Evidence map›Paper›PMID 33305487›Full record

ReviewAnnals of the New York Academy of Sciences2021

Thiamine deficiency disorders: a clinical perspective.

Taryn J Smith, Casey R Johnson, Roshine Koshy, Sonja Y Hess, Umar A Qureshi, Mimi Lhamu Mynak, Philip R Fischer

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Annals of the New York Academy of Sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05480943 (Prevalence of Thiamine Deficiency in Hospitalized Non-Alcoholic Veterans), which is not on this map. Cited by 114 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 1 pooled it
6.4field-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.

NCT05480943 completednot on this mapstarted 2022, after this paper: background citation

Prevalence of Thiamine Deficiency in Hospitalized Non-Alcoholic Veterans

TypeobservationalSponsorVA Office of Research and DevelopmentRan2022 to 2024Enrolled206ConditionsThiamine Deficiency, Thiamine Deficiency, SequelaeArmsThiamine repletion
3 · Its place in the literature

Who cites it

114 citing papers in PubMed, 1 synthesis or guideline pooled it, 195 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Observational
  8. Micronutrient deficiencies in hepatic cirrhosis: Navigating challenges to assessment and implications for clinical management: A narrative review.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Thiamine Use in Hospitalized Patients: A Clinical Review.Journal of nutrition and metabolism · 2026
    Review

54 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

7 authors at 4 institutions in 2 countries.

Taryn J SmithInstitute for Global Nutrition, University of California Davis, Davis, California.ORCID 0000-0001-9543-6461
Casey R JohnsonPediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota.
Roshine KoshyMakunda Christian Leprosy and General Hospital, Karimganj, Assam, India.
Sonja Y HessInstitute for Global Nutrition, University of California Davis, Davis, California.
Umar A QureshiG.B. Pant Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India.
Mimi Lhamu MynakJigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.
Philip R FischerPediatric and Adolescent Medicine, Mayo Clinic, Rochester, Minnesota.
Mayo Clinic · USUniversity of California, Davis · USGovernment Medical College · INR. G. Kar Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thiamine is an essential water-soluble vitamin that plays an important role in energy metabolism. Thiamine deficiency presents many challenges to clinicians, in part due to the broad clinical spectrum, referred to as thiamine deficiency disorders (TDDs), affecting the metabolic, neurologic, cardiovascular, respiratory, gastrointestinal, and musculoskeletal systems. Concurrent illnesses and overlapping signs and symptoms with other disorders can further complicate this. As such, TDDs are frequently misdiagnosed and treatment opportunities missed, with fatal consequences or permanent neurologic sequelae. In the absence of specific diagnostic tests, a low threshold of clinical suspicion and early therapeutic thiamine is currently the best approach. Even in severe cases, rapid clinical improvement can occur within hours or days, with neurological involvement possibly requiring higher doses and a longer recovery time. Active research aims to help better identify patients with thiamine-responsive disorders and future research is needed to determine effective dosing regimens for the various clinical presentations of TDDs. Understanding the clinical diagnosis and global burden of thiamine deficiency will help to implement national surveillance and population-level prevention programs, with education to sensitize clinicians to TDDs. With concerted effort, the morbidity and mortality related to thiamine deficiency can be reduced.

Indexed as

Age FactorsBeriberiCombined Modality TherapyDiagnosis, DifferentialDisease ManagementDisease Transmission, InfectiousHumansOrgan SpecificityPopulation SurveillanceSymptom AssessmentThiamineThiamine DeficiencyThiamineberibericardiomyopathyencephalopathymalnutritionvitamin B1

Identifiers

PMID33305487
PMCPMC8451766
OpenAlexW3113087825

What OpenQuestion holds

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LicenceCC BY
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.