Evidence map›Paper›PMID 32967612›Full record

ArticleBMC family practice2020

Avoiding misdiagnosis: expert consensus recommendations for the suspicion and diagnosis of transthyretin amyloidosis for the general practitioner.

Morie Gertz, David Adams, Yukio Ando, João Melo Beirão, Sabahat Bokhari, Teresa Coelho, Raymond L Comenzo, Thibaud Damy, Sharmila Dorbala, Brian M Drachman and 14 more

Open access · goldAbstract readConsensus Statement
In one paragraph

Article in BMC family practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 3% 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

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 105 citations in OpenAlex.

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  18. Heterogenous electrophysiological features in early stage of hereditary transthyretin amyloidosis neuropathy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  19. Late-onset familial amyloidosis polyneuropathy associated with c.186G>C in transthyretin.Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2024
    Article
  20. Review
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

24 authors at 19 institutions in 8 countries.

Morie GertzMayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. gertz.morie@mayo.edu.ORCID 0000-0002-3853-5196
David AdamsReferral Center for FAP, Neurology Department, APHP, INSERM U 1195, Université Paris-Sud, Le Kremlin Bicêtre, France.
Yukio AndoDepartment of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.
João Melo BeirãoOphthalmology Service, Hospital de Santo António, Porto, Portugal.
Sabahat BokhariColumbia University Medical Center, New York, NY, USA.
Teresa CoelhoCentro Hospitalar do Porto, Porto, Portugal.
Raymond L ComenzoJohn C. Davis Myeloma and Amyloid Program, Tufts Medical Center, Boston, MA, USA.
Thibaud DamyDepartment of Cardiology, Referral Center for Cardiac Amyloidosis, GRC Amyloid Research Institute, DHU A-TVB, APHP CHU Henri Mondor and Université Paris Est Créteil, Créteil, France.
Sharmila DorbalaBrigham and Women's Hospital, Boston, MA, USA.
Brian M DrachmanUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Marianna FontanaNational Amyloidosis Centre, University College London, London, UK.
Julian D GillmoreNational Amyloidosis Centre, University College London, London, UK.
Martha GroganMayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
Philip N HawkinsNational Amyloidosis Centre, University College London, London, UK.
Isabelle LousadaAmyloidosis Research Consortium, Newton, MA, USA.
Arnt V KristenUniversity of Heidelberg, Heidelberg, Germany.
Frederick L RubergBoston University School of Medicine, Boston Medical Center, Boston, MA, USA.
Ole B SuhrDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Mathew S MaurerColumbia University Medical Center, New York, NY, USA.
Jose Nativi-NicolauUniversity of Utah Health, Salt Lake City, UT, USA.
Candida Cristina QuartaNational Amyloidosis Centre, University College London, London, UK.
Claudio RapezziUniversity of Bologna, Bologna, Italy.
Ronald WittelesStanford Amyloid Center, Stanford University School of Medicine, Stanford, California, USA.
Giampaolo MerliniAmyloidosis Research and Treatment Center Foundation, IRCCS Policlinico San Matteo, San Matteo, Italy.
University College London · GBColumbia University Irving Medical Center · USMayo Clinic · USAmyloidosis Foundation · USBoston University · USBrigham and Women's Hospital · USCentro Hospitalar do Porto · PTHeidelberg University · DEHospital de Santo António · PTKumamoto University · JPStanford University · USTufts Medical Center · USUmeå University · SEUniversité Paris-Est Créteil · FRUniversité Paris-Sud · FRUniversity of Bologna · ITUniversity of Pavia · ITUniversity of Pennsylvania · USUniversity of Utah · US

Funding

SCAN-MP (Screening for Cardiac Amyloidosis with Nuclear imaging in Minority Populations) COVID-19 SuppplementR01HL139671 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAURER, MATHEW S, RUBERG, FREDERICK LIEF · 2019 to 2023
$7.4M
British Heart Foundation FS/18/21/33447NHLBI NIH HHS R01 HL139671
6 · The paper itself

Abstract

backgroundTransthyretin amyloidosis (also known as ATTR amyloidosis) is a systemic, life-threatening disease characterized by transthyretin (TTR) fibril deposition in organs and tissue. A definitive diagnosis of ATTR amyloidosis is often a challenge, in large part because of its heterogeneous presentation. Although ATTR amyloidosis was previously considered untreatable, disease-modifying therapies for the treatment of this disease have recently become available. This article aims to raise awareness of the initial symptoms of ATTR amyloidosis among general practitioners to facilitate identification of a patient with suspicious signs and symptoms.

methodsThese consensus recommendations for the suspicion and diagnosis of ATTR amyloidosis were developed through a series of development and review cycles by an international working group comprising key amyloidosis specialists. This working group met to discuss the barriers to early and accurate diagnosis of ATTR amyloidosis and develop a consensus recommendation through a thorough search of the literature performed using PubMed Central.

resultsThe cardiac and peripheral nervous systems are most frequently involved in ATTR amyloidosis; however, many patients often also experience gastrointestinal and other systemic manifestations. Given the multisystemic nature of symptoms, ATTR amyloidosis is often misdiagnosed as a more common disorder, leading to significant delays in the initiation of treatment. Although histologic evaluation has been the gold standard to confirm ATTR amyloidosis, a range of tools are available that can facilitate early and accurate diagnosis. Of importance, genetic testing should be considered early in the evaluation of a patient with unexplained peripheral neuropathy.

conclusionsA diagnostic algorithm based on initial red flag symptoms and manifestations of cardiac or neurologic involvement will facilitate identification by the general practitioner of a patient with clinically suspicious symptoms, enabling subsequent referral of the patient to a multidisciplinary specialized medical center.

Indexed as

Amyloid Neuropathies, FamilialGeneral PractitionersConsensusHumansPrealbuminPrealbuminATTR amyloidosisATTRvCardiomyopathyDiagnosishATTRPolyneuropathyTransthyretin amyloidosis

Identifiers

PMID32967612
PMCPMC7513485
OpenAlexW3087792494

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.