Evidence map›Paper›PMID 32488064›Full record

Observational studyJournal of human genetics2020

Overwhelming genetic heterogeneity and exhausting molecular diagnostic process in chronic and progressive ataxias: facing it up with an algorithm, a gene, a panel at a time.

J Perez Maturo, L Zavala, P Vega, D González-Morón, N Medina, V Salinas, J Rosales, M Córdoba, T Arakaki, N Garretto and 2 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of human genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Hereditary Ataxias in Argentina.Cerebellum (London, England) · 2025
    Review
  4. Article
  5. Article
  6. 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

12 authors.

J Perez Maturo *Neurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
L Zavala *Neurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
P VegaNeurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
D González-MorónNeurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
N MedinaNeurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
V SalinasNeurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
J RosalesNeurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
M CórdobaNeurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
T ArakakiMovement Disorders Area, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
N GarrettoMovement Disorders Area, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
S Rodríguez-QuirogaNeurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina. sergiorodriguez@dr.com.ORCID http://orcid.org/0000-0003-4704-1494
M A KauffmanNeurogenetics Unit, Neurology Division, J.M. Ramos Mejía Hospital, University Center of Neurology "J. M. Ramos Mejía," Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ataxias are one of the most frequent complaints in Neurogenetics units worldwide. Currently, more than 50 subtypes of spinocerebellar ataxias and more than 60 recessive ataxias are recognized. We conducted an 11-year prospective, observational, analytical study in order to estimate the frequency of pediatric and adult genetic ataxias in Argentina, to describe the phenotypes of this cohort and evaluate the diagnostic yield of the algorithm used in our unit. We included 334 ataxic patients. Our diagnostic approach was successful in one-third of the cohort. A final molecular diagnosis was reached in 113 subjects. This rate is significantly higher in the subgroup of patients with a positive family history, where the diagnostic yield increased to 55%. The most prevalent dominant and recessive ataxias in Argentina were SCA-2 (36% of dominant ataxias) and FA (62% of recessive ataxias), respectively. Next generation sequencing-based assays were diagnostic in the 65% of the patients requiring these tests. These results provide relevant epidemiological information, bringing a comprehensive knowledge of the most prevalent subtypes of genetic ataxias and their phenotypes in our territory and laying the groundwork for rationally implementing genetic diagnostic programs for these disorders in our country.

Indexed as

AlgorithmsGenetic HeterogeneityAdolescentAdultAgedAged, 80 and overAge of OnsetArgentinaCerebellar AtaxiaChildChild, PreschoolChronic DiseaseDisease ProgressionGenes, DominantGenes, RecessiveHigh-Throughput Nucleotide Sequencing

Identifiers

What OpenQuestion holds

Textmetadata
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.