Evidence map›Paper›PMID 17449517›Full record

ArticleArchives of disease in childhood2007

Pancreatic phenotype in infants with cystic fibrosis identified by mutation screening.

Marco Cipolli, Carlo Castellani, Bridget Wilcken, John Massie, Karen McKay, Margie Gruca, Anna Tamanini, Maurice Baroukh Assael, Kevin Gaskin

Open access · greenAbstract readEvaluation StudyMulticenter Study
In one paragraph

Article in Archives of disease in childhood, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Growth failure and treatment in cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2019
    Review
  6. Cystic fibrosis: a clinical view.Cellular and molecular life sciences : CMLS · 2017
    Review
  7. Review
  8. The cystic fibrosis intestine.Cold Spring Harbor perspectives in medicine · 2013
    Review
  9. Review
  10. Consensus on the use and interpretation of cystic fibrosis mutation analysis in clinical practice.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2008
    Review
  11. What and when to collect from infants with cystic fibrosis.Archives of disease in childhood · 2007
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Marco CipolliCystic Fibrosis Centre, Azienda Ospedaliera di Verona, Verona, Italy. marco.cipolli@azosp.vr.it
Carlo Castellani
Bridget Wilcken
John Massie
Karen McKay
Margie Gruca
Anna Tamanini
Maurice Baroukh Assael
Kevin Gaskin
Children's Hospital at Westmead · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the pancreatic phenotype of infants with cystic fibrosis (CF) diagnosed in the first week of life by a combined immunoreactive trypsin/mutation screening program.

designA prospective evaluation of pancreatic function in infants with CF at the time of neonatal diagnosis and up to the age of 12.

settingTwo different centres (Verona, Italy and Westmead, Australia) to enable comparison of results between two regions where <60% or > or =90% of patients, respectively, have at least one single DeltaF508 a mutation. PATIENTS: 315 children with CF including 149 at Verona and 166 at Westmead.

interventionsFat balance studies over 3-5 days and pancreatic stimulation tests with main outcome measures being faecal fat or pancreatic colipase secretion. PATIENTS with malabsorption are pancreatic insufficient (PI) or with normal absorption and pancreatic sufficient (PS).

results34 infants (23%) at Verona and 46 (28%) at Westmead were PS at diagnosis. 15% of those with two class I, II or III "severe" mutations and 26/28 (93%) of those with class IV or V mutations were PS at this early age. Of the 80 infants with PS, 20 became PI before the age of 12. All 20 had two severe mutations.

conclusionNeonatal mutational screening programs for CF are less likely to detect PS patients with non-DeltaF508 mutations. Of PS patients who are detected, those with two severe class I, II or III mutations are at particularly high risk of becoming PI during early childhood.

Indexed as

ChildChild, PreschoolCystic FibrosisExocrine Pancreatic InsufficiencyFemaleHumansInfantInfant, NewbornMaleMutationNeonatal ScreeningNutritional StatusNutrition DisordersPhenotypePregnancy

Identifiers

PMID17449517
PMCPMC2083233
OpenAlexW2123965291

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.