Evidence map›Paper›PMID 23305374›Full record

ArticleOrphanet journal of rare diseases2013

Propionic acidemia: clinical course and outcome in 55 pediatric and adolescent patients.

Sarah C Grünert, Stephanie Müllerleile, Linda De Silva, Michael Barth, Melanie Walter, Kerstin Walter, Thomas Meissner, Martin Lindner, Regina Ensenauer, René Santer and 20 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 pooled it
7.2field-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

72 citing papers in PubMed, 2 syntheses or guidelines pooled it, 186 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Propionic acidemia in Mexico: Clinical and genotypic spectrum.Molecular genetics and metabolism reports · 2026
    Article
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  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Propionic Acidemia, Cardiomyopathies, and Arrhythmias.Journal of clinical practice and research · 2024
    Review
  18. Article
  19. Review
  20. Article

12 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

30 authors at 18 institutions in 5 countries.

Sarah C GrünertLabor für Klinische Biochemie und Stoffwechsel, Zentrum für Kinder- und Jugendmedizin, Universitätsklinikum Freiburg, Freiburg, Germany.
Stephanie Müllerleile
Linda De Silva
Michael Barth
Melanie Walter
Kerstin Walter
Thomas Meissner
Martin Lindner
Regina Ensenauer
René Santer
Olaf A Bodamer
Matthias R Baumgartner
Michaela Brunner-Krainz
Daniela Karall
Claudia Haase
Ina Knerr
Thorsten Marquardt
Julia B Hennermann
Robert Steinfeld
Skadi Beblo
Hans-Georg Koch
Vassiliki Konstantopoulou
Sabine Scholl-Bürgi
Agnes van Teeffelen-Heithoff
Terttu Suormala
Wolfgang Sperl
Jan P Kraus
Andrea Superti-Furga
Karl Otfried Schwab
Jörn Oliver Sass
Klinik und Poliklinik für Kinder- und Jugendmedizin · DEUniversity Medical Center Freiburg · DEInnsbruck Medical University · ATMedical University of Vienna · ATUniversitätskinderklinik · DEUniversity Children's Hospital Zurich · CHCharité - Universitätsmedizin Berlin · DEHeinrich Heine University Düsseldorf · DEJena University Hospital · DELudwig-Maximilians-Universität München · DEMedical University of Graz · ATTemple Street Children's University Hospital · IEUniversitätsklinik für Kinder und Jugendpsychiatrie · ATUniversity Children’s Hospital Basel · CHUniversity Hospital Heidelberg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Colorado Denver · USUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPropionic acidemia is an inherited disorder caused by deficiency of propionyl-CoA carboxylase. Although it is one of the most frequent organic acidurias, information on the outcome of affected individuals is still limited. STUDY DESIGN/

methodsClinical and outcome data of 55 patients with propionic acidemia from 16 European metabolic centers were evaluated retrospectively. 35 patients were diagnosed by selective metabolic screening while 20 patients were identified by newborn screening. Endocrine parameters and bone age were evaluated. In addition, IQ testing was performed and the patients' and their families' quality of life was assessed.

resultsThe vast majority of patients (>85%) presented with metabolic decompensation in the neonatal period. Asymptomatic individuals were the exception. About three quarters of the study population was mentally retarded, median IQ was 55. Apart from neurologic symptoms, complications comprised hematologic abnormalities, cardiac diseases, feeding problems and impaired growth. Most patients considered their quality of life high. However, according to the parents' point of view psychic problems were four times more common in propionic acidemia patients than in healthy controls.

conclusionOur data show that the outcome of propionic acidemia is still unfavourable, in spite of improved clinical management. Many patients develop long-term complications affecting different organ systems. Impairment of neurocognitive development is of special concern. Nevertheless, self-assessment of quality of life of the patients and their parents yielded rather positive results.

Indexed as

AdolescentChildChild, PreschoolCognitionFemaleHumansInfantIntellectual DisabilityMalePropionic AcidemiaPsychomotor PerformanceQuality of LifeRetrospective StudiesTreatment Outcome

Identifiers

PMID23305374
PMCPMC3568723
OpenAlexW2127489588

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.