Evidence map›Paper›PMID 30740724›Full record

ArticleJournal of inherited metabolic disease2019

Transatlantic combined and comparative data analysis of 1095 patients with urea cycle disorders-A successful strategy for clinical research of rare diseases.

Roland Posset, Sven F Garbade, Nikolas Boy, Alberto B Burlina, Carlo Dionisi-Vici, Dries Dobbelaere, Angeles Garcia-Cazorla, Pascale de Lonlay, Elisa Leão Teles, Roshni Vara and 10 more

Registry-linked trialOpen access · greenAbstract readComparative Study
In one paragraph

Article in Journal of inherited metabolic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00237315 (Longitudinal Study of Urea Cycle Disorders), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
4.5field-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.

NCT00237315 unknown statusnot on this map

Longitudinal Study of Urea Cycle Disorders

TypeobservationalSponsorAndrea GropmanRan2006 to 2026Enrolled1,500ConditionsBrain Diseases, Metabolic, Inborn, Amino Acid Metabolism, Inborn Errors, Urea Cycle Disorders
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. A multicenter descriptive study of neonatal-onset urea cycle disorder patients hospitalized in level IV NICUs.Journal of perinatology : official journal of the California Perinatal Association · 2026
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  7. Review
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  12. Severity-adjusted evaluation of liver transplantation on health outcomes in urea cycle disorders.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  13. Article
  14. Visualization of argininosuccinate synthetase byFrontiers in molecular biosciences · 2024
    Article
  15. Article
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  19. Hemizygous deletion in theWorld journal of clinical cases · 2022
    Article
  20. 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

20 authors at 11 institutions in 8 countries.

Roland PossetCentre for Pediatric and Adolescent Medicine, Division of Neuropediatrics and Inherited Metabolic Diseases, University Hospital Heidelberg, Im Neuenheimer Feld 430 69120, Heidelberg, Germany.
Sven F GarbadeCentre for Pediatric and Adolescent Medicine, Division of Neuropediatrics and Inherited Metabolic Diseases, University Hospital Heidelberg, Im Neuenheimer Feld 430 69120, Heidelberg, Germany.
Nikolas BoyCentre for Pediatric and Adolescent Medicine, Division of Neuropediatrics and Inherited Metabolic Diseases, University Hospital Heidelberg, Im Neuenheimer Feld 430 69120, Heidelberg, Germany.
Alberto B BurlinaAzienda Ospedaliera di Padova, U.O.C. Malattie Metaboliche Ereditarie, Padova, Italy.
Carlo Dionisi-ViciOspedale Pediatrico Bambino Gésu, U.O.C. Patologia Metabolica, Rome, Italy.
Dries DobbelaereCentre de Référence Maladies Héréditaires du Métabolisme de l'Enfant et de l'Adulte, Jeanne de Flandre Hospital, CHRU Lille, and RADEME EA 7364, Faculty of Medicine, University Lille 2 59037, Lille, France.
Angeles Garcia-CazorlaHospital San Joan de Deu, Institut Pediàtric de Recerca, Servicio de Neurologia and CIBERER, ISCIII, Barcelona, Spain.
Pascale de LonlayService de Maladies Métaboliques, Hôpital Necker-Enfants Malades Assistance Publique-Hôpitaux de Paris, Paris, France.
Elisa Leão TelesUnidade de Doenças Metabólicas, Serviço de Pediatria, Hospital de S. João, EPE, Porto, Portugal.
Roshni VaraEvelina Children's Hospital, St Thomas' Hospital, London, UK.
Nicholas Ah MewChildren's Research Institute, Children's National Health System, 111 Michigan Ave. NW, Washington, District of Columbia 20010, USA.
Mark L BatshawChildren's Research Institute, Children's National Health System, 111 Michigan Ave. NW, Washington, District of Columbia 20010, USA.
Matthias R BaumgartnerDivision of Metabolism and Children's Research Centre, University Children's Hospital Zurich, Steinwiesstraße 75, CH-8032 Zurich, Zurich, Switzerland.
Shawn E McCandlessSection of Genetics and Metabolism, Department of Pediatrics, Children's Hospital Colorado 13123 East 16th Avenue, B153, Aurora, Colorado, USA.
Jennifer SeminaraChildren's Research Institute, Children's National Health System, 111 Michigan Ave. NW, Washington, District of Columbia 20010, USA.
Marshall SummarRare Disease Institute, Children's National Health System 111 Michigan Avenue, NW, Washington, District of Columbia 20010, USA.
Georg F HoffmannCentre for Pediatric and Adolescent Medicine, Division of Neuropediatrics and Inherited Metabolic Diseases, University Hospital Heidelberg, Im Neuenheimer Feld 430 69120, Heidelberg, Germany.
Stefan KölkerCentre for Pediatric and Adolescent Medicine, Division of Neuropediatrics and Inherited Metabolic Diseases, University Hospital Heidelberg, Im Neuenheimer Feld 430 69120, Heidelberg, Germany.
Peter BurgardCentre for Pediatric and Adolescent Medicine, Division of Neuropediatrics and Inherited Metabolic Diseases, University Hospital Heidelberg, Im Neuenheimer Feld 430 69120, Heidelberg, Germany.ORCID 0000-0003-0665-8025
Additional individual contributors of the UCDC and the E-IMD consortium
Heidelberg University · DEChildren's National · USAzienda Ospedale - Università Padova · ITBambino Gesù Children's Hospital · ITChildren's Hospital Colorado · USHôpital Jeanne de Flandre · FRHôpital Necker-Enfants Malades · FRHospital de São João · PTHospital Sant Joan de Déu Barcelona · ESSt Thomas' Hospital · GBUniversity Children's Hospital Zurich · CH

