Evidence map›Paper›PMID 31312262›Full record

ArticleJournal of children's orthopaedics2019

The genetics of isolated and syndromic clubfoot.

B Sadler, C A Gurnett, M B Dobbs

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05293743 (Development and Evaluation of Novel Dynamic Bar for Foot Abduction Brace for Clubfoot Treatment), which is not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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.

NCT05293743 nacompletednot on this mapstarted 2022, after this paper: background citation

Development and Evaluation of Novel Dynamic Bar for Foot Abduction Brace for Clubfoot Treatment

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2022 to 2023Enrolled17ConditionsClubfootArmsFoot abduction bracing for clubfoot with novel Dynamic Bar, Foot abduction bracing for clubfoot with Standard Bar
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

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  11. Human DNA Mutations and their Impact on Genetic Disorders.Recent patents on biotechnology · 2024
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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

3 authors at 1 institution in 1 country.

B SadlerDepartment of Neurology, Washington University in St. Louis, St Louis, Missouri, USA.
C A GurnettDepartment of Neurology, Washington University in St. Louis, St Louis, Missouri, USA.
M B DobbsDepartment of Orthopaedic Surgery, Washington University in St. Louis, St. Louis, Missouri, USA.
Washington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCongenital clubfoot is a serious birth defect that affects nearly 0.1% of all births. Though there is strong evidence for a genetic basis of isolated clubfoot, aside from a handful of associations, much of the heritability remains unexplained.

methodsBy systematically examining the genes involved in syndromic clubfoot, we may find new candidate genes and pathways to investigate in isolated clubfoot.

resultsIn addition to the expected enrichment of extracellular matrix and transforming growth factor beta (TGF-β) signalling genes, we find many genes involved in syndromic clubfoot encode peroxisomal matrix proteins, as well as enzymes necessary for sulfation of proteoglycans, an important part of connective tissue. Further, the association of Filamin B with isolated clubfoot as well as syndromic clubfoot is an encouraging finding.

conclusionWe should examine these categories for enrichment in isolated clubfoot patients to increase our understanding of the underlying biology and pathophysiology of this deformity. Understanding the spectrum of syndromes that have clubfoot as a feature enables a better understanding of the underlying pathophysiology of the disorder and directs future genetic screening efforts toward certain genes and genetic pathways. LEVEL OF EVIDENCE: V.

Indexed as

geneticsisolated clubfoottalipes equinovarus

Identifiers

PMID31312262
PMCPMC6598048
OpenAlexW2950982278

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.