Evidence map›Paper›PMID 31627760›Full record

SynthesisOrphanet journal of rare diseases2019

Cognitive functioning in patients with classical galactosemia: a systematic review.

Merel E Hermans, Mendy M Welsink-Karssies, Annet M Bosch, Kim J Oostrom, Gert J Geurtsen

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Orphanet journal of rare diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Current and Future Treatments for Classic Galactosemia.Journal of personalized medicine · 2021
    Review
  9. 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

5 authors at 2 institutions in 1 country.

Merel E HermansDepartment of Medical Psychology, Amsterdam UMC - location AMC, P.O. Box 22660, 1100 DD, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
Mendy M Welsink-KarssiesDepartment of Pediatrics, Amsterdam UMC - location AMC, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
Annet M BoschDepartment of Pediatrics, Amsterdam UMC - location AMC, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
Kim J OostromPsychosocial Department, Emma Children's Hospital/Amsterdam UMC - location AMC, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.
Gert J GeurtsenDepartment of Medical Psychology, Amsterdam UMC - location AMC, P.O. Box 22660, 1100 DD, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands. g.j.geurtsen@amsterdamumc.nl.
Amsterdam University Medical Centers · NLEmma Kinderziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with the metabolic disorder classical galactosemia suffer from long-term complications despite a galactose-restricted diet, including a below average intelligence level. The aim of the current review was to investigate the incidence and profile of cognitive impairments in patients with classical galactosemia.

methodMEDLINE, EMBASE and PsychINFO were searched up to 23 October 2018 for studies examining information processing speed, attention, memory, language, visuospatial functioning, executive functioning and social cognition in patients with confirmed classical galactosemia utilizing standardized neuropsychological tests. Data synthesis followed a narrative approach, since the planned meta-analysis was not possible due to large variability between the neuropsychological assessments.

resultsEleven studies were included, including case-studies. The quality of most studies was moderate to low. As a group, patients with classical galactosemia exhibit below average to low scores on all cognitive domains. A large proportion of the patients perform on an impaired level on attention, memory and vocabulary. Evidence for impairments in information processing speed, language, visuospatial functioning and aspects of executive functioning was limited due to the small number of studies investigating these cognitive functions. Social cognition was not examined at all.

conclusionsGiven the moderate to low quality of the included studies and the limited evidence in many cognitive domains, the incidence of cognitive impairment in patients with classical galactosemia is not yet clear. Both clinicians and researchers encountering patients with classical galactosemia need to be aware of possible cognitive impairments. Future well-designed studies are needed to determine the cognitive profile of classical galactosemia. This can be the basis for the development of intervention strategies.

Indexed as

CognitionCognitive DysfunctionGalactosemiasHumansClassic GalactosemiaCognitionCritical reviewGALT deficiencyNeuropsychological functioningNeuropsychology

Identifiers

PMID31627760
PMCPMC6798502
OpenAlexW2980519309

What OpenQuestion holds

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LicenceCC BY
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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.