Evidence map›Paper›PMID 31484632›Full record

ArticleArchives of disease in childhood2020

Mortality and respiratory support in X-linked myotubular myopathy: a RECENSUS retrospective analysis.

Robert J Graham, Francesco Muntoni, Imelda Hughes, Sabrina W Yum, Nancy L Kuntz, Michele L Yang, Barry J Byrne, Suyash Prasad, Rachel Alvarez, Casie A Genetti and 6 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Archives of disease in childhood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02231697 (The RECENSUS Study), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT02231697 completednot on this map

The RECENSUS Study: A Medical Chart Review of Patients With X-Linked Myotubular Myopathy (XLMTM)

TypeobservationalSponsorAstellas Gene TherapiesRan2014 to 2019Enrolled161ConditionsMales With X-linked Myotubular Myopathy (XLMTM)ArmsNon-interventional, retrospective medical chart review
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 41 citations in OpenAlex.

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  4. Review
  5. Evaluation of respiratory status in patients with myopathy.Journal of education and health promotion · 2026
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  15. Phenotypic Spectrum ofNeurology. Genetics · 2022
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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

16 authors at 10 institutions in 2 countries.

Robert J GrahamDepartment of Anesthesiology, Critical Care and Pain Medicine, Division of Critical Care Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA beggs@enders.tch.harvard.edu robert.graham@childrens.harvard.edu.
Francesco MuntoniThe Dubowitz Neuromuscular Centre, UCL Great Ormond Street Institute of Child Health and NIHR Great Ormond Street Hospital Biomedical Research Centre, London, UK.
Imelda HughesRoyal Manchester Children's Hospital, Manchester, UK.
Sabrina W YumChildren's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nancy L KuntzAnn and Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Michele L YangChildren's Hospital Colorado, Aurora, Colorado, USA.
Barry J ByrneChildren's Research Institute, University of Florida, Gainesville, Florida, USA.
Suyash PrasadAudentes Therapeutics, San Francisco, California, USA.
Rachel AlvarezCure CMD, Torrance, California, USA.
Casie A GenettiDivision of Genetics and Genomics, The Manton Center for Orphan Disease Research, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Tmirah HaselkornEpiMetrix, Los Altos, California, USA.
Emma S JamesAudentes Therapeutics, San Francisco, California, USA.
Laurie B LaRussoChestnut Medical Communications, Walpole, Massachusetts, USA.
Mojtaba NoursalehiAudentes Therapeutics, San Francisco, California, USA.
Salvador RicoAudentes Therapeutics, San Francisco, California, USA.
Alan H BeggsDivision of Genetics and Genomics, The Manton Center for Orphan Disease Research, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA beggs@enders.tch.harvard.edu robert.graham@childrens.harvard.edu.ORCID 0000-0001-8818-0568
Boston Children's Hospital · USChestnut Hill College · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USCure CMD · USGreat Ormond Street Hospital · GBLurie Children's Hospital · USRoyal Manchester Children's Hospital · GBSentimetrix (United States) · USUniversity of Florida · US

Funding

SARCOMERIC PROTEINS IN NORMAL AND DISEASED MUSCLER01AR044345 · NIAMS · CHILDREN'S HOSPITAL BOSTON · PI BEGGS, ALAN H. · 1997 to 2017
$5.3M
NIAMS NIH HHS R01 AR044345
6 · The paper itself

Abstract

purposeIndividuals with X-linked myotubular myopathy (XLMTM) who survive infancy require extensive supportive care, including ventilator assistance, wheelchairs and feeding tubes. Half die before 18 months of age. We explored respiratory support and associated mortality risk in RECENSUS, particularly among patients ≤5 years old who received respiratory support at birth; this subgroup closely matches patients in the ASPIRO trial of gene therapy for XLMTM.

designRECENSUS is an international, retrospective study of patients with XLMTM. Descriptive and time-to-event analyses examined survival on the basis of age, respiratory support, tracheostomy use, predicted mutational effects and life-sustaining care.

resultsOutcomes for 145 patients were evaluated. Among 126 patients with respiratory support at birth, mortality was 47% overall and 59% among those ≤5 years old. Median survival time was shorter for patients ≤5 years old than for those >5 years old (2.2 years (IQR 0.7-5.6) vs 30.2 years (IQR 19.4-30.2)). The most common cause of death was respiratory failure (66.7%). Median survival time was longer for patients with a tracheostomy than for those without (22.8 years (IQR 8.7-30.2) vs 1.8 years (IQR 0.2-not estimable)). The proportion of patients living without a tracheostomy was 50% at age 6 months and 28% at age 2 years. Median survival time was longer with provision of life-sustaining care than without (19.4 years (IQR 3.1-not estimable) vs 0.2 years (IQR 0.1-2.1)).

conclusionsHigh mortality, principally due to respiratory failure, among patients with XLMTM ≤5 years old despite respiratory support underscores the need for early diagnosis, informed decision-making and disease-modifying therapies. TRIAL REGISTRATION NUMBER: NCT02231697.

Indexed as

Age FactorsChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMyopathies, Structural, CongenitalPremature BirthRespiration, ArtificialRetrospective Studiescentronuclear myopathycongenital myopathymortalityrespiratory supportretrospective chart reviewtracheostomyX-linked myotubular myopathy

Identifiers

PMID31484632
PMCPMC7054136
OpenAlexW2971610302

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.