Evidence map›Paper›PMID 25906753›Full record

ArticleJournal of the American Society of Echocardiography : official publication of the American Society of Echocardiography2015

Feasibility and Reproducibility of Echocardiographic Measures in Children with Muscular Dystrophies.

Christopher F Spurney, Francis M McCaffrey, Avital Cnaan, Lauren P Morgenroth, Sunil J Ghelani, Heather Gordish-Dressman, Adrienne Arrieta, Anne M Connolly, Timothy E Lotze, Craig M McDonald and 2 more

Abstract read
In one paragraph

Article in Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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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

12 authors at 8 institutions in 1 country.

Christopher F SpurneyChildren's National Health System, Washington, District of Columbia. Electronic address: cspurney@cnmc.org.
Francis M McCaffreyChildren's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania.
Avital CnaanChildren's National Health System, Washington, District of Columbia.
Lauren P MorgenrothChildren's National Health System, Washington, District of Columbia.
Sunil J GhelaniChildren's National Health System, Washington, District of Columbia.
Heather Gordish-DressmanChildren's National Health System, Washington, District of Columbia.
Adrienne ArrietaChildren's National Health System, Washington, District of Columbia.
Anne M ConnollyWashington University, St. Louis, Missouri.
Timothy E LotzeTexas Children's Hospital, Houston, Texas.
Craig M McDonaldUniversity of California, Davis, Sacramento, California.
Robert T LeshnerChildren's National Health System, Washington, District of Columbia; University of California, San Diego, San Diego, California.
Paula R ClemensUniversity of Pittsburgh, Pittsburgh, Pennsylvania; Department of Veterans Affairs Medical Center, Pittsburgh, Pennsylvania.
Columbia University · USChildren's National · USChildren's Hospital of Pittsburgh · USTexas Children's Hospital · USUniversity of California, Davis · USUniversity of California, San Diego · USVeterans Health Administration · USWashington University in St. Louis · US

Funding

UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
ZOLENDRONIC ACID IN CHILDREN W/ SEVERE OSTEOGENESIS IMPERFECTAM01RR000188 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI SHEARER, WILLIAM THOMAS · 1985 to 2011
$30.6M
Clinical and Translational Science Institute at Children's NationalUL1TR000075 · NCATS · CHILDREN'S RESEARCH INSTITUTE · PI GUAY-WOODFORD, LISA MARIE · 2012 to 2015
$13.7M
UC Davis Clinical and Translational Science CenterUL1TR000002 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BERGLUND, LARS F · 2012 to 2015
$12.2M
NCATS NIH HHS UL1 TR000002NCATS NIH HHS UL1TR000002NCATS NIH HHS UL1 TR000075NCATS NIH HHS UL1TR000075NCATS NIH HHS UL1 TR000448NCRR NIH HHS 3UL1RR024153-04S5NCRR NIH HHS M01 RR000188NCRR NIH HHS M01-RR00188NCRR NIH HHS UL1 RR024153NCRR NIH HHS UL1 RR024992NCRR NIH HHS UL1RR024992PHS HHS 5ULRR024153-03
6 · The paper itself

Abstract

backgroundCardiac disease is a major cause of death in patients with muscular dystrophies. The use of feasible and reproducible echocardiographic measures of cardiac function is critical to advance the field of therapeutics for dystrophic cardiomyopathy.

methodsParticipants aged 8 to 18 years with genetically confirmed Duchenne muscular dystrophy (DMD), Becker muscular dystrophy, or limb-girdle muscular dystrophy were enrolled at five centers, and standardized echocardiographic examinations were performed. Measures of systolic and diastolic function and speckle-tracking echocardiography-derived cardiac strain were reviewed independently by two central readers. Furthermore, echocardiographic measures from participants with DMD were compared with those from retrospective age-matched control subjects from a single site to assess measures of myocardial function.

resultsForty-eight participants (mean age, 13.3 ± 2.7 years) were enrolled. Shortening fraction had a greater interobserver correlation (intraclass correlation coefficient [ICC] = 0.63) compared with ejection fraction (ICC = 0.49). One reader could measure ejection fraction in only 53% of participants. Myocardial performance index measured by pulse-wave Doppler and Doppler tissue imaging showed similar ICCs (0.55 and 0.54). Speckle-tracking echocardiography showed a high ICC (0.96). Focusing on participants with DMD (n = 33), significantly increased mitral A-wave velocities, lower E/A ratios, and lower Doppler tissue imaging mitral lateral E' velocities were observed compared with age-matched control subjects. Speckle-tracking echocardiography demonstrated subclinical myocardial dysfunction with decreased average circumferential and longitudinal strain in three distinct subgroups: participants with DMD with normal shortening fractions, participants with DMD aged < 13 years, and participants with DMD with myocardial performance index scores < 0.40 compared with control subjects.

conclusionsIn a muscular dystrophy cohort, assessment of cardiac function is feasible and reproducible using shortening fraction, diastolic measures, and myocardial performance index. Cardiac strain measures identified early myocardial disease in patients with DMD.

Indexed as

AlgorithmsAdolescentCardiomyopathiesChildEchocardiographyFeasibility StudiesFemaleHumansImage EnhancementImage Interpretation, Computer-AssistedMaleMuscular DystrophiesObserver VariationReproducibility of ResultsSensitivity and SpecificityVentricular Dysfunction, LeftCardiac strainCardiomyopathyEchocardiographyMuscular dystrophy

Identifiers

PMID25906753
PMCPMC4526320
OpenAlexW2124458633

What OpenQuestion holds

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Registered trials

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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.