Evidence map›Paper›PMID 29450819›Full record

ArticleIndian journal of pediatrics2018

Familial Hypercholesterolemia: Cascade Screening in Children and Relatives of the Affected.

Nitika Setia, Renu Saxena, J P S Sawhney, Ishwar C Verma

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Article in Indian journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Familial hypercholesterolemia.Indian heart journal · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Nitika SetiaInstitute of Medical Genetics and Genomics, Sir Ganga Ram Hospital, New Delhi, 110060, India. nitikasetia@gmail.com.
Renu SaxenaInstitute of Medical Genetics and Genomics, Sir Ganga Ram Hospital, New Delhi, 110060, India.
J P S SawhneyDepartment of Cardiology, Sir Ganga Ram Hospital, New Delhi, India.
Ishwar C VermaInstitute of Medical Genetics and Genomics, Sir Ganga Ram Hospital, New Delhi, 110060, India.
Sir Ganga Ram Hospital · IN

Funding

Indian Council of Medical Research 54/16/2011-BMSResearch Development Program, Sir Ganga Ram Hospital EC/10/10/197
6 · The paper itself

Abstract

objectiveFamilial Hypercholesterolemia (FH) is an inherited disorder of lipid metabolism characterized by very high low density lipoprotein (LDL) cholesterol since birth, resulting in premature atherosclerosis and coronary artery disease (CAD). Cascade screening of children and family members of proven FH individuals can identify more subjects who have high LDL cholesterol or the family mutation and appropriate intervention can reduce their risk of atherosclerosis and prevent its complications.

methodsCascade screening by molecular testing, was carried out in 133 family members, comprising 24 children, of 31 probands with FH having a pathogenic mutation in LDLR/ApoB gene. Lipid profiles were obtained in 44 family members including 11 children.

resultsOf 133 family members tested, 88 (66.1%) were identified to carry the family mutation. Twelve of these were children below 18 y of age and 76 were adults. CAD was present in 15 (11.2%) family members and 63(47.4%) family members, including nine children, were already on Lipid Lowering Therapy.

conclusionsCascade screening led to identification of 88 new cases, with a pathogenic mutation, who were at a very high risk of developing premature CAD. The authors identified 12 children with family specific mutation, out of which 9 were initiated on low dose statin therapy. Four homozygous children were treated with high dose statins because of substantially increased risk of CAD. Cascade screening, therefore, proved to be a successful initiative towards primary prevention of CAD in India.

Indexed as

Genetic TestingMutationAdultApolipoproteins BChildFemaleHumansHyperlipoproteinemia Type IIIndiaMaleProprotein Convertase 9Receptors, LDLApolipoproteins BLDLR protein, humanPCSK9 protein, humanProprotein Convertase 9Receptors, LDLCascade screeningChildrenFamilial hypercholesterolemiaGenetic testing

Identifiers

PMID29450819
OpenAlexW2791464051

What OpenQuestion holds

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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.