Evidence map›Paper›PMID 34718217›Full record

ArticleThe journal of allergy and clinical immunology. In practice2022

Trends in Pediatric Primary Immunodeficiency: Incidence, Utilization, Transplantation, and Mortality.

Taylor Eddens, Molly Mack, Meghan McCormick, Hey Chong, Ramasubramanian Kalpatthi

Open access · greenAbstract read
In one paragraph

Article in The journal of allergy and clinical immunology. In practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Exploring the long-term psychosocial impact of paediatric haematopoietic stem cell transplantation for nonmalignant diseases.Health expectations : an international journal of public participation in health care and health policy · 2022
    Article
  5. 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

5 authors at 1 institution in 1 country.

Taylor EddensPediatric Scientist Development Program, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa; Department of Allergy and Immunology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa. Electronic address: eddenstj@upmc.edu.
Molly MackPediatric Residency Program, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.
Meghan McCormickDepartment of Hematology and Oncology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.
Hey ChongDepartment of Allergy and Immunology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.
Ramasubramanian KalpatthiDepartment of Hematology and Oncology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.
Children's Hospital of Pittsburgh · US

Funding

Pediatric Scientist Development Program (PSDP) [K12]K12HD000850 · NICHD · YALE UNIVERSITY · PI Sallie R. Permar · 1987 to 2026
$44.1M
NICHD NIH HHS K12 HD000850
6 · The paper itself

Abstract

backgroundPrimary immunodeficiency disorders (PIDDs) describe a myriad of diseases caused by inherited defects within the immune system. As the number of identified genetic defects associated with PIDDs increases, understanding the incidence and outcomes of PIDD patients becomes imperative.

objectiveTo characterize the frequency of new diagnoses, patterns of health care utilization, rates of hematopoietic stem cell transplantation (HSCT), and mortality in pediatric patients with PIDDs.

methodsA retrospective cohort analysis of the Pediatric Health Information System database from 2004 to 2018 for pediatric inpatients with an International Classification of Diseases, Ninth and 10th Revisions (ICD-9/ICD-10). code associated with PIDD.

resultsA total of 17,234 patients with a PIDD were hospitalized from 2004 to 2018. There were 2.8 new PIDD diagnoses and 6.3 PIDD hospitalizations per 1,000 discharges; these metrics were unchanged during the study period. The number of new diagnoses for B-cell and antibody defects significantly increased over time. The number of new PIDD diagnoses significantly increased in adolescents or adults and decreased in infants. T-cell disorders had the highest number of intensive care unit admissions. There were 747 PIDD patients who underwent HSCT; complications of HSCT significantly decreased over time. Mortality rates significantly decreased in all PIDD patients and in patients receiving HSCT.

conclusionsThe total hospitalizations and incidence of PIDDs within the hospitalized pediatric population were unchanged. There were significant changes in the class of PIDD diagnosed, the age at diagnosis, and health care utilization metrics. Mortality significantly decreased over time within the PIDD cohort.

Indexed as

Hematopoietic Stem Cell TransplantationPrimary Immunodeficiency DiseasesAdolescentChildCohort StudiesHumansIncidenceRetrospective StudiesHematopoietic stem cell transplantMortalityPediatricsPrimary immunodeficiency

Identifiers

PMID34718217
PMCPMC8961698
OpenAlexW3210523487

What OpenQuestion holds

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LicenceTDM
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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.