Evidence map›Paper›PMID 24577564›Full record

Trial reportChest2014

Laterality defects other than situs inversus totalis in primary ciliary dyskinesia: insights into situs ambiguus and heterotaxy.

Adam J Shapiro, Stephanie D Davis, Thomas Ferkol, Sharon D Dell, Margaret Rosenfeld, Kenneth N Olivier, Scott D Sagel, Carlos Milla, Maimoona A Zariwala, Whitney Wolf and 7 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Chest, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00323167 (Rare Genetic Disorders of the Airways), which is not on this map. Cited by 131 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 8 pooled it
14.5field-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.

NCT00323167 completednot on this map

Rare Genetic Disorders of the Airways: Cross-sectional Comparison of Clinical Features, and Development of Novel Screening and Genetic Tests

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2006 to 2012Enrolled367ConditionsKartagener Syndrome, Cystic Fibrosis, Pseudohypoaldosteronism, Primary Ciliary Dyskinesia
3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 8 syntheses or guidelines pooled it, 230 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Pooled it
  5. Pooled it
  6. The patient's experience of primary ciliary dyskinesia: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Pooled it
  7. Guideline
  8. Pooled it
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Biallelic TruncatingInternational journal of molecular sciences · 2026
    Review
  15. Improved Surgical Management of Complex Neonates With Heterotaxy Syndrome.World journal for pediatric & congenital heart surgery · 2026
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

71 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 2 countries.

Adam J ShapiroFrom the Department of Pediatrics, Montreal Children's Hospital, McGill University, Montreal, QC, Canada. Electronic address: adam.shapiro@muhc.mcgill.ca.
Stephanie D DavisDepartment of Pediatrics, Riley Hospital for Children, Indiana University, Indianapolis, IN.
Thomas FerkolDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO.
Sharon D DellDepartment of Pediatrics, The Hospital for Sick Children and University of Toronto, Toronto, ON, Canada.
Margaret RosenfeldDepartment of Pediatrics, Seattle Children's Hospital and University of Washington, Seattle, WA.
Kenneth N OlivierNational Institute of Allergy and Infectious Diseases, Bethesda, MD.
Scott D SagelDepartment of Pediatrics, Children's Hospital Colorado and University of Colorado School of Medicine, Aurora, CO.
Carlos MillaDepartment of Pediatrics, Stanford University, Palo Alto, CA.
Maimoona A ZariwalaDepartment of Pathology and Laboratory Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Whitney WolfDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Johnny L CarsonDepartment of Pediatrics, University of North Carolina School of Medicine, on behalf of the Genetic Disorders of Mucociliary Clearance Consortium, Chapel Hill, NC.
Milan J HazuchaDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Kimberlie BurnsDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Blair RobinsonDepartment of Pediatrics, University of North Carolina School of Medicine, on behalf of the Genetic Disorders of Mucociliary Clearance Consortium, Chapel Hill, NC.
Michael R KnowlesDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Margaret W LeighDepartment of Pediatrics, University of North Carolina School of Medicine, on behalf of the Genetic Disorders of Mucociliary Clearance Consortium, Chapel Hill, NC.
Genetic Disorders of Mucociliary Clearance Consortium
University of North Carolina at Chapel Hill · USIndiana University – Purdue University Indianapolis · USMcGill University · CANational Institutes of Health · USSickKids Foundation · CAStanford University · USUniversity of Colorado Denver · USUniversity of Washington · USWashington University in St. Louis · US

Funding

Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
Bronchiectasis and chronic airway infectionZIAHL006200 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI FENNELLY, KEVIN · 2015 to 2025
$25.1M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
Longitudinal Characterization of Respiratory Tract Exacerbations and Treatment Responses in Primary Ciliary DyskinesiaU54HL096458 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVIS, STEPHANIE DUGGINS · 2009 to 2023
$20.0M
UNC Clinical and Translational Science AwardUL1TR000083 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2012 to 2013
$11.6M
Yale Center for Mendelian DisordersU54HG006504 · NHGRI · YALE UNIVERSITY · PI GERSTEIN, MARK BENDER, GUNEL, MURAT · 2012 to 2015
$11.0M
Pathogenesis of PCD Lung DiseaseR01HL071798 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KNOWLES, MICHAEL R · 2004 to 2021
$7.2M
NCATS NIH HHS UL1 TR000083NCATS NIH HHS UL1TR000083NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1TR000154NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1TR000423NCATS NIH HHS UL1 TR001082NHLBI NIH HHS 5R01HL071798NHLBI NIH HHS 5US54HL096458-06NHLBI NIH HHS R01 HL071798NHLBI NIH HHS U54 HL096458NHLBI NIH HHS U54HL096458
6 · The paper itself

Abstract

backgroundMotile cilia dysfunction causes primary ciliary dyskinesia (PCD), situs inversus totalis (SI), and a spectrum of laterality defects, yet the prevalence of laterality defects other than SI in PCD has not been prospectively studied.

methodsIn this prospective study, participants with suspected PCD were referred to our multisite consortium. We measured nasal nitric oxide (nNO) level, examined cilia with electron microscopy, and analyzed PCD-causing gene mutations. Situs was classified as (1) situs solitus (SS), (2) SI, or (3) situs ambiguus (SA), including heterotaxy. Participants with hallmark electron microscopic defects, biallelic gene mutations, or both were considered to have classic PCD.

resultsOf 767 participants (median age, 8.1 years, range, 0.1-58 years), classic PCD was defined in 305, including 143 (46.9%), 125 (41.0%), and 37 (12.1%) with SS, SI, and SA, respectively. A spectrum of laterality defects was identified with classic PCD, including 2.6% and 2.3% with SA plus complex or simple cardiac defects, respectively; 4.6% with SA but no cardiac defect; and 2.6% with an isolated possible laterality defect. Participants with SA and classic PCD had a higher prevalence of PCD-associated respiratory symptoms vs SA control participants (year-round wet cough, P < .001; year-round nasal congestion, P = .015; neonatal respiratory distress, P = .009; digital clubbing, P = .021) and lower nNO levels (median, 12 nL/min vs 252 nL/min; P < .001).

conclusionsAt least 12.1% of patients with classic PCD have SA and laterality defects ranging from classic heterotaxy to subtle laterality defects. Specific clinical features of PCD and low nNO levels help to identify PCD in patients with laterality defects. TRIAL REGISTRY: ClinicalTrials.gov; No.: NCT00323167; URL: www.clinicaltrials.gov.

Indexed as

MutationAdolescentAdultBiopsyChildChild, PreschoolCiliaDNADNA Mutational AnalysisFemaleHumansInfantInfant, NewbornKartagener SyndromeMaleMicroscopy, Electron, TransmissionDNA

Identifiers

PMID24577564
PMCPMC4219335
OpenAlexW2107060362

What OpenQuestion holds

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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.