Evidence map›Paper›PMID 32819406›Full record

ArticleOrphanet journal of rare diseases2020

Screening for Fabry disease in unknown origin axonal polyneuropathy: to do or not to do, this is the question!

Eugenia Rota, Marina Grandis, Alessia Di Sapio, Elisabetta Ghiglione, Pietro Fiorentino, Alessandra Repetto, Claudia Giliberto, Chiara Gemelli, Nicola Morelli, Angelo Schenone and 1 more

Open access · goldAbstract readLetter
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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

11 authors at 6 institutions in 1 country.

Eugenia RotaNeurology Unit, ASL Alessandria (AL), Via E. Raggio 12, 15067, Novi Ligure, AL, Italy. eugenia.rota.md@gmail.com.ORCID 0000-0003-3154-7634
Marina GrandisDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Infantile Sciences, University of Genoa, Genoa, Italy.
Alessia Di SapioNeurology Unit, Regina Montis Regalis Hospital, ASL CN1, Mondovì, CN, Italy.
Elisabetta GhiglioneNeurology Unit, ASL Alessandria (AL), Via E. Raggio 12, 15067, Novi Ligure, AL, Italy.
Pietro FiorentinoNeurology Unit, ASL Alessandria (AL), Via E. Raggio 12, 15067, Novi Ligure, AL, Italy.
Alessandra RepettoNeurology Unit, ASL Alessandria (AL), Via E. Raggio 12, 15067, Novi Ligure, AL, Italy.
Claudia GilibertoNeurology Unit, Regina Montis Regalis Hospital, ASL CN1, Mondovì, CN, Italy.
Chiara GemelliDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Infantile Sciences, University of Genoa, Genoa, Italy.
Nicola MorelliNeurology and Radiology Unit, Guglielmo da Saliceto Hospital, AUSLPC, Piacenza, PC, Italy.
Angelo SchenoneDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal Infantile Sciences, University of Genoa, Genoa, Italy.
Dario CocitoIstituti Clinici-Scientifici Maugeri, Torino, Italy.
Azienda Sanitaria Locale Alessandria · ITAzienda Sanitaria Locale CN2 · ITOspedale Policlinico San Martino · ITGuglielmo da Saliceto Hospital · ITIstituti Clinici Scientifici Maugeri · ITUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fabry disease (FD) is a systemic X-linked lysosomal disorder. A 'peripheral nerve variant' of FD has been hypothesized in subjects with neuropathy, without the early manifestations of the classic phenotype. A cohort of undiagnosed neuropathy patients with chronic polyneuropathy of undetermined aetiology and demyelinating neuropathy, unresponsive to immunomodulating treatment, were screened for FD. A total of 103 patients (64% males), were enrolled. No typical pathogenetic mutations for FD were identified. We are aware that the study sample was very small, but only a large, unfeasible theoretical sample size could demonstrate a statistically significant increased prevalence of FD in neuropathy patients, as peripheral neuropathy of undetermined cause is uncommon and there is a low prevalence of FD in the general population. Therefore, we are of the opinion that including tailored FD screening in the neuropathy diagnostic work-up, particularly when there are additional clinical characteristics, should be considered.

Indexed as

Fabry DiseasePeripheral Nervous System DiseasesPolyneuropathiesFemaleHumansMaleMass ScreeningPeripheral NervesAxonalFabry diseaseLysosomal disorderNeuropathyPolyneuropathyScreening

Identifiers

PMID32819406
PMCPMC7439676
OpenAlexW3063238666

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.