Funding

Training (Career Development) ComponentU54HD061221 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI GROPMAN, ANDREA LYNNE · 2009 to 2023
$20.8M
NICHD NIH HHS U54 HD061221
6 · The paper itself

Abstract

backgroundTo improve our understanding of urea cycle disorders (UCDs) prospectively followed by two North American (NA) and European (EU) patient cohorts.

aimsDescription of the NA and EU patient samples and investigation of the prospects of combined and comparative analyses for individuals with UCDs.

methodsRetrieval and comparison of the data from 1095 individuals (NA: 620, EU: 475) from two electronic databases.

resultsThe proportion of females with ornithine transcarbamylase deficiency (fOTC-D), particularly those being asymptomatic (asfOTC-D), was higher in the NA than in the EU sample. Exclusion of asfOTC-D resulted in similar distributions in both samples. The mean age at first symptoms was higher in NA than in EU patients with late onset (LO), but similar for those with early (≤ 28 days) onset (EO) of symptoms. Also, the mean age at diagnosis and diagnostic delay for EO and LO patients were similar in the NA and EU cohorts. In most patients (including fOTC-D), diagnosis was made after the onset of symptoms (59.9%) or by high-risk family screening (24.7%), and less often by newborn screening (8.9%) and prenatal testing (3.7%). Analysis of clinical phenotypes revealed that EO patients presented with more symptoms than LO individuals, but that numbers of symptoms correlated with plasma ammonium concentrations in EO patients only. Liver transplantation was reported for 90 NA and 25 EU patients.

conclusionsCombined analysis of databases drawn from distinct populations opens the possibility to increase sample sizes for natural history questions, while comparative analysis utilizing differences in approach to treatment can evaluate therapeutic options and enhance long-term outcome studies.

Indexed as

Cohort StudiesData AnalysisDelayed DiagnosisEuropeFemaleHumansInfant, NewbornMaleNeonatal ScreeningNorth AmericaOrnithine Carbamoyltransferase Deficiency DiseaseRare DiseasesUreaUrea Cycle Disorders, InbornUreadiagnostic methodsinternational registry and databaseUrea cycle Disorders

Identifiers

PMID30740724
PMCPMC7329920
OpenAlexW2810304150

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Registered trials

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.