Evidence map›Paper›PMID 25834951›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2016

Risk of new tumors in von Hippel-Lindau patients depends on age and genotype.

Marie Louise Mølgaard Binderup, Esben Budtz-Jørgensen, Marie Luise Bisgaard

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Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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12citing papers in PubMed, 1 pooled it
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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

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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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  10. Hereditary Endocrine Tumor Registries.Journal of the Endocrine Society · 2023
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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Marie Louise Mølgaard BinderupDepartment of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-4214-710X
Esben Budtz-JørgensenDepartment of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark.
Marie Luise BisgaardDepartment of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe von Hippel-Lindau (vHL) phenotype is variable, which complicates genetic counseling and surveillance. We describe how the rate of new tumor development varies through the lifetimes of vHL patients and how it is influenced by age and genotype.

methodsIn a national cohort study, we included 52 VHL mutation carriers who were retrospectively followed for a total of 799 person-years. From birth to current age, 581 manifestations were diagnosed during 2,583 examinations in the study subjects. Manifestation rates were analyzed using Poisson regression and compared in groups of different ages, tumor sites, and genotypes.

resultsThe rate of new tumor development varied significantly with age and was highest at 30-34 years (0.4 new tumors/year). Tumor location further influenced the rate. The risk of retinal tumors was highest in subjects during the teenage years but was highest for cerebellar tumors in subjects during their 30s. Truncating VHL mutation carriers had a significantly higher manifestation rate compared with missense mutation carriers (hazard ratio = 1.85, 95% confidence interval: 1.06-3.24, P value = 0.031).

conclusionThe rate of new manifestation development is not constant throughout the life span of vHL patients; instead, it varies significantly with age and genotype and depends on anatomical location. Retinal surveillance is crucial during the teenage years, whereas cerebellar surveillance is especially important in adulthood.Genet Med 18 1, 89-97.

Indexed as

AdolescentAdultAgedAge FactorsCohort StudiesFemaleGenetic Association StudiesGenetic CounselingGenetic Predisposition to DiseaseHumansLongitudinal StudiesMaleMiddle AgedMutationNetherlandsRetrospective StudiesVHL protein, humanVon Hippel-Lindau Tumor Suppressor Protein

Identifiers

PMID25834951

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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.