Evidence map›Paper›PMID 30053970›Full record

SynthesisRespiratory medicine2018

Respiratory care in familial dysautonomia: Systematic review and expert consensus recommendations.

Mikhail Kazachkov, Jose-Alberto Palma, Lucy Norcliffe-Kaufmann, Bat-El Bar-Aluma, Christy L Spalink, Erin P Barnes, Nancy E Amoroso, Stamatela M Balou, Shay Bess, Arun Chopra and 19 more

Abstract readSystematic ReviewConsensus Statement
In one paragraph

Synthesis in Respiratory medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Assessment of the role and effectiveness of nurse-led multimodal intervention in the rehabilitation of dysphagia in patients with brain tumors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Trial
  2. Article
  3. Familial dysautonomia.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Review
  4. Review
  5. Review
  6. Review
  7. 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

29 authors at 3 institutions in 2 countries.

Mikhail KazachkovDepartment of Pediatric Pulmonology, New York University School of Medicine, New York, NY, United States; Gastroesophageal, Upper Airway and Respiratory Diseases Center, New York University School of Medicine, New York, NY, United States.
Jose-Alberto PalmaDepartment of Neurology, Dysautonomia Center, New York University School of Medicine, New York, NY, United States.
Lucy Norcliffe-KaufmannDepartment of Neurology, Dysautonomia Center, New York University School of Medicine, New York, NY, United States.
Bat-El Bar-AlumaPediatric Pulmonary Unit, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel.
Christy L SpalinkDepartment of Neurology, Dysautonomia Center, New York University School of Medicine, New York, NY, United States.
Erin P BarnesDepartment of Neurology, Dysautonomia Center, New York University School of Medicine, New York, NY, United States.
Nancy E AmorosoDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine. New York University School of Medicine, New York, NY, United States.
Stamatela M BalouDepartment of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, New York, NY, United States.
Shay BessDepartment of Orthopedic Surgery, New York University School of Medicine, New York, NY, United States.
Arun ChopraDepartment of Pediatrics, Division of Pediatric Critical Care, New York University School of Medicine, New York, NY, United States.
Rany CondosDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine. New York University School of Medicine, New York, NY, United States.
Ori EfratiPediatric Pulmonary Unit, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel.
Kathryn FitzgeraldDepartment of Pediatric Pulmonology, New York University School of Medicine, New York, NY, United States.
David FridmanDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine. New York University School of Medicine, New York, NY, United States.
Ronald M GoldenbergDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine. New York University School of Medicine, New York, NY, United States.
Ayelet GoldhaberDepartment of Pediatrics, Pediatric Gastroenterology Unit, New York University School of Medicine, New York, NY, United States.
David A KaufmanDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine. New York University School of Medicine, New York, NY, United States.
Sanjeev V KothareDepartment of Neurology, Pediatric Sleep Medicine Unit, New York University School of Medicine, New York, NY, United States.
Jeremiah LevineDepartment of Pediatrics, Pediatric Gastroenterology Unit, New York University School of Medicine, New York, NY, United States.
Joseph LevyDepartment of Pediatrics, Pediatric Gastroenterology Unit, New York University School of Medicine, New York, NY, United States.
Anthony S LubinskyDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine. New York University School of Medicine, New York, NY, United States.
Channa MaayanDepartment of Pediatrics. Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Libia C MoyDepartment of Pediatrics, Pediatric Gastroenterology Unit, New York University School of Medicine, New York, NY, United States.
Pedro J RiveraDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine. New York University School of Medicine, New York, NY, United States.
Alcibiades J RodriguezDepartment of Neurology, Sleep Laboratory, New York University School of Medicine, New York, NY, United States.
Gil SokolPediatric Pulmonary Unit, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Israel.
Mark F SloaneDepartment of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine. New York University School of Medicine, New York, NY, United States.
Tina TanGastroesophageal, Upper Airway and Respiratory Diseases Center, New York University School of Medicine, New York, NY, United States.
Horacio KaufmannDepartment of Neurology, Dysautonomia Center, New York University School of Medicine, New York, NY, United States. Electronic address: Horacio.Kaufmann@nyumc.org.
New York University · USDysautonomia Foundation · USSheba Medical Center · IL

Funding

Training CoreU54NS065736 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FREEMAN, ROY · 2009 to 2018
$11.6M
NINDS NIH HHS U54 NS065736
6 · The paper itself

Abstract

backgroundFamilial dysautonomia (Riley-Day syndrome, hereditary sensory autonomic neuropathy type-III) is a rare genetic disease caused by impaired development of sensory and afferent autonomic nerves. As a consequence, patients develop neurogenic dysphagia with frequent aspiration, chronic lung disease, and chemoreflex failure leading to severe sleep disordered breathing. The purpose of these guidelines is to provide recommendations for the diagnosis and treatment of respiratory disorders in familial dysautonomia.

methodsWe performed a systematic review to summarize the evidence related to our questions. When evidence was not sufficient, we used data from the New York University Familial Dysautonomia Patient Registry, a database containing ongoing prospective comprehensive clinical data from 670 cases. The evidence was summarized and discussed by a multidisciplinary panel of experts. Evidence-based and expert recommendations were then formulated, written, and graded using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system.

resultsRecommendations were formulated for or against specific diagnostic tests and clinical interventions. Diagnostic tests reviewed included radiological evaluation, dysphagia evaluation, gastroesophageal evaluation, bronchoscopy and bronchoalveolar lavage, pulmonary function tests, laryngoscopy and polysomnography. Clinical interventions and therapies reviewed included prevention and management of aspiration, airway mucus clearance and chest physical therapy, viral respiratory infections, precautions during high altitude or air-flight travel, non-invasive ventilation during sleep, antibiotic therapy, steroid therapy, oxygen therapy, gastrostomy tube placement, Nissen fundoplication surgery, scoliosis surgery, tracheostomy and lung lobectomy.

conclusionsExpert recommendations for the diagnosis and management of respiratory disease in patients with familial dysautonomia are provided. Frequent reassessment and updating will be needed.

Indexed as

ConsensusBronchoalveolar LavageBronchoscopyBrugada SyndromeDeglutition DisordersDysautonomia, FamilialEvidence-Based PracticeHumansNew YorkPneumonia, AspirationPolysomnographyProspective StudiesRespiration DisordersRespiratory Function TestsAspiration pneumoniaChemoreflex failureNeurogenic dysphagiaNon-cystic fibrosis bronchiectasisRare neurological disorders

Identifiers

PMID30053970
PMCPMC6084453
OpenAlexW2809180332

What OpenQuestion holds

Textmetadata
LicenceTDM
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.