Evidence map›Paper›PMID 27297686›Full record

ArticleCNS neuroscience & therapeutics2016

Pain in Fabry Disease: Practical Recommendations for Diagnosis and Treatment.

Juan M Politei, Didier Bouhassira, Dominique P Germain, Cyril Goizet, Antonio Guerrero-Sola, Max J Hilz, Elspeth J Hutton, Amel Karaa, Rocco Liguori, Nurcan Üçeyler and 2 more

Open access · hybridAbstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

55 citing papers in PubMed, 117 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 12 institutions in 7 countries.

Juan M PoliteiFundación para el Estudio de las Enfermedades Neurometabólicas (FESEN), Buenos Aires, Argentina.
Didier BouhassiraINSERM U-987, Centre d'Evaluation et de Traitement de la Douleur, Hôpital Ambroise Paré, Boulogne, France.
Dominique P GermainDivision of Medical Genetics, University of Versailles - St Quentin en Yvelines, Paris-Saclay University, Montigny, France.
Cyril GoizetCHU Bordeaux, Hôpital Pellegrin, Service de Génétique Médicale and Université Bordeaux, Laboratoire Maladies Rares: Génétique et Métabolisme (MRGM) EA4576, Bordeaux, France.
Antonio Guerrero-SolaNeuromuscular Unit, Neurology Department, Hospital Clínico San Carlos, Madrid, Spain.
Max J HilzDepartment of Neurology, University of Erlangen-Nuremberg, Erlangen, Germany.
Elspeth J HuttonDepartment of Neurology, The Alfred Hospital, Melbourne, Vic., Australia.
Amel KaraaGenetics Unit, Massachusetts General Hospital, Boston, MA, USA.
Rocco LiguoriDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Nurcan ÜçeylerDepartment of Neurology, University of Würzburg, Würzburg, Germany.
Lonnie K ZeltzerPediatric Pain and Palliative Care Program, Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Alessandro BurlinaNeurological Unit, St Bassiano Hospital, Bassano del Grappa, Italy.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEFundación para la Lucha contra las Enfermedades Neurológicas de la Infancia · ARHôpital Pellegrin · FRHospital Clínico San Carlos · ESInserm · FRInstitute of Neurological Sciences · ITMassachusetts General Hospital · USOspedale San Bassiano · ITThe Alfred Hospital · AUUniversité de Versailles Saint-Quentin-en-Yvelines · FRUniversity of California, Los Angeles · USUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPatients with Fabry disease (FD) characteristically develop peripheral neuropathy at an early age, with pain being a crucial symptom of underlying pathology. However, the diagnosis of pain is challenging due to the heterogeneous and nonspecific symptoms. Practical guidance on the diagnosis and management of pain in FD is needed.

methodsIn 2014, experts met to discuss recent advances on this topic and update clinical guidance.

resultsEmerging disease-specific tools, including FabryScan, Fabry-specific Pediatric Health and Pain Questionnaire, and Würzburg Fabry Pain Questionnaire, and more general tools like the Total Symptom Score can aid diagnosis, characterization, and monitoring of pain in patients with FD. These tools can be complemented by more objective and quantifiable sensory testing. In male and female patients of any age, pain related to FD can be an early indication to start disease-specific enzyme replacement therapy before potentially irreversible organ damage to the kidneys, heart, or brain occurs.

conclusionTo improve treatment outcomes, pain should be diagnosed early in unrecognized or newly identified FD patients. Treatment should include: (a) enzyme replacement therapy controlling the progression of underlying pathology; (b) adjunctive, symptomatic pain management with analgesics for chronic neuropathic and acute nociceptive, and inflammatory or mixed pain; and (c) lifestyle modifications.

Indexed as

Analgesics, Non-NarcoticAnti-Inflammatory Agents, Non-SteroidalDiagnosis, DifferentialEnzyme Replacement TherapyFabry DiseaseFemaleGanglia, SpinalHumansLife StyleMalePainPain ManagementPain MeasurementSurveys and QuestionnairesAnalgesics, Non-NarcoticAnti-Inflammatory Agents, Non-SteroidalDiagnosisEnzyme replacement therapyFabry diseasePainPeripheral nervous system

Identifiers

PMID27297686
PMCPMC5071655
OpenAlexW2306075274

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.