Evidence map›Paper›PMID 33039984›Full record

ArticleBMJ open2020

Early indicators of disease progression in Fabry disease that may indicate the need for disease-specific treatment initiation: findings from the opinion-based PREDICT-FD modified Delphi consensus initiative.

Derralynn A Hughes, Patricio Aguiar, Patrick B Deegan, Fatih Ezgu, Andrea Frustaci, Olivier Lidove, Aleš Linhart, Jean-Claude Lubanda, James C Moon, Kathleen Nicholls and 15 more

Registry-linked trialOpen access · goldAbstract readConsensus Statement
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. It is linked to trial NCT06325488 (Fibrosis, Inflammation, Oxygenation of Renal Tissue In FabrY Disease), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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.

NCT06325488 recruitingnot on this mapstarted 2024, after this paper: background citation

Fibrosis, Inflammation, Oxygenation of Renal Tissue In FabrY Disease

TypeobservationalSponsorCaroline Michaela KistorpRan2024 to 2026Enrolled60ConditionsFabry Disease, Chronic Kidney Diseases
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 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

25 authors at 20 institutions in 16 countries.

Derralynn A HughesLysosomal Storage Disorders Unit, Royal Free Hospital, London, UK rmgvdah@ucl.ac.uk.
Patricio AguiarInborn Errors of Metabolism Reference Center, North Lisbon Hospital Center, Lisbon, Portugal.
Patrick B DeeganLysosomal Disorders Unit, Addenbrooke's Hospital, Cambridge, UK.
Fatih EzguDepartment and Laboratory of Paediatric Metabolic Disorders, Gazi University, Ankara, Turkey.
Andrea FrustaciDepartment of Cardiovascular, Respiratory, Nephrologic, Geriatric and Anesthesiologic Sciences, University of Rome La Sapienza, Rome, Italy.ORCID 0000-0002-5748-0725
Olivier LidoveDepartment of Internal Medicine-Rheumatology, Croix Saint Simon Hospital, Paris, France.
Aleš LinhartDepartment of Cardiovascular Medicine, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Jean-Claude LubandaDepartment of Cardiovascular Medicine, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
James C MoonCardiac Imaging Department, Barts Heart Centre, London, UK.
Kathleen NichollsDepartment of Nephrology, Royal Melbourne Hospital, Parkville, Victoria, Australia.
Dau-Ming NiuDepartment of Pediatrics, Taipei Veterans General Hospital, Taipei, Taiwan.
Albina NowakDepartment of Endocrinology and Clinical Nutrition, University Hospital Zurich and University of Zurich, Zurich, Switzerland.
Uma RamaswamiLysosomal Storage Disorders Unit, Royal Free Hospital, London, UK.
Ricardo ReisinDepartment of Neurology, British Hospital of Buenos Aires, Buenos Aires, Argentina.
Paula RozenfeldInstituto de Estudios Inmunológicos y Fisiopatológicos, UNLP - CONICET, La Plata, Argentina.
Raphael SchiffmannInstitute of Metabolic Disease, Baylor Research Institute, Dallas, Texas, USA.
Einar SvarstadDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.
Mark ThomasDepartment of Nephrology, Royal Perth Hospital, Perth, Western Australia, Australia.
Roser TorraInherited Renal Diseases Unit, Autonomous University of Barcelona, Barcelona, Spain.
Bojan VujkovacDepartment of Internal Medicine, General Hospital Slovenj Gradec, Slovenj Gradec, Slovenia.
David G WarnockDivision of Nephrology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Michael L WestMedicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Jack JohnsonFabry Support & Information Group, Concordia, Missouri, USA.
Mark J RolfeOxford PharmaGenesis, Oxford, UK.ORCID 0000-0002-9248-1563
Sandro FeriozziDivision of Nephrology, Belcolle Hospital, Viterbo, Italy.
Charles University · CZThe Royal Free Hospital · GBBritish Heart Foundation · GBConcordia University Wisconsin · USConsejo Nacional de Investigaciones Científicas y Técnicas · ARDalhousie University · CAGazi University · TRGroupe Hospitalier Diaconesses Croix Saint-Simon · FRHaukeland University Hospital · NOHospital Británico de Buenos Aires · ARNational Yang Ming Chiao Tung University · TWOspedale di Belcolle · ITOxford Instruments (United Kingdom) · GBRoyal Perth Hospital · AUSapienza University of Rome · ITŠolski center Slovenj Gradec · SIThe Royal Melbourne Hospital · AUUniversitat Autònoma de Barcelona · ESUniversity of Alabama at Birmingham · USUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe PRoposing Early Disease Indicators for Clinical Tracking in Fabry Disease (PREDICT-FD) initiative aimed to reach consensus among a panel of global experts on early indicators of disease progression that may justify FD-specific treatment initiation. DESIGN AND

settingAnonymous feedback from panellists via online questionnaires was analysed using a modified Delphi consensus technique. Questionnaires and data were managed by an independent administrator directed by two non-voting cochairs. First, possible early indicators of renal, cardiac and central/peripheral nervous system (CNS/PNS) damage, and other disease and patient-reported indicators assessable in routine clinical practice were compiled by the cochairs and administrator from panellists' free-text responses. Second, the panel scored indicators for importance (5-point scale: 1=not important; 5=extremely important); indicators scoring ≥3 among >75% of panellists were then rated for agreement (5-point scale: 1=strongly disagree; 5=strongly agree). Indicators awarded an agreement score ≥4 by >67% of panellists achieved consensus. Finally, any panel-proposed refinements to consensus indicator definitions were adopted if >75% of panellists agreed.

resultsA panel of 21 expert clinicians from 15 countries provided information from which 83 possible current indicators of damage (kidney, 15; cardiac, 15; CNS/PNS, 13; other, 16; patient reported, 24) were compiled. Of 45 indicators meeting the importance criteria, consensus was reached for 29 and consolidated as 27 indicators (kidney, 6; cardiac, 10; CNS/PNS, 2; other, 6; patient reported, 3) including: (kidney) elevated albumin:creatinine ratio, histological damage, microalbuminuria; (cardiac) markers of early systolic/diastolic dysfunction, elevated serum cardiac troponin; (CNS/PNS) neuropathic pain, gastrointestinal symptoms suggestive of gastrointestinal neuropathy; (other) pain in extremities/neuropathy, angiokeratoma; (patient-reported) febrile crises, progression of symptoms/signs. Panellists revised and approved proposed chronologies of when the consensus indicators manifest. The panel response rate was >95% at all stages.

conclusionsPREDICT-FD captured global opinion regarding current clinical indicators that could prompt FD-specific treatment initiation earlier than is currently practised.

Indexed as

Fabry DiseaseDelphi TechniqueDisease ProgressionHumansSurveys and Questionnairescardiomyopathychronic renal failuregeneticsstroke medicine

Identifiers

PMID33039984
PMCPMC7549469
OpenAlexW3092096489

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.