Evidence map›Paper›PMID 31703595›Full record

ArticleOrphanet journal of rare diseases2019

Reducing complexity: explaining inborn errors of metabolism and their treatment to children and adolescents.

Nina A Zeltner, Mendy M Welsink-Karssies, Markus A Landolt, Dominique Bosshard-Bullinger, Fabia Keller, Annet M Bosch, Marike Groenendijk, Sarah C Grünert, Daniela Karall, Beatrix Rettenbacher and 3 more

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 25% 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, 18 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

13 authors at 7 institutions in 4 countries.

Nina A ZeltnerDivision of Metabolism, University Children's Hospital Zurich, Zurich, Switzerland.
Mendy M Welsink-KarssiesDepartment of Pediatrics, Division of Metabolic Disorders, Emma Children's Hospital, Amsterdam UMC - location AMC, Amsterdam, The Netherlands.
Markus A LandoltDepartment of Psychosomatics and Psychiatry, University Children's Hospital Zurich, Zurich, Switzerland.
Dominique Bosshard-BullingerDivision of Metabolism, University Children's Hospital Zurich, Zurich, Switzerland.
Fabia KellerDivision of Metabolism, University Children's Hospital Zurich, Zurich, Switzerland.
Annet M BoschDepartment of Pediatrics, Division of Metabolic Disorders, Emma Children's Hospital, Amsterdam UMC - location AMC, Amsterdam, The Netherlands.
Marike GroenendijkStichting Stofwisselkracht, Haarlem, the Netherlands.
Sarah C GrünertDepartment of General Pediatrics, Adolescent Medicine and Neonatology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Daniela KarallClinic for Pediatrics, Medical University of Innsbruck, Innsbruck, Austria.
Beatrix RettenbacherWeiberwirtschaft - Konzept und Gestaltung, Innsbruck, Austria.
Sabine Scholl-BürgiClinic for Pediatrics, Medical University of Innsbruck, Innsbruck, Austria.
Matthias R BaumgartnerDivision of Metabolism, University Children's Hospital Zurich, Zurich, Switzerland.
Martina HuemerDivision of Metabolism, University Children's Hospital Zurich, Zurich, Switzerland. martina.huemer@kispi.uzh.ch.ORCID 0000-0002-0590-678X
University of Zurich · CHEmma Kinderziekenhuis · NLInnsbruck Medical University · ATBundesministerium für Land- und Forstwirtschaft, Umwelt und Wasserwirtschaft · ATLandeskrankenhaus Feldkirch · ATUniversity Children's Hospital Zurich · CHUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInborn errors of metabolism (IEM) are a group of rare, heterogeneous and complex genetic conditions. Clinically, IEM often affect the central nervous system and other organs. Some carry the risk of progression and / or potentially life-threatening crises. Many patients have to adhere to lifelong dietary or drug treatment. The complexity of IEM makes it difficult for patients and caregivers to understand their pathophysiology, inheritance and therapy rationale. Especially patients reaching adolescence may have only limited knowledge of their condition since medical care has often entirely been handled by their parents. Knowledge about disease and treatment, however, constitute pillars of self-responsible disease management. Not many standardized patient education materials on IEM are available and their comprehensibility has not been systematically investigated.

methodsWe developed and tested patient education materials for school-aged children and adolescents with IEM. Informative texts and illustrations in paper form and as videos were developed by an international network of metabolic care professionals together with a graphic artist and experts for easy-to-read language. The materials were presented in standardized single or group training sessions to 111 individuals; first, to 74 healthy children and adolescents (recruited via public schools) and consecutively to 37 paediatric patients with IEM (phenylketonuria, galactosemia, urea cycle defects, lysosomal storage disorders) from six metabolic centres. Knowledge-gain was assessed by pre- and post-testing.

resultsKnowledge-gain was significant in healthy children and adolescents as well as in patients (p < .001, r =. -77 /. -70). Effect sizes were large in both groups (r = -.77 / -.70). This result was independent from family language and teacher-rated concentration or cognitive capacity in healthy children.

conclusionThe newly developed patient education materials are a powerful tool to improve disease- and treatment-related knowledge. They facilitate communication between the medical team and children and adolescents with IEM and their caregivers.

Indexed as

Metabolism, Inborn ErrorsAdolescentChildDisease ManagementFemaleHumansMalePatient Education as TopicAdherenceAdolescenceCopingDisease knowledgeDisease managementPatient educationProcessing fluencySelf-efficacy

Identifiers

PMID31703595
PMCPMC6842257
OpenAlexW2984557814

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.