Evidence map›Paper›PMID 30941742›Full record

ArticleClinical genetics2019

Consensus recommendations for diagnosis, management and treatment of Fabry disease in paediatric patients.

Dominique P Germain, Alain Fouilhoux, Stéphane Decramer, Marine Tardieu, Pascal Pillet, Marc Fila, Serge Rivera, Georges Deschênes, Didier Lacombe

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Clinical genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 2 pooled it
8.1field-weighted citation impact, top 2% 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

97 citing papers in PubMed, 2 syntheses or guidelines pooled it, 157 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Article
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  9. Article
  10. ALIGNED Network for rare cerebrovascular diseases: methodology and preliminary results.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  19. Article
  20. Newborn Screening in Fabry Disease.International journal of molecular sciences · 2025
    Review

37 more citing papers are in PubMed but not listed here.

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

9 authors at 9 institutions in 1 country.

Dominique P GermainDivision of Medical Genetics, University of Versailles, Montigny, France.ORCID 0000-0002-8355-007X
Alain FouilhouxMetabolic Diseases Unit, HFME University Hospital Lyon, Lyon, France.
Stéphane DecramerPaediatric Department, Inserm U1048, Toulouse University Hospital, Toulouse, France.
Marine TardieuPaediatric Department, Tours University Hospital, Toulouse, France.
Pascal PilletPaediatric Department, Bordeaux University Hospital Pellegrin, Bordeaux, France.
Marc FilaDepartment of Paediatric Nephrology-Montpellier University, Arnaud de Villeneuve Hospital, Montpellier, France.
Serge RiveraDepartment of Paediatric Neurology, Bayonne Hospital, Bayonne, France.
Georges DeschênesDepartment of Paediatric Nephrology, Paris University Hospital Robert Debré, Paris, France.
Didier LacombeDepartment of Medical Genetics, CHU Bordeaux INSERM U1211, Université de Bordeaux, Bordeaux, France.
Centre Hospitalier de la Côte Basque · FRHôpital Pellegrin · FRHôpital Robert-Debré · FRInserm · FRUniversité catholique de lyon · FRUniversité de Bordeaux · FRUniversité de Montpellier · FRUniversité de Tours · FRUniversité de Versailles Saint-Quentin-en-Yvelines · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease (FD), a rare X-linked disease, can be treated with bi-monthly infusion of enzyme replacement therapy (ERT) to replace deficient α-galactosidase A (AGAL-A). ERT reduces symptoms, improves quality of life (QoL), and improves clinical signs and biochemical markers. ERT initiation in childhood could slow or stop progressive organ damage. Preventative treatment of FD from childhood is thought to avoid organ damage in later life, prompting a French expert working group to collaborate and produce recommendations for treating and monitoring children with FD. Organ involvement should be assessed by age 5 for asymptomatic boys (age 12-15 for asymptomatic girls), and immediately for children diagnosed via symptoms. The renal, cardiac, nervous and gastrointestinal systems should be assessed, as well as bone, skin, eyes, hearing, and QoL. The plasma biomarker globotriaosylsphingosine is also useful. ERT should be considered for symptomatic boys and girls with neuropathic pain, pathological albuminuria (≥3 mg/mmol creatinine), severe GI involvement and abdominal pain or cardiac involvement. ERT should be considered for asymptomatic boys from the age of 7. Organ involvement should be treated as needed. Early diagnosis and management of FD represents a promising strategy to reduce organ damage, morbidity and premature mortality in adulthood.

Indexed as

Practice Guidelines as TopicAge FactorsAge of OnsetChildChild, PreschoolClinical Decision-MakingCombined Modality TherapyDisease ManagementEnzyme Replacement TherapyFabry DiseaseHumansMonitoring, PhysiologicPhenotypeSymptom Assessmentchildrendiagnosisenzyme replacement therapyFabry diseasemanagementpaediatrictreatment

Identifiers

PMID30941742
PMCPMC6852597
OpenAlexW2935338089

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.