Evidence map›Paper›PMID 21279382›Full record

ArticleEuropean journal of pediatrics2011

Early diagnosis of cerebral X-linked adrenoleukodystrophy in boys with Addison's disease improves survival and neurological outcomes.

Lynda E Polgreen, Saydi Chahla, Weston Miller, Steven Rothman, Jakub Tolar, Teresa Kivisto, David Nascene, Paul J Orchard, Anna Petryk

Abstract read
In one paragraph

Article in European journal of pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Guideline
  2. Trial
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  7. Observational
  8. Review
  9. Article
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  12. Review
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  14. Article
  15. Article
  16. X-LINKED ADRENOLEUKODYSTROPHY IN BRAZIL: A CASE SERIES.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2019
    Article
  17. Hematopoietic Stem Cell Gene Therapy for Storage Disease: Current and New Indications.Molecular therapy : the journal of the American Society of Gene Therapy · 2017
    Review
  18. Newborn screening for X-linked adrenoleukodystrophy: evidence summary and advisory committee recommendation.Genetics in medicine : official journal of the American College of Medical Genetics · 2017
    Article
  19. Endocrine Dysfunctions in Patients with Inherited Metabolic Diseases.Journal of clinical research in pediatric endocrinology · 2016
    Article
  20. 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

9 authors at 2 institutions in 1 country.

Lynda E PolgreenDepartment of Pediatrics, University of Minnesota, 516 Delaware St. S.E., PWB 13-124, MMC 8404, Minneapolis, MN 55455, USA.
Saydi Chahla
Weston Miller
Steven Rothman
Jakub Tolar
Teresa Kivisto
David Nascene
Paul J Orchard
Anna Petryk
University of Minnesota · USUniversity of Minnesota Medical Center · US

Funding

Scholar Development Clinical Research (RMI)K12RR023247 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI LUEPKER, RUSSELL V · 2005 to 2009
$13.5M
NCRR NIH HHS 5K12RR023247-05NCRR NIH HHS K12 RR023247
6 · The paper itself

Abstract

Approximately one third of boys with X-linked adrenoleukodystophy (X-ALD) develop an acute, progressive inflammatory process of the central nervous system, resulting in rapid neurologic deterioration and death. Hematopoietic cell transplantation (HCT) can halt the progression of neurologic disease if performed early in the course of the cerebral form of X-ALD. We describe a retrospective cohort study of 90 boys with X-ALD evaluated at our institution between 2000 and 2009, to determine if early diagnosis of X-ALD following the diagnosis of unexplained adrenal insufficiency (AI) improves outcomes. We describe seven cases with a delay in the diagnosis of X-ALD and compare their outcomes to ten controls with the diagnosis of ALD made within 12 months following diagnosis of AI. At the time of evaluation for HCT, boys with a delay in the diagnosis of X-ALD had more extensive cerebral involvement and more limited functioning. These boys also were 3.9 times more likely to die and had significant advancement of cerebral disease after HCT, compared with boys with a timely diagnosis of X-ALD. In conclusion, the early diagnosis of cerebral X-ALD following the diagnosis of unexplained AI, and subsequent treatment with HCT improves both neurological outcomes and survival in boys with cerebral X-ALD.

Indexed as

Addison DiseaseAdrenal InsufficiencyAdrenoleukodystrophyChildChild, PreschoolCohort StudiesDelayed DiagnosisDisease ProgressionEarly DiagnosisHematopoietic Stem Cell TransplantationHumansInfantMaleRetrospective StudiesTreatment Outcome

Identifiers

PMID21279382
PMCPMC3101278
OpenAlexW2156485773

What OpenQuestion holds

Textmetadata
LicenceTDM
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.