Evidence map›Paper›PMID 31699126›Full record

ArticleOrphanet journal of rare diseases2019

Understanding the life experience of Barth syndrome from the perspective of adults: a qualitative one-on-one interview study.

Iyar Mazar, Jonathan Stokes, Sarah Ollis, Emily Love, Ashlee Espensen, Peter G Barth, John H Powers, Alan L Shields

Open access · goldAbstract read
In one paragraph

Article 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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 26 citations in OpenAlex.

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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

8 authors at 4 institutions in 3 countries.

Iyar MazarEmployed at Adelphi Values at the time of the conduct of the research, Boston, MA, USA. iyar.mazar@analysisgroup.com.ORCID 0000-0001-9371-5918
Jonathan StokesEmployed at Adelphi Values at the time of the conduct of the research, Boston, MA, USA.
Sarah OllisAdelphi Values, 290 Congress St., 6th floor, Boston, MA, USA.
Emily LoveAdelphi Values, 290 Congress St., 6th floor, Boston, MA, USA.
Ashlee EspensenEmployed at Adelphi Values at the time of the conduct of the research, Boston, MA, USA.
Peter G BarthDepartment of Pediatric Neurology, Emma Children's Hospital, University of Amsterdam, Amsterdam, Netherlands.
John H PowersGeorge Washington University School of Medicine, Washington DC, USA.
Alan L ShieldsAdelphi Values, 290 Congress St., 6th floor, Boston, MA, USA.
Adelphi Laboratory Center · USAdelphi Group (United Kingdom) · GBEmma Kinderziekenhuis · NLGeorge Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBarth syndrome (BTHS, OMIM 302060) is a rare, life-threatening, x-linked genetic disorder that occurs almost exclusively in males and is characterized by cardiomyopathy, neutropenia, skeletal muscle myopathy primarily affecting larger muscles, and shorter stature in youth. A greater number of individuals with BTHS are now surviving into adulthood due to advancements in diagnosis and disease management. Given these improvements in life expectancy, understanding the disease experience over time has become increasingly important to individuals with the condition, treatment developers, and regulatory agencies. A study was conducted to explore the experience of BTHS from the perspective of adult males at least 35 years of age with the condition via in-depth qualitative interviews.

resultsFindings showed that adults with BTHS experienced a variety of signs/symptoms with variable onset and severity throughout their lives, the most frequently reported being the symptoms of tiredness, muscle weakness, and a fast and/or irregular heart rate, and the sign of short stature in youth. These signs/symptoms negatively impacted individuals' emotional, physical, social, and role functioning. Tiredness and weakness impacted some individuals' physical functioning from an early age and into adulthood. These symptoms generally worsened over time, increasingly interfering with individuals' ability to fully participate in paid and unpaid labor and to partake in family and leisure activities.

conclusionsThis research complements recent studies characterizing the potentially degenerative and progressive nature of BTHS and can encourage future research into the natural history and progression of BTHS in untreated individuals. Participants' interview responses revealed a range of symptoms and the potential for multiple impacts on individuals' physical, social, emotional, and role functioning as a result of BTHS symptoms, yet also revealed variability in severity of experience as well as the possibility of resilience and adaptation to the condition.

Indexed as

Life Change EventsAdultBarth SyndromeHumansInterviews as TopicMaleMiddle AgedAgingBarth syndromeHealth outcomesNatural historyQualitative researchQuality of lifeRare diseaseX-linked disease

Identifiers

PMID31699126
PMCPMC6836365
OpenAlexW2988933831

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LicenceCC BY
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Registered trials

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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.