Evidence map›Paper›PMID 31377970›Full record

ArticleJournal of clinical immunology2019

30-Year Review of Pediatric- and Adult-Onset CVID: Clinical Correlates and Prognostic Indicators.

Carolyn Baloh, Anupama Reddy, Michele Henson, Katherine Prince, Rebecca Buckley, Patricia Lugar

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.1field-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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  11. Immunogenetic Landscape in Pediatric Common Variable Immunodeficiency.International journal of molecular sciences · 2024
    Review
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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

6 authors at 2 institutions in 1 country.

Carolyn BalohDepartment of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Anupama ReddyDuke University Medical Center, Durham, NC, USA.
Michele HensonDepartment of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Katherine PrinceDuke University Medical Center, Durham, NC, USA.
Rebecca BuckleyDepartment of Pediatrics, Duke University Medical Center, Durham, NC, USA.
Patricia LugarDepartment of Pediatrics, Duke University Medical Center, Durham, NC, USA. Patricia.lugar@duke.edu.ORCID http://orcid.org/0000-0002-7725-7424
Duke Medical Center · USDuke University · US

Funding

Preparing Genetic Counselors for Genomic Medicine ResearchT32HG008955 · NHGRI · DUKE UNIVERSITY · PI COONEY, KATHLEEN A, HAGA, SUSANNE · 2017 to 2021
$2.0M
NHGRI NIH HHS T32 HG008955
6 · The paper itself

Abstract

purposeTo evaluate mortality risk factors in pediatric-onset common variable immunodeficiency disorders (CVID), we evaluated the largest single-institution cohort of pediatric-onset CVID patients. Previous publications on CVID have provided valuable descriptive data, but lack risk stratification to guide physicians in management of these patients.

methodsRetrospective chart review of 198 subjects with CVID at a single institution, of whom 91 had disease onset at a pediatric age. Clinical and laboratory data were collected at diagnosis and in follow-up. Odds ratios and Fisher tests were utilized to examine trends. This study was approved by an institutional review board.

resultsClinical features and laboratory results for subjects diagnosed with CVID at a pediatric age are similar to those who had adult-onset CVID. However, majority of the deceased subjects (13/18) were at a pediatric age at CVID symptom onset. These subjects had a lower age at mortality, multiple comorbidities, and often depression. The most common cause of death was infection. Lung disease (OR 5, p < 0.05) and infection with severe/opportunistic organisms (OR 9, p < 0.05) are directly related to increased mortality. Delay in diagnosis of CVID is also correlated with mortality. Intermediary markers correlating with mortality include anemia, GERD, and depression.

conclusionsThere are many similarities between patients with pediatric- and adult-onset CVID; however, the mortality of pediatric CVID in our cohort is striking. This is the first study to identify specific factors correlated with mortality in pediatric-onset CVID to guide pediatricians and subspecialists in managing these immunodeficient patients.

Indexed as

AdolescentAdultAge of OnsetChildCommon Variable ImmunodeficiencyComorbidityDelayed DiagnosisDisease SusceptibilityFemaleHumansKaplan-Meier EstimateMaleMortalityOdds RatioPhenotypePrognosisCommon variable immunodeficiency disorders (CVID)depressiongranulomatous lymphocytic interstitial lung disease (GLILD)immunodeficiencymortalitypediatric

Identifiers

PMID31377970
PMCPMC6754754
OpenAlexW2966003590

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.