Evidence map›Paper›PMID 28646478›Full record

Trial reportEuropean journal of pediatrics2017

Newborn screening for Fabry disease in the north-west of Spain.

Cristobal Colon, Saida Ortolano, Cristina Melcon-Crespo, Jose V Alvarez, Olalla E Lopez-Suarez, Maria L Couce, José R Fernández-Lorenzo

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in European journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Author Response:Neurology · 2023
    Article
  13. Article
  14. Newborn Screening for Fabry Disease: Current Status of Knowledge.International journal of neonatal screening · 2023
    Review
  15. Observational
  16. Article
  17. Review
  18. Screening for Fabry's disease in a high-risk subpopulation of FMF.European journal of medical research · 2022
    Article
  19. Article
  20. Review
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

7 authors at 4 institutions in 1 country.

Cristobal ColonUnit of Diagnosis and Treatment of Congenital Metabolic Diseases, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Saida OrtolanoRare Diseases & Pediatric Medicine Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Hospital Álvaro Cunqueiro, Bloque técnico, pl2 zona A, Estrada Clara Campoamor 341, Vigo, 36312, Pontevedra, Spain. saida.ortolano@sergas.es.
Cristina Melcon-CrespoRare Diseases & Pediatric Medicine Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Hospital Álvaro Cunqueiro, Bloque técnico, pl2 zona A, Estrada Clara Campoamor 341, Vigo, 36312, Pontevedra, Spain.
Jose V AlvarezUnit of Diagnosis and Treatment of Congenital Metabolic Diseases, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Olalla E Lopez-SuarezUnit of Diagnosis and Treatment of Congenital Metabolic Diseases, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Maria L CouceUnit of Diagnosis and Treatment of Congenital Metabolic Diseases, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
José R Fernández-LorenzoRare Diseases & Pediatric Medicine Research Group, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Hospital Álvaro Cunqueiro, Bloque técnico, pl2 zona A, Estrada Clara Campoamor 341, Vigo, 36312, Pontevedra, Spain.
Complejo Hospitalario Universitario de Santiago · ESComplexo Hospitalario Universitario A Coruña · ESServicio Gallego de Salud · ESHospital Xeral Calde · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease is an X-linked lysosomal storage disorder caused by the impairment of α-galactosidase A. Enzyme replacement therapy is available to treat patients, who often experience delayed diagnosis. A newborn screening for Fabry disease was performed to study the prevalence of the pathology and to evaluate the possibility to implement the test in systematic screenings. We collected 14,600 dried blood spot samples (7575 males and 7025 females) and carried out a diagnostic study by fluorometric measurement of α-galactosidase A enzymatic activity and GLA gene sequencing. We detected one patient with a mutation in GLA associated with classical Fabry Disease (M290I), ten subjects carrying genetic variants of uncertain diagnosis (S126G, R118C, A143T), and a girl with the non-characterized variant F18Y, which was not previously described. Additional 25 samples presented nucleotide substitutions described as polymorphisms (D313Y, rs2071225, and rs2071397). The estimated prevalence for Fabry disease in north-western Spanish males is of 0.013%.

conclusionThese results confirm that the prevalence of Fabry disease is underestimated and systematic screening is feasible; however, further characterization of variants of uncertain clinical significance is necessary to establish protocols of patients' management. What is Known: • Fabry disease is a rare disease of delayed diagnosis, whose prevalence is underestimated. However, early diagnosis is important for better efficiency of the current available treatment. What is New: • This newborn screening for Fabry disease performed on Spanish population reveals a prevalence of genetic alterations in GLA of 0.1% in males (0.013% with classic Fabry disease) and also characterizes these modifications in order to discriminate between pathogenic mutations and genetic variants of unknown significance.

Indexed as

alpha-GalactosidaseBiomarkersDried Blood Spot TestingFabry DiseaseFeasibility StudiesFemaleHumansInfant, NewbornMaleNeonatal ScreeningPolymorphism, GeneticPrevalenceSpainalpha-GalactosidaseBiomarkersGLA protein, humanFabry diseaseGenetic variants of unknown significanceLysosomal storage diseasesNewborn screening

Identifiers

PMID28646478
PMCPMC5511307
OpenAlexW2663410388

What OpenQuestion holds

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LicenceCC BY
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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.