Evidence map›Paper›PMID 30345244›Full record

ArticlePediatric gastroenterology, hepatology & nutrition2018

Cystic Fibrosis: Clinical Phenotypes in Children and Adolescents.

Ana Luiza Melo Dos Santos, Helen de Melo Santos, Marina Bettiol Nogueira, Hugo Tadashi Oshiro Távora, Maria de Lourdes Jaborandy Paim da Cunha, Renata Belém Pessoa de Melo Seixas, Luciana de Freitas Velloso Monte, Elisa de Carvalho

Abstract read
In one paragraph

Article in Pediatric gastroenterology, hepatology & nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Hyperinflammation and airway surface liquid dehydration in cystic fibrosis: purinergic system as therapeutic target.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2021
    Review
  9. Article
  10. Article
  11. Unusual presentation of CF in an infant.Respiratory medicine case reports · 2020
    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

8 authors.

Ana Luiza Melo Dos SantosDepartment of Pediatric Gastroenterology, Brasília José Alencar Children's Hospital, Brasília, Brazil.
Helen de Melo SantosDepartment of Pediatric Gastroenterology, Distrito Federal Base Hospital, Brasília, Brazil.
Marina Bettiol NogueiraDepartment of Pediatric Gastroenterology, Brasília José Alencar Children's Hospital, Brasília, Brazil.
Hugo Tadashi Oshiro TávoraDepartment of Pediatric Pneumology, Brasília José Alencar Children's Hospital, Brasília, Brazil.
Maria de Lourdes Jaborandy Paim da CunhaDepartment of Pediatric Gastroenterology, Brasília José Alencar Children's Hospital, Brasília, Brazil.
Renata Belém Pessoa de Melo SeixasDepartment of Pediatric Gastroenterology, Brasília José Alencar Children's Hospital, Brasília, Brazil.
Luciana de Freitas Velloso MonteDepartment of Pediatric Pneumology, Brasília José Alencar Children's Hospital, Brasília, Brazil.
Elisa de CarvalhoDepartment of Pediatric Gastroenterology, Brasília José Alencar Children's Hospital, Brasília, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study was to describe the clinical phenotypes of children and adolescents with cystic fibrosis (CF); and to assess the role of pancreatic insufficiency and neonatal screening in diagnosis.

methodsA cross-sectional study was conducted, which included 77 patients attending a reference center of CF between 2014 and 2016. Epidemiological data, anthropometric measurements, and the presence of pulmonary, pancreatic, gastrointestinal and hepatobiliary manifestations were evaluated based on clinical data and complementary examinations.

resultsOf the 77 patients, 51.9% were male, with a median age of 147 months (7.0-297.0 months), and the majority showed adequate nutritional status. The most common phenotype was pulmonary (92.2%), followed by pancreatic (87.0%), with pancreatic insufficiency in most cases. Gastrointestinal manifestation occurred in 46.8%, with constipation being the more common factor. Hepatobiliary disease occurred in 62.3% of patients. The group with pancreatic insufficiency was diagnosed earlier (5.0 months) when compared to the group with sufficiency (84.0 months) (

conclusionThe pulmonary phenotype was the most common, although extrapulmonary manifestations were frequent and clinically relevant, and should mandate early detection and treatment. Neonatal screening for CF led to earlier diagnosis in patients with pancreatic failure, and therefore, should be adopted universally.

Indexed as

Cystic fibrosisExocrine pancreatic insufficiencyGastrointestinal diseasesLiver diseasesNeonatal screening

Identifiers

PMID30345244
PMCPMC6182489

What OpenQuestion holds

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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.