Evidence map›Paper›PMID 24395289›Full record

ArticleMuscle & nerve2014

Cooperative International Neuromuscular Research Group Duchenne Natural History Study demonstrates insufficient diagnosis and treatment of cardiomyopathy in Duchenne muscular dystrophy.

Christopher Spurney, Reiko Shimizu, Lauren P Morgenroth, Hanna Kolski, Heather Gordish-Dressman, Paula R Clemens, CINRG Investigators

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Muscle & nerve, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03439670 (A Phase IIb Randomized, Double-blind, Parallel Group, Placebo- and Active-controlled Study With Double-Blind Extension to Assess the Efficacy and Safety of Vamorolone in Ambulant Boys With Duchenne Muscular Dystrophy), which is not on this map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
4.6field-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.

NCT03439670 phase2completednot on this mapstarted 2018, after this paper: background citation

A Phase IIb Randomized, Double-blind, Parallel Group, Placebo- and Active-controlled Study With Double-Blind Extension to Assess the Efficacy and Safety of Vamorolone in Ambulant Boys With Duchenne Muscular Dystrophy (DMD)

TypeinterventionalSponsorReveraGen BioPharma, Inc.Ran2018 to 2021Enrolled121ConditionsDuchenne Muscular DystrophyArmsVamorolone, Prednisone, Placebo
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  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

7 authors at 4 institutions in 2 countries.

Christopher SpurneyResearch Center for Genetic Medicine, Children's National Medical Center, Washington, DC, USA.
Reiko Shimizu
Lauren P Morgenroth
Hanna Kolski
Heather Gordish-Dressman
Paula R Clemens
CINRG Investigators
Children's National · USUniversity of Alberta · CAUniversity of Pittsburgh · USVeterans Health Administration · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR031988 · NCRR · CHILDREN'S RESEARCH INSTITUTE · PI JOSEPH, JILL G · 2010 to 2011
$8.2M
Wellstone Muscular Dystrophy Center: Children's Nat'l Med CtrU54HD053177 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI PARTRIDGE, TERENCE · 2005 to 2009
$7.3M
NCRR NIH HHS UL1 RR031988NCRR NIH HHS UL1RR031988NICHD NIH HHS U54 HD053177NICHD NIH HHS U54HD053177
6 · The paper itself

Abstract

introductionCardiomyopathy is a common cause of morbidity and death in patients with Duchenne muscular dystrophy (DMD).

methodsThis investigation was a cross-sectional cross-sectional analysis of clinical data from the multi-institutional Cooperative International Neuromuscular Research Group (CINRG) DMD Natural History Study of 340 DMD patients aged 2-28 years. Cardiomyopathy was defined as shortening fraction (SF) <28% or ejection fraction (EF) <55%.

resultsTwo hundred thirty-one participants reported a prior clinical echocardiogram study, and 174 had data for SF or EF. The prevalence of cardiomyopathy was 27% (47 of 174), and it was associated significantly with age and clinical stage. The association of cardiomyopathy with age and clinical stage was not changed by glucocorticoid use as a covariate (P > 0.68). In patients with cardiomyopathy, 57% (27 of 47) reported not taking any cardiac medications. Cardiac medications were used in 12% (15 of 127) of patients without cardiomyopathy.

conclusionsWe found that echocardiograms were underutilized, and cardiomyopathy was undertreated in this DMD natural history cohort.

Indexed as

Biomedical ResearchCardiomyopathiesInternational CooperationAdolescentAdultAge FactorsChildChild, PreschoolFemaleGlucocorticoidsHumansMaleMuscular Dystrophy, DuchenneStatistics, NonparametricYoung AdultGlucocorticoidscardiomyopathyDuchenne muscular dystrophyechocardiogramglucocorticoidnatural history

Identifiers

PMID24395289
PMCPMC4081523
OpenAlexW2115252392

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.