Evidence map›Paper›PMID 33137944›Full record

ArticleNutrients2020

Dietary Management, Clinical Status and Outcome of Patients with Citrin Deficiency in the UK.

Alex Pinto, Catherine Ashmore, Spyros Batzios, Anne Daly, Charlotte Dawson, Marjorie Dixon, Sharon Evans, Diane Green, Joanna Gribben, Inderdip Hunjan and 12 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

19 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Citrin deficiency-The East-side story.Journal of inherited metabolic disease · 2024
    Review
  8. Review
  9. The therapeutic landscape of citrin deficiency.Journal of inherited metabolic disease · 2024
    Review
  10. Article
  11. [Full-cycle, multidisciplinary and systematic management of citrin deficiency].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2024
    Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Physical and neuropsychological development of children with Citrin deficiency.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021
    Article
  17. Article
  18. Review
  19. 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

22 authors at 10 institutions in 2 countries.

Alex PintoBirmingham Women's and Children's Hospital, Birmingham B4 6NH, UK.
Catherine AshmoreBirmingham Women's and Children's Hospital, Birmingham B4 6NH, UK.
Spyros BatziosGreat Ormond Street Hospital for children, NHS Foundation Trust, London WC1N 3JH, UK.ORCID 0000-0001-8535-9773
Anne DalyBirmingham Women's and Children's Hospital, Birmingham B4 6NH, UK.ORCID 0000-0003-2579-8699
Charlotte DawsonUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.
Marjorie DixonGreat Ormond Street Hospital for children, NHS Foundation Trust, London WC1N 3JH, UK.
Sharon EvansBirmingham Women's and Children's Hospital, Birmingham B4 6NH, UK.ORCID 0000-0002-7654-3621
Diane GreenSalford Royal NHS Foundation Trust, Manchester M6 8HD, UK.
Joanna GribbenEvelina London Children's Hospital, London SE1 7EH, UK.
Inderdip HunjanBradford Teaching Hospitals NHS Foundation Trust, Bradford BD9 6RJ, UK.
Elisabeth JamesonManchester University NHS Foundation Trust, Manchester M13 9WL, UK.
Camille NewbyBristol Royal Hospital for Children, Bristol BS2 8BJ, UK.
Germaine PierreBristol Royal Hospital for Children, Bristol BS2 8BJ, UK.
Sanjay RajwalLeeds Children's Hospital, Leeds LS1 3EX, UK.
Louise RobertsonUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.
Si SantraBirmingham Women's and Children's Hospital, Birmingham B4 6NH, UK.
Mark SharrardSheffield Children's NHS Foundation Trust, Sheffield S10 2TH, UK.
Roshni VaraEvelina London Children's Hospital, London SE1 7EH, UK.
Lucy WhiteSheffield Children's NHS Foundation Trust, Sheffield S10 2TH, UK.
Gisela WilcoxSalford Royal NHS Foundation Trust, Manchester M6 8HD, UK.
Ozlem YilmazBirmingham Women's and Children's Hospital, Birmingham B4 6NH, UK.
Anita MacDonaldBirmingham Women's and Children's Hospital, Birmingham B4 6NH, UK.
Birmingham Children's Hospital · GBBristol Royal Hospital for Children · GBEvelina London Children's Healthcare · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBSalford Royal NHS Foundation Trust · GBSheffield Children's NHS Foundation Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBBradford Teaching Hospitals NHS Foundation Trust · GBLeeds Teaching Hospitals NHS Trust · GBManchester University NHS Foundation Trust · GB

Funding

undefined <span style="color:gray;font-size:10px;">undefined</span> British Inherited Metabolic Disorders Group summer studentship grant
6 · The paper itself

Abstract

backgroundLittle is known about the optimal dietary treatment for citrin deficiency. Our aim is to describe the management of UK citrin deficiency patients.

methodsA longitudinal retrospective review was performed. Data were collected from medical records on presenting signs and symptoms, dietary management and clinical outcome.

resultsdata were collected on 32 patients from 21 families. 50% were females (16/32). Median age at diagnosis was 4 y (5 days-35 y) with 12 patients diagnosed in the neonatal period with neonatal intrahepatic cholestasis (NICCD), eight later in childhood (FTTDCD) and 12 by family screening based on index cases from five families. No patient had adult-onset type II citrullinemia. The patient age at the time of data collection was a median of 11 y (1-44 y). 91% (29/32) of patients had normal physical and neurological development, 47% (15/32) experienced recurrent unexplained abdominal pain and 9% (3/32) episodes of hypoglycaemia. Siblings had different phenotypes (5 families had > 1 affected patient). Most patients preferred high protein foods, limiting sugar-containing foods. Only 41% (13/32) were prescribed a low CHO, high protein, high fat diet (restriction varied) and two used medium chain triglyceride (MCT) supplements. No patient was prescribed drug therapy. Twenty-five per cent (8/32) of patients were underweight and 41% (13/32) had height <-1 z-scores.

conclusionspatients presented with various phenotypes, symptoms and suboptimal growth. Symptoms and biochemical markers improved with age, but height remained low in some. More research is necessary to assess the effectiveness of dietary approaches in improving clinical outcomes and symptoms in citrin deficiency.

Indexed as

Dietary SupplementsHealth StatusAdolescentAdultBiomarkersChildChild, PreschoolCitrullinemiaDiet, High-FatDiet, High-Protein Low-CarbohydrateFemaleHumansInfantLongitudinal StudiesMalePhenotypeBiomarkersTriglyceridescitrin deficiencyclinical statusdietary managementFTTDCDNICCDoutcomes

Identifiers

PMID33137944
PMCPMC7693899
OpenAlexW3097600253

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.