Evidence map›Paper›PMID 21431622›Full record

ReviewJournal of inherited metabolic disease2011

Diagnosis and management of glutaric aciduria type I--revised recommendations.

Stefan Kölker, Ernst Christensen, James V Leonard, Cheryl R Greenberg, Avihu Boneh, Alberto B Burlina, Alessandro P Burlina, Marjorie Dixon, Marinus Duran, Angels García Cazorla and 9 more

Open access · hybridAbstract readEvaluation StudyReview
In one paragraph

Review in Journal of inherited metabolic disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 6 pooled it
16.8field-weighted citation impact, top 1% 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

127 citing papers in PubMed, 6 syntheses or guidelines pooled it, 321 citations in OpenAlex.

  1. Pooled it
  2. Cyclic Vomiting Syndrome in Children.Frontiers in neurology · 2020
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67 more citing papers are in PubMed but not listed here.

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 15 institutions in 12 countries.

Stefan KölkerDepartment of General Pediatrics, Division of Inborn Metabolic Diseases, University Children's Hospital, Im Neuenheimer Feld 430, 69120 Heidelberg, Germany. Stefan.Koelker@med.uni-heidelberg.de
Ernst Christensen
James V Leonard
Cheryl R Greenberg
Avihu Boneh
Alberto B Burlina
Alessandro P Burlina
Marjorie Dixon
Marinus Duran
Angels García Cazorla
Stephen I Goodman
David M Koeller
Mårten Kyllerman
Chris Mühlhausen
Edith Müller
Jürgen G Okun
Bridget Wilcken
Georg F Hoffmann
Peter Burgard
University Hospital Heidelberg · DEHeidelberg University · DEOspedale San Bassiano · ITAcademic Medical Center · NLChildren's Hospital at Westmead · AUChildren's Hospital of Winnipeg · CADoernbecher Children's Hospital · USDrottning Silvias barn- och ungdomssjukhus · SEGreat Ormond Street Hospital · GBHospital Sant Joan de Déu Barcelona · ESInstitute of Child Health · GRMurdoch Children's Research Institute · AURigshospitalet · DKUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Colorado Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glutaric aciduria type I (synonym, glutaric acidemia type I) is a rare organic aciduria. Untreated patients characteristically develop dystonia during infancy resulting in a high morbidity and mortality. The neuropathological correlate is striatal injury which results from encephalopathic crises precipitated by infectious diseases, immunizations and surgery during a finite period of brain development, or develops insidiously without clinically apparent crises. Glutaric aciduria type I is caused by inherited deficiency of glutaryl-CoA dehydrogenase which is involved in the catabolic pathways of L-lysine, L-hydroxylysine and L-tryptophan. This defect gives rise to elevated glutaric acid, 3-hydroxyglutaric acid, glutaconic acid, and glutarylcarnitine which can be detected by gas chromatography/mass spectrometry (organic acids) or tandem mass spectrometry (acylcarnitines). Glutaric aciduria type I is included in the panel of diseases that are identified by expanded newborn screening in some countries. It has been shown that in the majority of neonatally diagnosed patients striatal injury can be prevented by combined metabolic treatment. Metabolic treatment that includes a low lysine diet, carnitine supplementation and intensified emergency treatment during acute episodes of intercurrent illness should be introduced and monitored by an experienced interdisciplinary team. However, initiation of treatment after the onset of symptoms is generally not effective in preventing permanent damage. Secondary dystonia is often difficult to treat, and the efficacy of available drugs cannot be predicted precisely in individual patients. The major aim of this revision is to re-evaluate the previous diagnostic and therapeutic recommendations for patients with this disease and incorporate new research findings into the guideline.

Indexed as

Practice Guidelines as TopicAlgorithmsAmino Acid Metabolism, Inborn ErrorsBrain Diseases, MetabolicEmergency Medical ServicesGlutaryl-CoA DehydrogenaseHumansInfant, NewbornMass ScreeningMonitoring, PhysiologicNeonatal ScreeningNervous System DiseasesGlutaryl-CoA Dehydrogenase

Identifiers

PMID21431622
PMCPMC3109243
OpenAlexW2149704787

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.