Evidence map›Paper›PMID 28702361›Full record

ArticleMolecular genetics and metabolism reports2017

Home infusion program with enzyme replacement therapy for Fabry disease: The experience of a large Italian collaborative group.

D Concolino, L Amico, M D Cappellini, E Cassinerio, M Conti, M A Donati, F Falvo, A Fiumara, M Maccarone, R Manna and 16 more

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics and metabolism reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

24 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
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  14. Considerations for Home-Based Treatment of Fabry Disease in Poland during the COVID-19 Pandemic and Beyond.International journal of environmental research and public health · 2021
    Article
  15. Article
  16. Review
  17. Article
  18. Improving the Lives of Patients with Alpha-1 Antitrypsin Deficiency.International journal of chronic obstructive pulmonary disease · 2020
    Review
  19. Article
  20. Home infusion with Elosulfase alpha (VimizimMolecular genetics and metabolism reports · 2018
    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

26 authors at 18 institutions in 1 country.

D ConcolinoDepartment of Medical and Surgical Science, Pediatric Unit, University "Magna Graecia", Catanzaro, Italy.
L AmicoNephrology Unit, Ospedali Riuniti Villa Sofia, Cervello, Palermo, Italy.
M D CappelliniRare Diseases Centre, Department of Medicine and Medical Specialities, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
E CassinerioRare Diseases Centre, Department of Medicine and Medical Specialities, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.
M ContiNephrology Unit, Azienda Ospedaliera Brotzu, Cagliari, Italy.
M A DonatiMetabolic and Neuromuscular Unit, AOU Meyer Hospital, Florence, Italy.
F FalvoDepartment of Medical and Surgical Science, Pediatric Unit, University "Magna Graecia", Catanzaro, Italy.
A FiumaraRegional Referral Center for Inborn Errors Metabolism, Pediatric Clinic, Department of Clinical and Experimental Medicine, University of Catania, Via Santa Sofia 78, Catania, Italy.
M MaccaroneNephrology and Dialysis Unit, Ospedale di Lanciano, Chieti, Italy.
R MannaPeriodic Fevers Research and Rare Diseases Centre, Internal Medicine Department, Policlinico Gemelli, Largo A. Gemelli, 8, 00168 Rome, Italy.
A MatucciSOD Immunoallergologia, AOU Careggi, Firenze, Italy.
M B MusumeciSapienza University, Department of Molecular and Clinical Medicine, Cardiology, Sant'Andrea Hospital, Rome, Italy.
A NicolettiDepartment of Medical and Surgical Science, Pediatric Unit, University "Magna Graecia", Catanzaro, Italy.
R NisticòNeuroimaging Research Unit, Institute of Bioimaging and Molecular Physiology, National Research Council, Germaneto, Catanzaro, Italy.
F PapadiaU.O.C. Malattie Metaboliche Genetica Medica, PO Giovanni XXIII, A.O.U. Policlinico Consorziale, Bari, Italy.
R PariniUOS Malattie Metaboliche Rare, Clinica Pediatrica, Ospedale San Gerardo, Via Pergolesi 33, Monza, Italy.
D PelusoNeurology Unit, Azienda Ospedaliera S. Carlo, Potenza, Italy.
L PensabeneDepartment of Medical and Surgical Science, Pediatric Unit, University "Magna Graecia", Catanzaro, Italy.
A PisaniRenal Unit, Department of Public Health, "Federico II" University, Naples, Italy.
G PistoneUOC Dermatologia e MTS Dipartimento DIBIMIS AOUP "Paolo Giaccone" Palermo, Italy.
M RigoldiDept. of Internal Medicine, San Gerardo Hospital, Monza, Italy.
I RomaniNEUROFARBA Department, University of Florence, V.le Pieraccini 6, 50139 Florence, Italy.
M TenutaNeurology Unit, Azienda Ospedaliera Universitaria S. G. di Dio e Ruggi D'Aragona, Salerno, Italy.
G TortiClinica Nefrologica, Ospedale San Gerardo, Monza, Italy.
M VerouxVascular Surgery and Organ Transplant Unit, Department of Medical, Surgery Sciences and Advanced Technologies "GF Ingrassia", University of Catania, 95123 Catania, Italy.
E ZacharaU.O.C. Cardiologia 2, Ospedale San Camillo-Forlanini, Rome, Italy.
Magna Graecia University · ITAzienda Ospedaliera San Gerardo · ITAzienda Ospedaliera Sant'Andrea · ITAzienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · ITUniversity of Catania · ITAgostino Gemelli University Polyclinic · ITAzienda Ospedaliera Carlo Poma · ITAzienda Ospedaliera G. Brotzu · ITAzienda Ospedaliera San Camillo-Forlanini · ITAzienda Ospedaliero-Universitaria Careggi · ITBassano Bresciano Astronomical Observatory · ITFederico II University Hospital · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITInstitute of Molecular Bioimaging and Physiology · ITMeyer Children's Hospital · ITOspedale Pediatrico Giovanni XXIII · ITOspedale Vincenzo Cervello · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease (FD) [OMIM 301500] is an X-linked lysosomal storage disorder caused by a deficiency of the lysosomal enzyme alpha-galactosidase A, resulting in progressive multisystem accumulation of globotriaosylceramide (Gb3). Although the introduction of Enzyme Replacement Therapy (ERT) resulted in a variety of clinical benefits, life-long intravenous (IV) treatment with ERT with an every other week schedule, may interfere with daily life activities and impact on QoL. We report here a multicentric, observational, longitudinal data analysis on a large cohort of 85 Italian FD patients (45 males, 40 females) from 11 out of 20 Italian regions, who received a cumulative number of 4269 home infusions of agalsidase alfa. For the whole cohort, the average duration of home therapy was 1 year and 11 months (range 3 months-4 years and 6 months), and during this period, compliance to treatment (number of infusions performed vs scheduled) reached 100%. The EQ-5 VAS scale was administered to patients to evaluate the self-reported QoL, 58% of patients showing an increase of EQ-5 VAS score at follow up compared to baseline (home treatment start) or remaining stable. A mild increase of average disease severity, measured through Mainz Severity Score Index (MSSI), was found during hospital treatment (p < 0,007), while it remained stable between the first home therapy infusion and last follow up. Interestingly, 4 out of 7 (57%) patients, showing an improvement in FD-related clinical status after starting home therapy, had previously a sub-optimal compliance to treatment during the period of hospital treatment management. Only 4 adverse non serious reactions (0,093%) were reported totally in 2 patients during home treatment. We conclude that home infusions in eligible patients with FD are safe, contribute to improve treatment compliance and therapeutic clinical outcomes, and may have a positive impact on self-perceived QoL.

Indexed as

AdherenceEnzyme replacement therapyFabry diseaseHome treatmentQoL

Identifiers

PMID28702361
PMCPMC5484973
OpenAlexW2717143998

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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.