Evidence map›Paper›PMID 33478565›Full record

ArticleItalian journal of pediatrics2021

Aromatic L-amino Acid Decarboxylase (AADC) deficiency: results from an Italian modified Delphi consensus.

Carlo Fusco, Vincenzo Leuzzi, Pasquale Striano, Roberta Battini, Alberto Burlina, Delphi panel experts’ group, Carlotta Spagnoli

Abstract readConsensus Statement
In one paragraph

Article in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

7 authors.

Carlo FuscoChild Neurology and Psychiatric Unit-Presidio Ospedaliero Santa Maria Nuova -AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy. fusco.carlo@ausl.re.it.ORCID http://orcid.org/0000-0001-9321-0952
Vincenzo LeuzziDepartment of Paediatric Neuropsychiatry, Università La Sapienza, Rome, Italy.
Pasquale StrianoPaediatric Neurology and Muscular Diseases Unit, IRCCS Istituto G. Gaslini, Genoa, Italy.
Roberta BattiniDepartment of Developmental Neuroscience, Scientific Institute for Child and Adolescent Neuropsychiatry - IRCCS Stella Maris Foundation, Pisa, Italy.
Alberto BurlinaDivision of Inborn Metabolic Disease, Department of Pediatrics, University Hospital Padua, Padova, Italy.
Delphi panel experts’ group
Carlotta SpagnoliChild Neurology and Psychiatric Unit-Presidio Ospedaliero Santa Maria Nuova -AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAromatic L-amino acid decarboxylase (AADC) deficiency is a rare and underdiagnosed neurometabolic disorder resulting in a complex neurological and non-neurological phenotype, posing diagnostic challenges resulting in diagnostic delay. Due to the low number of patients, gathering high-quality scientific evidence on diagnosis and treatment is difficult. Additionally, based on the estimated prevalence, the number of undiagnosed patients is likely to be high.

methodsItalian experts in AADC deficiency formed a steering committee to engage clinicians in a modified Delphi consensus to promote discussion, and support research, dissemination and awareness on this disorder. Five experts in the field elaborated six main topics, each subdivided into 4 statements and invited 13 clinicians to give their anonymous feedback.

results100% of the statements were answered and a consensus was reached at the first round. This enabled the steering committee to acknowledge high rates of agreement between experts on clinical presentation, phenotypes, diagnostic work-up and treatment strategies. A research gap was identified in the lack of standardized cognitive and motor outcome data. The need for setting up an Italian working group and a patients' association, together with the dissemination of knowledge inside and outside scientific societies in multiple medical disciplines were recognized as critical lines of intervention.

conclusionsThe panel expressed consensus with high rates of agreement on a series of statements paving the way to disseminate clear messages concerning disease presentation, diagnosis and treatment and strategic interventions to disseminate knowledge at different levels. Future lines of research were also identified.

Indexed as

Amino Acid Metabolism, Inborn ErrorsAromatic-L-Amino-Acid DecarboxylasesChildDelphi TechniqueFemaleHumansItalyMalePhenotypeAromatic-L-Amino-Acid DecarboxylasesAADC deficiencyAromatic L-amino acid decarboxylase deficiencyDelphi consensusDelphi methodMetabolic diseaseNeurometabolic disorder

Identifiers

PMID33478565
PMCPMC7819234

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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.