Evidence map›Paper›PMID 24084372›Full record

GuidelineJournal of pediatric gastroenterology and nutrition2013

Assessment and management of nutrition and growth in Rett syndrome.

Helen Leonard, Madhur Ravikumara, Gordon Baikie, Nusrat Naseem, Carolyn Ellaway, Alan Percy, Suzanne Abraham, Suzanne Geerts, Jane Lane, Mary Jones and 3 more

Registry-linked trialOpen access · greenAbstract readConsensus StatementGuideline
In one paragraph

Guideline in Journal of pediatric gastroenterology and nutrition, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00299312 (Rett Syndrome Natural History), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
5.8field-weighted citation impact, top 4% 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.

NCT00299312 completednot on this map

Rett Syndrome Natural History: Genetic and Physical Characteristics of Rett Syndrome

TypeobservationalSponsorUniversity of Alabama at BirminghamRan2006 to 2015Enrolled10ConditionsRett Syndrome, MECP2 Duplication Disorder, Rett-related Disorder
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Oral Manifestations of Rett Syndrome-A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Review
  6. Review
  7. Article
  8. Article
  9. Rett syndrome.Nature reviews. Disease primers · 2024
    Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. 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

13 authors at 8 institutions in 2 countries.

Helen Leonard*Telethon Institute for Child Health Research, Centre for Child Health Research, University of Western Australia †Department of Gastroenterology, Princess Margaret Hospital for Children, Perth ‡Department of Developmental Medicine, Royal Children's Hospital, Murdoch Children's Research Institute, Melbourne §Western Sydney Genetics Program, Children's Hospital at Westmead, Discipline of Paediatrics and Genetic Medicine, University of Sydney, Sydney, Australia ||Civitan International Research Centre, University of Alabama, Birmingham, AL ¶Department of Otolaryngology, Head Neck Surgery, and Radiology, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY #Katie's Clinic for Rett Syndrome, Children's Hospital & Research Center, Oakland, CA.
Madhur Ravikumara
Gordon Baikie
Nusrat Naseem
Carolyn Ellaway
Alan Percy
Suzanne Abraham
Suzanne Geerts
Jane Lane
Mary Jones
Katherine Bathgate
Jenny Downs
Telethon Institute for Child Health Research
Civitan International · USThe Kids Research Institute Australia · AUUniversity of Western Australia · AUChildren's Hospital at Westmead · AUMontefiore Medical Center · USPrincess Margaret Hospital for Children · AURoyal Children's Hospital · AUUniversity of Alabama · US

Funding

RARE DISEASE CRC FOR NEW THERAPIES AND NEW DIAGNOSTICSU54RR019478 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI BEAUDET, ARTHUR L. · 2003 to 2008
$7.3M
Rett syndrome: determinants of outcome and burdenR01HD043100 · NICHD · UNIVERSITY OF WESTERN AUSTRALIA · PI LEONARD, HELEN M · 2003 to 2007
$838k
NCRR NIH HHS U54 RR019478NICHD NIH HHS 5R01HD043100-05NICHD NIH HHS R01 HD043100NICHD NIH HHS U54 HD06122
6 · The paper itself

Abstract

objectivesWe developed recommendations for the clinical management of poor growth and weight gain in Rett syndrome through evidence review and the consensus of an expert panel of clinicians.

methodsInitial draft recommendations were created based upon literature review and 34 open-ended questions in which the literature was lacking. Statements and questions were made available to an international, multidisciplinary panel of clinicians in an online format and a Microsoft Word-formatted version of the draft via e-mail. Input was sought using a 2-stage modified Delphi process to reach consensus. Items included clinical assessment of growth, anthropometry, feeding difficulties and management to increase energy intake, decrease feeding difficulties, and consideration of gastrostomy.

resultsAgreement was achieved on 101 of 112 statements. A comprehensive approach to the management of poor growth in Rett syndrome is recommended that takes into account factors such as feeding difficulties and nutritional needs. A body mass index of approximately the 25th centile can be considered as a reasonable target in clinical practice. Gastrostomy is indicated for extremely poor growth, if there is risk of aspiration and if feeding times are prolonged.

conclusionsThese evidence- and consensus-based recommendations have the potential to improve care of nutrition and growth in a rare condition and stimulate research to improve the present limited evidence base.

Indexed as

Nutritional StatusNutrition AssessmentBody Mass IndexDelphi TechniqueFeeding BehaviorFemaleGastrostomyGrowth DisordersHumansInfantNutritional RequirementsNutritional SupportRett SyndromeSurveys and QuestionnairesWeight Gain

Identifiers

PMID24084372
PMCPMC3906202
OpenAlexW2004242783

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.