Evidence map›Paper›PMID 32984552›Full record

ArticleBMJ paediatrics open2020

Consensus guidelines on managing Rett syndrome across the lifespan.

Cary Fu, Dallas Armstrong, Eric Marsh, David Lieberman, Kathleen Motil, Rochelle Witt, Shannon Standridge, Paige Nues, Jane Lane, Tristen Dinkel and 9 more

Abstract read
In one paragraph

Article in BMJ paediatrics open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 2 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

63 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Review
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  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Frontiers in pediatrics · 2026
    Article
  13. Article
  14. Diagnostic odyssey and healthcare access challenges in Rett Syndrome: perspectives from Brazilian families.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Rett Syndrome Behaviour Questionnaire: Variability of Scores and Related Factors.Journal of child and adolescent psychopharmacology · 2025
    Article
  19. Article
  20. Sleep Disorders in Children with Rett Syndrome.Children (Basel, Switzerland) · 2025
    Review

3 more citing papers are in PubMed but not listed here.

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.

Cary FuPediatrics and Neurology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Dallas ArmstrongNeurology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Eric MarshNeurology, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
David LiebermanNeurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Kathleen MotilPediatrics, Baylor College of Medicine, Houston, Texas, USA.
Rochelle WittNeurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Shannon StandridgePediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Paige NuesInternational Rett Syndrome Foundation, Cincinnati, Ohio, USA.
Jane LaneCivitan International Research Center, The University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
Tristen DinkelNeurology, Children's Hospital Colorado, Aurora, Colorado, USA.
Monica CoenraadsRett Syndrome Research Trust, New York, New York, USA.
Jana von HehnRett Syndrome Research Trust, New York, New York, USA.
Mary JonesPediatric Medicine, UCSF Benioff Children's Hospital Oakland, Oakland, California, USA.
Katie HalePediatric Medicine, UCSF Benioff Children's Hospital Oakland, Oakland, California, USA.
Bernhard SuterPediatrics and Neurology, Baylor College of Medicine, Houston, Texas, USA.
Daniel GlazePediatrics and Neurology, Baylor College of Medicine, Houston, Texas, USA.
Jeffrey NeulVanderbilt Kennedy Center, Nashville, Tennessee, USA.
Alan PercyPediatrics, Neurology, Neurobiology, Genetics, and Psychology, The University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
Timothy BenkeNeurology, Children's Hospital Colorado, Aurora, Colorado, USA.ORCID 0000-0002-6969-5061

Funding

Training and Career Development ComponentU54HD061222 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI PERCY, ALAN KENNETH · 2009 to 2019
$12.4M
Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Jeffrey L Neul · 2020 to 2026
$10.3M
NICHD NIH HHS P50 HD103537NICHD NIH HHS U54 HD061222
6 · The paper itself

Abstract

backgroundRett syndrome (RTT) is a severe neurodevelopmental disorder with complex medical comorbidities extending beyond the nervous system requiring the attention of health professionals. There is no peer-reviewed, consensus-based therapeutic guidance to care in RTT. The objective was to provide consensus on guidance of best practice for addressing these concerns.

methodsInformed by the literature and using a modified Delphi approach, a consensus process was used to develop guidance for care in RTT by health professionals.

resultsTypical RTT presents early in childhood in a clinically recognisable fashion. Multisystem comorbidities evolve throughout the lifespan requiring coordination of care between primary care and often multiple subspecialty providers. To assist health professionals and families in seeking best practice, a checklist and detailed references for guidance were developed by consensus.

conclusionsThe overall multisystem issues of RTT require primary care providers and other health professionals to manage complex medical comorbidities within the context of the whole individual and family. Given the median life expectancy well into the sixth decade, guidance is provided to health professionals to achieve current best possible outcomes for these special-needs individuals.

Indexed as

gastroenterologygeneticsneurologyrehabilitationsyndrome

Identifiers

PMID32984552
PMCPMC7488790

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.