Evidence map›Paper›PMID 32764084›Full record

ArticleBMJ open2020

Caring and living with Prader-Willi syndrome in Italy: integrating children, adults and parents' experiences through a multicentre narrative medicine research.

Letizia Ragusa, Antonio Crinò, Graziano Grugni, Luigi Reale, Alessandra Fiorencis, Maria Rosaria Licenziati, Maria Felicia Faienza, Malgorzata Wasniewska, Maurizio Delvecchio, Adriana Franzese and 9 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 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

19 authors at 11 institutions in 1 country.

Letizia RagusaUnit of Paediatrics and Medical Genetics, OASI Maria SS Research Institute, Troina, Enna, Italy.
Antonio CrinòAutoimmune Endocrine Diseases Unit, Bambino Gesù Paediatric Hospital-Palidoro Research Institute, Rome, Italy.
Graziano GrugniDepartment of Auxology, Istituto Auxologico Italiano, Verbania, Italy.
Luigi RealeHealthcare Area, Fondazione ISTUD, Baveno, Verbano-Cusio-Ossola, Italy.
Alessandra FiorencisHealthcare Area, Fondazione ISTUD, Baveno, Verbano-Cusio-Ossola, Italy afiorencis@istud.it.ORCID 0000-0001-9859-5070
Maria Rosaria LicenziatiObesity and Endocrine Disease Unit, Department of Neuroscience, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Maria Felicia FaienzaPediatrics Unit, Department of Biomedical Sciences and Human Oncology, Universita degli Studi di Bari Aldo Moro, Bari, Italy.
Malgorzata WasniewskaDepartment of Human Pathology of Adulthood and Childhood 'G Barresi', University of Messina, Messina, Italy.
Maurizio DelvecchioMetabolic Diseases, Clinical Genetics and Diabetology Unit, Giovanni XXIII Children's Hospital, Bari, Italy.
Adriana FranzeseDepartment of Translational Medical Sciences, University of Naples Federico II, Napoli, Campania, Italy.
Irene RutiglianoDepartment of Pediatrics, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.
Paola FusilliUOC Neonatologia, Ospedale 'Spirito Santo', Pescara, Italy.
Domenico CoricaDepartment of Human Pathology of Adulthood and Childhood 'G Barresi', University of Messina, Messina, Italy.
Giuseppina CampanaObesity and Endocrine Disease Unit, Department of Neuroscience, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Donatella GrecoUnit of Paediatrics and Medical Genetics, OASI Maria SS Research Institute, Troina, Enna, Italy.
Mariangela ChiaritoDepartment of Biomedical Sciences and Human Oncology, University of Bari 'A Moro', Bari, Italy.
Michele SaccoDepartment of Pediatrics, IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.
Silvia ToscanoDepartment of Translational Sciences, University Federico II, Naples, Italy.
Maria Giulia MariniHealthcare Area, Fondazione ISTUD, Baveno, Verbano-Cusio-Ossola, Italy.
Casa Sollievo della Sofferenza · ITOasi Maria SS · ITSantobono Children's Hospital · ITUniversity of Bari Aldo Moro · ITUniversity of Messina · ITBambino Gesù Children's Hospital · ITFederico II University Hospital · ITIRCCS Istituto Auxologico Italiano · ITOspedale di Santo Spirito · ITOspedale Pediatrico Giovanni XXIII · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPrader-Willi syndrome (PWS) significantly impacts health-related quality of life; however, its relational and existential aspects remain unknown in Italian clinical and social debate. The project aimed to investigate the impact of PWS on illness experience through narrative medicine (NM) to understand the daily life, needs and resources of patients with PWS and their caregivers, and to furnish insights for clinical practice. DESIGN AND

settingThe project involved 10 medical centres of the Italian Network for Rare Diseases and PWS family associations and targeted underage and adult patients with PWS and their caregivers. Written interviews, composed by a sociodemographic survey and a narrative, were collected through the project's website. Three dedicated illness plots employed evocative and open words to facilitate individual expression and to encourage reflection. Narratives were analysed through NVivo software. Researchers discussed the results with the project's steering committee.

participantsTwenty-one children and adolescents and 34 adults with PWS joined the project, as well as 138 caregivers. A PWS diagnosis or the caregiving of a patient with PWS older than 5 years represented the eligibility criteria, as well as the willingness to share their illness experience by writing and the ability to communicate in Italian.

resultsThe analysis of narratives led to understanding the PWS social and relational issues concerning diagnosis and current management, PWS daily experiences and social contexts, PWS implications in the working sphere and participants' future perspectives. Narratives demonstrated that PWS management affects relationships and work-life balance and that social stigma remains present.

conclusionThe project represented the first effort to investigate the impact of PWS on illness experience in Italy through NM while considering the perspectives of patients with PWS and their caregivers. The findings indicated that a multiprofessional approach is fundamental to ensure adequate treatment and provided elements for its improvement.

Indexed as

Narrative MedicinePrader-Willi SyndromeAdolescentAdultChildHumansItalyParentsQuality of Lifeeating disorderspaediatric clinical genetics & dysmorphologypaediatric endocrinologyqualitative research

Identifiers

PMID32764084
PMCPMC7412587
OpenAlexW3047865816

What OpenQuestion holds

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LicenceCC BY-NC
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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.