Evidence map›Paper›PMID 33948157›Full record

ArticleTherapeutic advances in chronic disease2021

Tolvaptan treatment in an adult Fontan patient with protein-losing enteropathy: a serial

Julia Moosmann, Okan Toka, Peter Linz, Anke Dahlmann, Armin M Nagel, Mario Schiffer, Michael Uder, Robert Cesnjevar, Sven Dittrich, Christoph Kopp

Open access · goldAbstract readCase Reports
In one paragraph

Article in Therapeutic advances in chronic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 1 country.

Julia MoosmannDepartment of Paediatric Cardiology, Friedrich-Alexander University of Erlangen-Nürnberg, Loschgestraße 15, Erlangen, 91054, Germany.ORCID https://orcid.org/0000-0002-8843-7084
Okan TokaPaediatric and Adolescent Practice, Fürth, Germany.
Peter LinzDepartment of Radiology, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Bayern, Erlangen, Germany/Department of Nephrology and Hypertension, Friedrich-Alexander University of Erlangen, Erlangen, Germany.
Anke DahlmannDepartment of Nephrology and Hypertension, Friedrich-Alexander University of Erlangen, Erlangen, Germany.
Armin M NagelDepartment of Radiology, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany.
Mario SchifferDepartment of Nephrology and Hypertension, Friedrich-Alexander University of Erlangen, Erlangen, Germany.
Michael UderDepartment of Radiology, Friedrich-Alexander University of Erlangen-Nürnberg, Erlangen, Germany.
Robert CesnjevarDepartment of Paediatric Cardiac Surgery, Friedrich-Alexander University of Erlangen, Erlangen, Germany.
Sven DittrichDepartment of Paediatric Cardiology, Friedrich-Alexander University of Erlangen-Nürnberg, Germany.
Christoph KoppDepartment of Nephrology and Hypertension, Friedrich-Alexander University of Erlangen, Erlangen, Germany.
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEKlinikum Fürth · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProtein-losing enteropathy (PLE) is a severe complication of the univentricular Fontan circulation and associated with disturbances in salt and water homeostasis. Fontan patients with PLE have a poor prognosis, with increased morbidity and mortality. Due to limited therapeutic strategies, patients are often treated only symptomatically.

methodsWe report our first experience of Tolvaptan (TLV) treatment in a Fontan patient with PLE, severe volume retention and hyponatraemia, refractory to conventional diuretic therapy. In addition to clinical parameters, we monitored drug effects including tissue sodium and volume status

results

conclusionTLV in addition to loop diuretics improved clinical symptoms of PLE and lowered tissue sodium overload. Long-term effects should be further evaluated in Fontan patients.

Indexed as

23Na-MRICongenital heart diseaseFontanRAASTolvaptan

Identifiers

PMID33948157
PMCPMC8053834
OpenAlexW3156858220

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.