Evidence map›Paper›PMID 32506450›Full record

ArticleClinical and experimental immunology2020

Late diagnosis of chronic granulomatous disease.

T Barkai, R Somech, A Broides, R Gavrieli, B Wolach, N Marcus, D Hagin, T Stauber

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Chronic granulomatous disease presenting at age 52 with fulminant mulch pneumonitis.The journal of allergy and clinical immunology. Global · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Clinical & Experimental Immunology: Highlights of 2020.Clinical and experimental immunology · 2021
    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

8 authors at 4 institutions in 1 country.

T BarkaiPediatric Ward A, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.
R SomechPediatric Ward A, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.ORCID 0000-0001-6648-9425
A BroidesImmunology Clinic, Soroka Medical Center, Beer Sheva, Israel.ORCID 0000-0001-8862-0164
R GavrieliThe Laboratory for Leukocyte Function, Meir Medical Center, Kfar Saba, Israel.ORCID 0000-0002-8708-9647
B WolachSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0003-0226-7633
N MarcusSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-9592-9255
D HaginSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0003-4756-0577
T StauberPediatric Ward A, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.ORCID 0000-0002-1460-6711
Tel Aviv University · ILMeir Medical Center · ILSheba Medical Center · ILSoroka Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Modern era advancements in medical care, with improved treatment of infections, can result in delayed diagnosis of congenital immunodeficiencies. In this study we present a retrospective cohort of 16 patients diagnosed with Chronic Granulomatous Disease (CGD) at adulthood. Some of the patients had a milder clinical phenotype, but others had a classic phenotype with severe infectious and inflammatory complications reflecting a profoundly impaired neutrophil function. It is therefore of great importance to investigate the individual journey of each patient through different misdiagnoses and the threads which led to the correct diagnosis. Currently the recommended definitive treatment for CGD is hematopoietic stem cell transplantation (HSCT). Although survival of our patients to adulthood might argue against the need for early HSCT during infancy, we claim that the opposite is correct, as most of them grew to be severely ill and diagnosed at a stage when HSCT is debatable with potentially an unfavorable outcome. This cohort stresses the need to increase awareness of this severe congenital immunodeficiency among clinicians of different specialties who might be treating undiagnosed adult patients with CGD.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentAdultAge of OnsetChildCohort StudiesDiagnostic ErrorsFemaleGranulomatous Disease, ChronicHumansMaleMiddle AgedPhenotypeRetrospective StudiesYoung AdultCGDchronic granulomatous diseasemisdiagnosisprimary immunodeficiency

Identifiers

PMID32506450
PMCPMC7419865
OpenAlexW3033223418

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.