Evidence map›Paper›PMID 32033562›Full record

ArticleOrphanet journal of rare diseases2020

Classical galactosemia: neuropsychological and psychosocial functioning beyond intellectual abilities.

Mendy M Welsink-Karssies, Kim J Oostrom, Merel E Hermans, Carla E M Hollak, Mirian C H Janssen, Janneke G Langendonk, Esmee Oussoren, M Estela Rubio Gozalbo, Maaike de Vries, Gert J Geurtsen and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Article
  3. Health and well-being of maturing adults with classic galactosemia.Journal of inherited metabolic disease · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Current and Future Treatments for Classic Galactosemia.Journal of personalized medicine · 2021
    Review
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Mendy M Welsink-KarssiesDepartment of Pediatrics, room H7-270, Amsterdam University Medical Centre, MC, PO BOX 22660, 1100 DD, Amsterdam, The Netherlands.
Kim J OostromPsychosocial Department, Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Merel E HermansDepartment of Medical Psychology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Carla E M HollakDepartment of Internal Medicine, Division of Endocrinology and Metabolism, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Mirian C H JanssenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Janneke G LangendonkDepartment of Internal Medicine, Center for Lysosomal and Metabolic Diseases, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Esmee OussorenDepartment of Pediatrics, Center for Lysosomal and Metabolic Diseases, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
M Estela Rubio GozalboDepartment of Pediatrics and Department of Clinical Genetics, Maastricht University Medical Center, Maastricht, The Netherlands.
Maaike de VriesDepartment of Pediatrics, Radboud University Medical Center, Nijmegen, The Netherlands.
Gert J GeurtsenDepartment of Medical Psychology, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Annet M BoschDepartment of Pediatrics, room H7-270, Amsterdam University Medical Centre, MC, PO BOX 22660, 1100 DD, Amsterdam, The Netherlands. a.m.bosch@amsterdamumc.nl.ORCID http://orcid.org/0000-0001-5027-5916
Amsterdam University Medical Centers · NLErasmus MC · NLRadboud University Nijmegen · NLEmma Kinderziekenhuis · NLMaastricht University · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite early diagnosis and treatment, Classical Galactosemia (CG) patients frequently develop long-term complications, such as cognitive impairment. Available literature primarily reports on general intellectual abilities and shows a substantially lower Full Scale Intelligence Quotient (FSIQ) in CG patients than in the general population. Both problems in social functioning as well as internalizing problems are often reported in CG patients. The combination of intelligence, cognitive functioning, behavior and social functioning has not been studied systematically in CG patients.

methodsTo determine if CG patients demonstrate a specific neuropsychological and psychosocial profile, we investigated intelligence, functioning on multiple cognitive domains, behavior and social functioning with a comprehensive neuropsychological test battery and questionnaires (self- and proxy-reported).

resultsThe data of 48 patients, aged 4-47 years are reported. FSIQ ranged from 45 to 103 (mean 77 ± 14). A negative correlation between age and FSIQ was demonstrated (p = 0.037) which resulted directly from the inclusion of four young 'milder' patients detected by newborn screening (NBS) with an expected better clinical outcome. Compared to normative data, patients had significantly lower but highly variable scores on all cognitive domains, especially on tests requiring mental speed. In the context of the FSIQ, 43% of the cognitive test results exceeded IQ based expectations. Overall, the patients' scores on social functioning were in the normal range but internalizing problems were frequently reported. In our cohort, an early initiation of dietary treatment due to NBS or family screening did not result in a more favorable neuropsychological outcome.

conclusionsIn this study, we demonstrated that as a cohort, CG patients have a below average intelligence and impaired cognitive functioning without a distinctive neuropsychological profile. The effect of age on neurocognitive functioning should be assessed in longitudinal studies. Social functioning was not impaired, but patients may be at risk for internalizing problems. Considering the large variability in cognitive, behavioral and social functioning and the finding that cognitive outcomes may exceed IQ based expectations, an individual evaluation and follow-up is warranted in all CG patients to ensure timely support if needed.

Indexed as

GalactosemiasCognitionHumansInfant, NewbornIntelligenceNeuropsychological TestsPsychosocial FunctioningBehaviorCognitive functioningGALT deficiencyIntelligenceNeuropsychologySocial functioning

Identifiers

PMID32033562
PMCPMC7007688
OpenAlexW3004894413

What OpenQuestion holds

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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.