Evidence map›Paper›PMID 19629744›Full record

ArticleJournal of inherited metabolic disease2009

Long-term needs of adult patients with organic acidaemias: outcome and prognostic factors.

E Martín-Hernández, P J Lee, A Micciche, S Grunewald, R H Lachmann

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Journal of inherited metabolic disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Organic acidurias in adults: late complications and management.Journal of inherited metabolic disease · 2018
    Review
  10. Bone health in patients with inborn errors of metabolism.Reviews in endocrine & metabolic disorders · 2018
    Review
  11. Dietary practices in propionic acidemia: A European survey.Molecular genetics and metabolism reports · 2017
    Article
  12. Dietary practices in isovaleric acidemia: A European survey.Molecular genetics and metabolism reports · 2017
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
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

5 authors at 4 institutions in 2 countries.

E Martín-HernándezCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, UCLH, London, UK. emartinh.hdoc@salud.madrid.org
P J Lee
A Micciche
S Grunewald
R H Lachmann
National Hospital for Neurology and Neurosurgery · GBGreat Ormond Street Hospital · GBHospital Universitario 12 De Octubre · ESUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith improvements in the treatment of children with organic acidaemias (OA), the number surviving to adulthood is increasing. To plan appropriate services for their care it is important to know what their needs are.

objectiveTo describe the clinical and social problems affecting adult patients with OA. PATIENTS AND

methodsWe reviewed the medical records of 15 adult patients diagnosed with OA. Social attainment (housing, schooling and occupation) was analysed. Nutritional status was evaluated by body mass index (BMI) and laboratory studies. Neurological and visceral complications were noted. Cognitive outcome was evaluated by psychometric testing and/or educational attainment.

resultsSeven had methylmalonic acidaemia (MMA), 4 isovaleric acidaemia (IVA) and 4 propionic acidaemia (PA). Ten were female, and median age was 23.5 years (range 18-48). All but three had late-onset disease. Two patients became pregnant during follow up. Four patients had obtained university degrees and were working. Three-quarters of the patients required some kind of social support. All had a good nutritional status. Height was normal in IVA and 3 PA patients. Osteoporosis was present in 2 out of 8 patients assessed. A variety of neurocognitive or visceral complications were seen in two-thirds of the patients. Metabolic decompensations were unusual.

conclusionsThe approach to adult patients with OA has to be multidisciplinary, with the clinician and dietician as the core of the team, but with the collaboration of clinical nurses specialists, social workers and other specialist services and the support of a biochemical and molecular laboratory.

Indexed as

Health Services Needs and DemandAdolescentAdultAge of OnsetAmino Acid Metabolism, Inborn ErrorsChild, PreschoolCohort StudiesFemaleHumansInfantLong-Term CareMaleMiddle AgedPrognosisRetrospective StudiesTreatment Outcome

Identifiers

PMID19629744
OpenAlexW2066262182

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.