Evidence map›Paper›PMID 27911335›Full record

ArticleJournal of neuromuscular diseases2016

European Cross-Sectional Survey of Current Care Practices for Duchenne Muscular Dystrophy Reveals Regional and Age-Dependent Differences.

Julia Vry, Kathrin Gramsch, Sunil Rodger, Rachel Thompson, Birgit F Steffensen, Jes Rahbek, Sam Doerken, Adrian Tassoni, María de Los Angeles Beytía, Velina Guergueltcheva and 15 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neuromuscular diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 7 pooled it
4.9field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 7 syntheses or guidelines pooled it, 96 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

25 authors at 7 institutions in 6 countries.

Julia VryDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Freiburg, Germany.
Kathrin GramschDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Freiburg, Germany.
Sunil RodgerThe John Walton Muscular Dystrophy Research Centre and MRC Centre for Neuromuscular Diseases, Institute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, UK.
Rachel ThompsonThe John Walton Muscular Dystrophy Research Centre and MRC Centre for Neuromuscular Diseases, Institute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, UK.
Birgit F SteffensenNational Rehabilitation Center for Neuromuscular Diseases, Aarhus, Denmark.
Jes RahbekNational Rehabilitation Center for Neuromuscular Diseases, Aarhus, Denmark.
Sam DoerkenInstitute for Medical Biometry and Statistics, Faculty of Medicine and Medical Center - University of Freiburg, Freiburg, Germany.
Adrian TassoniDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Freiburg, Germany.
María de Los Angeles BeytíaDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Freiburg, Germany.
Velina GuergueltchevaMedical University of Sofia, Department of Neurology, University Hospital Sofiamed and Bulgarian Neuromuscular Disorders Society, Sofia, Bulgaria.
Teodora ChamovaMedical University of Sofia, Department of Neurology, University Hospital Alexandrovska and Bulgarian Neuromuscular Disorders Society, Sofia, Bulgaria.
Ivailo TournevMedical University of Sofia, Department of Neurology, University Hospital Alexandrovska and Bulgarian Neuromuscular Disorders Society, Sofia, Bulgaria.
Anna Kostera-PruszczykDepartment of Neurology, Medical University of Warsaw, Warsaw, Poland.
Anna KaminskaDepartment of Neurology, Medical University of Warsaw, Warsaw, Poland.
Anna LusakowskaDepartment of Neurology, Medical University of Warsaw, Warsaw, Poland.
Lenka MrazovaDepartment of Paediatric Neurology, University Hospital in Brno and Faculty of Medicine, Masaryk University Brno, Czech Republic.
Lenka PavlovskaInstitute of Biostatistics and Analyses, Masaryk University Brno, Czech Republic.
Jana StrenkovaInstitute of Biostatistics and Analyses, Masaryk University Brno, Czech Republic.
Petr VondráčekDepartment of Paediatric Neurology, University Hospital in Brno and Faculty of Medicine, Masaryk University Brno, Czech Republic.
Marta GaramiDepartment of Molecular Genetics and Diagnostics, National Institute of Environmental Health, Budapest, Hungary.
Veronika KarcagiDepartment of Molecular Genetics and Diagnostics, National Institute of Environmental Health, Budapest, Hungary.
Ágnes HerczegfalviDepartment of Pediatrics, Semmelweis University, Budapest, Hungary.
Katherine BushbyThe John Walton Muscular Dystrophy Research Centre and MRC Centre for Neuromuscular Diseases, Institute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, UK.
Hanns LochmüllerThe John Walton Muscular Dystrophy Research Centre and MRC Centre for Neuromuscular Diseases, Institute of Genetic Medicine, Newcastle University, International Centre for Life, Central Parkway, Newcastle upon Tyne, UK.
Janbernd KirschnerDepartment of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Freiburg, Germany.
University of Freiburg · DECentre for Life · GBMasaryk University · CZMedical University of Sofia · BGMedical University of Warsaw · PLOrszagos Kornyezetegeszsegugyi Intezet · HUSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublication of comprehensive clinical care guidelines for Duchenne muscular dystrophy (DMD) in 2010 was a milestone for DMD patient management. Our CARE-NMD survey investigates the neuromuscular, medical, and psychosocial care of DMD patients in Europe, and compares it to the guidelines.

methodsA cross-sectional survey of 1677 patients contacted via the TREAT-NMD patient registries was conducted using self-report questionnaires in seven European countries.

resultsSurvey respondents were 861 children and 201 adults. Data describe a European DMD population with mean age of 13.0 years (range 0.8-46.2) of whom 53% had lost ambulation (at 10.3 years of age, median). Corticosteroid medication raised the median age for ambulatory loss from 10.1 years in patients never medicated to 11.4 years in patients who received steroids (p < 0.0001). The majority of patients reported receiving care in line with guidelines, although we identified significant differences between countries and important shortcomings in prevention and treatment. Summarised, 35% of patients aged≥ nine years received no corticosteroid medication, 24% of all patients received no regular physiotherapy, echocardiograms were not performed regularly in 22% of patients, pulmonary function was not regularly assessed in 71% of non-ambulatory patients. Patients with regular follow-up by neuromuscular specialists were more likely to receive care according to guidelines, were better satisfied, and experienced shorter unplanned hospitalization periods.

Indexed as

Guideline AdherencePractice Patterns, Physicians'RegistriesAdolescentAdrenal Cortex HormonesAdultAge FactorsChildChild, PreschoolCross-Sectional StudiesEchocardiographyEuropeHumansInfantMaleMiddle AgedAdrenal Cortex Hormonescorticosteroid treatmentDuchenne muscular dystrophyfunctional statusstandards of care

Identifiers

PMID27911335
PMCPMC5240601
OpenAlexW2558318757

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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.