Evidence map›Paper›PMID 27692528›Full record

ArticleOphthalmology2016

Pediatric Idiopathic Intracranial Hypertension: Age, Gender, and Anthropometric Features at Diagnosis in a Large, Retrospective, Multisite Cohort.

Claire A Sheldon, Grace L Paley, Rui Xiao, Anat Kesler, Ori Eyal, Melissa W Ko, Chantal J Boisvert, Robert A Avery, Vincenzo Salpietro, Paul H Phillips and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 73 citations in OpenAlex.

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  15. Article
  16. Sleep disturbance in pediatric intracranial hypertension.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Observational
  17. Pseudotumor Cerebri Syndrome in Children.Current pain and headache reports · 2019
    Review
  18. 14th EUNOS Congress: PORTO, PORTUGAL, 16-19 JUNE 2019.Neuro-ophthalmology (Aeolus Press) · 2019
    Article
  19. Demographics, clinical features, and response to conventional treatments in pediatric Pseudotumor Cerebri syndrome: a single-center experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2019
    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

13 authors at 10 institutions in 5 countries.

Claire A SheldonDivision of Ophthalmology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Department of Ophthalmology & Visual Sciences, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: claire.sheldon@vch.ca.
Grace L PaleyDivision of Ophthalmology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Rui XiaoDepartment of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Anat KeslerDepartment of Ophthalmology, Tel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv, Israel.
Ori EyalPediatric Endocrinology and Diabetes Unit, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Melissa W KoDepartments of Neurology and Ophthalmology, SUNY Upstate Medical University, Syracuse, New York.
Chantal J BoisvertDepartment of Ophthalmology, UC San Diego, Rady Children's Hospital San Diego, San Diego, California; Department of Ophthalmology, University of California Irvine Gavin Herbert Eye Institute, Irvine, California.
Robert A AveryDivision of Ophthalmology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Departments of Neurology and Pediatrics, Children's National Medical System, Washington, DC.
Vincenzo SalpietroDepartment of Pediatrics, University of Messina, Messina, Italy; Department of Molecular Neuroscience, UCL Institute of Neurology, London, United Kingdom.
Paul H PhillipsDepartment of Ophthalmology, Arkansas Children's Hospital, University of Arkansas, Little Rock, Arkansas.
Gena HeidaryDepartment of Ophthalmology, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Shana E McCormackDivision of Endocrinology & Diabetes, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Grant T LiuDivision of Ophthalmology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Children's Hospital of Philadelphia · USArkansas Children's Hospital · USChildren's National · USHarvard University · USSUNY Upstate Medical University · USTel Aviv Sourasky Medical Center · ILTel Aviv University · ILUniversity College London · GBUniversity of British Columbia · CAUniversity of California, Irvine · US

Funding

The Intellectual and Developmental Disabilities Research Center at CHOP/PennU54HD086984 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI SCHULTZ, ROBERT THOMAS · 2016 to 2020
$6.3M
Career Development Program in Pediatric Diabetes Research (K12) at CHOPK12DK094723 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI WILLI, STEVEN M · 2011 to 2020
$3.6M
Translational investigation of abnormal fat metabolism in mitochondrial diseaseK23DK102659 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI MCCORMACK, SHANA ERIN · 2015 to 2017
$515k
NICHD NIH HHS U54 HD086984NIDDK NIH HHS K12 DK094723NIDDK NIH HHS K23 DK102659
6 · The paper itself

Abstract

purposeTo examine anthropometric and maturational characteristics at diagnosis in pediatric idiopathic intracranial hypertension (IIH).

designRetrospective, international, multisite study.

participantsPediatric patients (2-18 years of age at diagnosis) with IIH.

main outcome measuresBody mass index (BMI), height, and weight Z-scores; sexual maturation.

methodsCases of IIH were identified retrospectively based on diagnostic code, pediatric neuro-ophthalmologist databases, or both and updated diagnostic criteria (2013) were applied to confirm definite IIH. Anthropometric measurements were converted into age- and gender-specific height, weight, and BMI Z-scores CDC 2000 growth charts. When available, sexual maturation was noted.

resultsTwo hundred thirty-three cases of definite IIH were identified across 8 sites. In boys, a moderate association between age and BMI Z-scores was noted (Pearson's correlation coefficient, 0.50; 95% confidence interval [CI], 0.30-0.66; P < 0.001; n = 72), and in girls, a weak association was noted (Pearson's correlation coefficient, 0.34; 95% CI, 0.20-0.47; P < 0.001; n = 161). The average patient was more likely to be overweight at diagnosis at age 6.7 years in girls and 8.7 years in boys, and obese at diagnosis at age 12.5 years in girls and 12.4 years in boys. Compared with age- and gender-matched reference values, early adolescent patients were taller for age (P = 0.002 in girls and P = 0.02 in boys). Data on Tanner staging, menarchal status, or both were available in 25% of cases (n = 57/233). Prepubertal participants (n = 12) had lower average BMI Z-scores (0.95±1.98) compared with pubertal participants (n = 45; 1.92±0.60), but this result did not reach statistical significance (P = 0.09).

conclusionsWith updated diagnostic criteria and pediatric-specific assessments, the present study identifies 3 subgroups of pediatric IIH: a young group that is not overweight, an early adolescent group that is either overweight or obese, and a late adolescent group that is mostly obese. Data also suggest that the early adolescent group with IIH may be taller than age- and gender-matched reference values. Understanding these features of pediatric IIH may help to illuminate the complex pathogenesis of this condition.

Indexed as

Body Mass IndexAdolescentAge DistributionAge FactorsChildChild, PreschoolCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMorbidityObesityPseudotumor CerebriRetrospective StudiesRisk Assessment

Identifiers

PMID27692528
PMCPMC5257253
OpenAlexW2526785103

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.