlutaryl-CoA DehydrogenaseHumansInfantInfant, NewbornMass SpectrometryMetabolism, Inborn ErrorsMutationNeonatal ScreeningPhenotypeRiskGlutaryl-CoA Dehydrogenase

Identifiers

PMID17203377
OpenAlexW1966284322

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.