Evidence map›Paper›PMID 28740482›Full record

ArticleFrontiers in endocrinology2017

Both Low Blood Glucose and Insufficient Treatment Confer Risk of Neurodevelopmental Impairment in Congenital Hyperinsulinism: A Multinational Cohort Study.

Annett Helleskov, Maria Melikyan, Evgenia Globa, Inna Shcherderkina, Fani Poertner, Anna-Maria Larsen, Karen Filipsen, Klaus Brusgaard, Charlotte Dahl Christiansen, Lars Kjaersgaard Hansen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
4.1field-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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  15. Hyperinsulinemic Hypoglycemia Diagnosed in Childhood Can Be Monogenic.The Journal of clinical endocrinology and metabolism · 2023
    Article
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  17. Review
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  19. Hyperinsulinemic Hypoglycemia Associated with a CaInternational journal of molecular sciences · 2022
    Article
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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

11 authors at 3 institutions in 2 countries.

Annett HelleskovHans Christian Andersen Children's Hospital, Odense, Denmark.
Maria MelikyanPediatric, Endocrinology Scientific Centre, Russian Academy of Science, Moscow, Russia.
Evgenia GlobaPediatric Endocrinology, Ukrainian Centre of Endocrine Surgery, Kyiv, Ukraine.
Inna ShcherderkinaPediatric, Endocrinology Scientific Centre, Moscow, Russia.
Fani PoertnerHans Christian Andersen Children's Hospital, Odense, Denmark.
Anna-Maria LarsenHans Christian Andersen Children's Hospital, Odense, Denmark.
Karen FilipsenHans Christian Andersen Children's Hospital, Odense, Denmark.
Klaus BrusgaardClinical Genetic Department, Odense University Hospital, Odense, Denmark.
Charlotte Dahl ChristiansenHans Christian Andersen Children's Hospital, Odense, Denmark.
Lars Kjaersgaard HansenHans Christian Andersen Children's Hospital, Odense, Denmark.
Henrik T ChristesenHans Christian Andersen Children's Hospital, Odense, Denmark.
Odense University Hospital · DKResearch Center of Neurology · RURussian Academy of Sciences · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsCongenital hyperinsulinism (CHI) is a heterogeneous disease most frequently caused by KATP-channel (ABCC8 and KCNJ11) mutations, with neonatal or later onset, variable severity, and with focal or diffuse pancreatic involvement as the two major histological types. CHI confers a high risk of neurological impairment; however, sparsely studied in larger patient series. We assessed the neurodevelopmental outcome in children with CHI at follow-up in a mixed international cohort.

methodsIn two hyperinsulinism expert centers, 75 CHI patients were included (Russian,

resultsMedian (range) age at follow-up was 3.7 years (3.3 months-18.2 years). Neurodevelopmental impairment was seen in 35 (47%). Impairment was associated with abnormal brain magnetic resonance imaging (MRI); odds ratio (OR) (95% CI) 15.0 (3.0-74.3),

conclusionNot only very low blood glucose, but also insufficient treatment as expressed by delay until expert center hospitalization, increased the risk of neurodevelopmental impairment. This novel finding calls for improvements in spread of knowledge about CHI among health-care personnel and rapid contact with an expert CHI center on suspicion of CHI.

Indexed as

congenital hyperinsulinismhypoglycemianeurodevelopmental impairmentneurological outcometreatment delay

Identifiers

PMID28740482
PMCPMC5502348
OpenAlexW2736270387

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.