Evidence map›Paper›PMID 32185602›Full record

ReviewReviews in endocrine & metabolic disorders2020

Hyperinsulinemic hypoglycemia in children and adolescents: Recent advances in understanding of pathophysiology and management.

Maria Gϋemes, Sofia Asim Rahman, Ritika R Kapoor, Sarah Flanagan, Jayne A L Houghton, Shivani Misra, Nick Oliver, Mehul Tulsidas Dattani, Pratik Shah

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Reviews in endocrine & metabolic disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06478121 (Understanding Beta Cell Disorders Through the Study of Rare Genotypes), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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.

NCT06478121 recruitingnot on this mapstarted 2025, after this paper: background citation

Understanding Beta Cell Disorders Through the Study of Rare Genotypes (ENDURE)

TypeobservationalSponsorUniversity of ExeterRan2025 to 2029Enrolled50ConditionsDiabetes Mellitus, Monogenic Diabetes, HyperinsulinismArmsData and Blood collection, MRI
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. JCEM case reports · 2024
    Article
  17. Congenital Hyperinsulinism Caused by Mutations inInternational journal of molecular sciences · 2024
    Article
  18. Article
  19. Genetic Variations in Hyperinsulinemic Hypoglycemia: Active versus Inactive Mutations.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review
  20. 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

9 authors at 4 institutions in 2 countries.

Maria GϋemesGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, Great Ormond Street, London, WC1N 3JH, UK.
Sofia Asim RahmanGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, Great Ormond Street, London, WC1N 3JH, UK.
Ritika R KapoorPediatric Diabetes and Endocrinology, King's College Hospital NHS Trust, Denmark Hill, London, UK.
Sarah FlanaganInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Jayne A L HoughtonInstitute of Biomedical and Clinical Science, University of Exeter Medical School, Exeter, UK.
Shivani MisraDepartment of Diabetes, Endocrinology and Metabolic Medicine, Faculty of Medicine, Imperial College Healthcare NHS Trust, London, UK.
Nick OliverDepartment of Diabetes, Endocrinology and Metabolic Medicine, Faculty of Medicine, Imperial College Healthcare NHS Trust, London, UK.
Mehul Tulsidas DattaniGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, Great Ormond Street, London, WC1N 3JH, UK.
Pratik ShahGenetics and Genomic Medicine Programme, UCL Great Ormond Street Institute of Child Health, Great Ormond Street, London, WC1N 3JH, UK. pratik.shah6@nhs.net.ORCID http://orcid.org/0000-0002-4402-8297
Great Ormond Street Hospital · GBImperial College Healthcare NHS Trust · GBUniversity of Exeter · GBKing's College Hospital · GB

Funding

Sir Henry Dale Fellowship 105636/Z/14/Z
6 · The paper itself

Abstract

Hyperinsulinemic hypoglycemia (HH) is characterized by unregulated insulin release, leading to persistently low blood glucose concentrations with lack of alternative fuels, which increases the risk of neurological damage in these patients. It is the most common cause of persistent and recurrent hypoglycemia in the neonatal period. HH may be primary, Congenital HH (CHH), when it is associated with variants in a number of genes implicated in pancreatic development and function. Alterations in fifteen genes have been recognized to date, being some of the most recently identified mutations in genes HK1, PGM1, PMM2, CACNA1D, FOXA2 and EIF2S3. Alternatively, HH can be secondary when associated with syndromes, intra-uterine growth restriction, maternal diabetes, birth asphyxia, following gastrointestinal surgery, amongst other causes. CHH can be histologically characterized into three groups: diffuse, focal or atypical. Diffuse and focal forms can be determined by scanning using fluorine-18 dihydroxyphenylalanine-positron emission tomography. Newer and improved isotopes are currently in development to provide increased diagnostic accuracy in identifying lesions and performing successful surgical resection with the ultimate aim of curing the condition. Rapid diagnostics and innovative methods of management, including a wider range of treatment options, have resulted in a reduction in co-morbidities associated with HH with improved quality of life and long-term outcomes. Potential future developments in the management of this condition as well as pathways to transition of the care of these highly vulnerable children into adulthood will also be discussed.

Indexed as

AdolescentChildChild, PreschoolCongenital HyperinsulinismHumansInfant18F-DOPA-PETHyperinsulinismHypoglycemiaLanreotideSirolimusTransition to adult services

Identifiers

PMID32185602
PMCPMC7560934
OpenAlexW3011465480

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.