Evidence map›Paper›PMID 30653958›Full record

ArticleAmerican journal of ophthalmology2019

Incidence and Ocular Features of Pediatric Myasthenias.

Sasha A Mansukhani, Erick D Bothun, Nancy N Diehl, Brian G Mohney

Open access · greenAbstract read
In one paragraph

Article in American journal of ophthalmology, 2019. 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
2.3field-weighted citation impact, top 12% 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, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Juvenile ocular myasthenia gravis: a report of two cases.Digital journal of ophthalmology : DJO · 2024
    Article
  6. Review
  7. Pathophysiology of Childhood-Onset Myasthenia: Abnormalities of Neuromuscular Junction and Autoimmunity and Its Background.Pathophysiology : the official journal of the International Society for Pathophysiology · 2023
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Management of Juvenile Myasthenia Gravis.Frontiers in neurology · 2020
    Review
  13. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Sasha A MansukhaniDepartment of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.
Erick D BothunDepartment of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA.
Nancy N DiehlDepartment of Biostatistics, Mayo Clinic and Mayo Foundation, Florida, Minnesota, USA.
Brian G MohneyDepartment of Ophthalmology, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA. Electronic address: mohney@mayo.edu.
Mayo Clinic · US

Funding

Rochester Epidemiology ProjectR01AG034676 · NIA · MAYO CLINIC ROCHESTER · PI ROCCA, WALTER A, ST SAUVER, JENNIFER LYNN · 2010 to 2019
$9.5M
NIA NIH HHS R01 AG034676
6 · The paper itself

Abstract

purposeTo report the incidence, demographics, and ocular findings of children with myasthenia.

designRetrospective cohort study.

methodsThe medical records of all children (<19 years) examined at Mayo Clinic with any form of myasthenia from January 1 1966, through December 31, 2015, were retrospectively reviewed.

resultsA total of 364 children were evaluated during the study period, of which 6 children were residents of the Olmsted County at the time of their diagnosis, yielding an annual age- and sex-adjusted incidence of 0.35 per 100 000 <19 years, or 1 in 285 714 <19 years. The incidence of juvenile myasthenia gravis (JMG) and congenital myasthenic syndrome (CMS) was 0.12 and 0.23 per 100 000, respectively. Of the 364 study children, 217 (59.6%) had JMG, 141 (38.7%) had CMS, and 6 (1.7%) had Lambert-Eaton syndrome, diagnosed at a median age of 13.5, 5.1, and 12.6 years, respectively. A majority of the JMG and CMS patients had ocular involvement (90.3% and 85.1%, respectively), including ptosis and ocular movement deficits. Among children with at least 1 year of follow-up (JMG; median, 7.1 years, CMS; median, 7.0 years), improvement was seen in 88.8% of JMG patients (complete remission in 31.3%) and in 58.3% of CMS patients.

conclusionAlthough relatively rare, myasthenia gravis in children has 2 predominant forms, CMS and JMG, both of which commonly have ocular involvement. Improvement is more likely in children with the juvenile form.

Indexed as

AdolescentAge of OnsetAutoantibodiesChildChild, PreschoolDisease ProgressionElectromyographyFemaleHumansIncidenceInfantInfant, NewbornMaleMinnesotaMyasthenia GravisOculomotor MusclesAutoantibodiesReceptors, Cholinergic

Identifiers

PMID30653958
PMCPMC6587184
OpenAlexW2908537215

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.