Evidence map›Paper›PMID 34836082›Full record

ReviewNutrients2021

Glycogen Storage Disease Type Ia: Current Management Options, Burden and Unmet Needs.

Terry G J Derks, David F Rodriguez-Buritica, Ayesha Ahmad, Foekje de Boer, María L Couce, Sarah C Grünert, Philippe Labrune, Nerea López Maldonado, Carolina Fischinger Moura de Souza, Rebecca Riba-Wolman and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
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  4. Towards mRNA therapeutics 2.0.Nature reviews. Drug discovery · 2026
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  7. Review
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  9. A National Overview of Nutritional Care in Diet-Treated Inborn Errors of Metabolism in Brazil.International journal of environmental research and public health · 2026
    Article
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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

15 authors at 11 institutions in 8 countries.

Terry G J DerksDivision of Metabolic Diseases, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands.ORCID 0000-0002-7259-1095
David F Rodriguez-BuriticaDepartment of Pediatrics, Division of Medical Genetics, McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth Houston) and Children's Memorial Hermann Hospital, Houston, TX 77030, USA.
Ayesha AhmadDepartment of Pediatrics, Division of Pediatric Genetics, Metabolism and Genomic Medicine, University of Michigan, Ann Arbor, MI 48109, USA.
Foekje de BoerDivision of Metabolic Diseases, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands.
María L CouceIDIS, CIBERER, MetabERN, University Clinical Hospital of Santiago de Compostela, 15706 Santiago de Compostela, Spain.ORCID 0000-0003-4861-9905
Sarah C GrünertDepartment of General Pediatrics, Adolescent Medicine and Neonatology, Faculty of Medicine, Medical Center-University of Freiburg, 79106 Freiburg, Germany.ORCID 0000-0001-5986-0468
Philippe LabruneAPHP, Université Paris-Saclay, Hôpital Antoine-Béclère, 92140 Clamart, France.
Nerea López MaldonadoPiera Health Center, Catalan Institute of Health, 08007 Barcelona, Spain.ORCID 0000-0002-4730-7750
Carolina Fischinger Moura de SouzaMedical Genetics Service, HCPA, Porto Alegre 90035-903, Brazil.
Rebecca Riba-WolmanConnecticut Children's Medical Center, Department of Pediatrics, Division of Endocrinology, University of Connecticut, Farmington, CT 06032, USA.
Alessandro RossiDivision of Metabolic Diseases, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, 9700 RB Groningen, The Netherlands.ORCID 0000-0002-1689-4948
Heather SaavedraDepartment of Pediatrics, Division of Medical Genetics, McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth Houston) and Children's Memorial Hermann Hospital, Houston, TX 77030, USA.ORCID 0000-0002-1169-7072
Rupal Naik GuptaUltragenyx Pharmaceutical Inc., Novato, CA 94949, USA.
Vassili ValayannopoulosUltragenyx Pharmaceutical Inc., Novato, CA 94949, USA.
John MitchellDepartment of Pediatrics, Division of Pediatric Endocrinology, Montreal Children's Hospital, McGill University Health Center, Montreal, QC H4A 3J1, Canada.
University Medical Center Groningen · NLMemorial Hermann · USUltragenyx Pharmaceutical (United States) · USCentre for Biomedical Network Research on Rare Diseases · ESInserm · FRMontreal Children's Hospital · CANational Institute on Population Medical Genetics · BRUniversitat Autònoma de Barcelona · ESUniversity of Connecticut · USUniversity of Freiburg · DEUniversity of Michigan · US

Funding

Ultragenyx Pharmaceutical (United States) Not applicable
6 · The paper itself

Abstract

Glycogen storage disease type Ia (GSDIa) is caused by defective glucose-6-phosphatase, a key enzyme in carbohydrate metabolism. Affected individuals cannot release glucose during fasting and accumulate excess glycogen and fat in the liver and kidney, putting them at risk of severe hypoglycaemia and secondary metabolic perturbations. Good glycaemic/metabolic control through strict dietary treatment and regular doses of uncooked cornstarch (UCCS) is essential for preventing hypoglycaemia and long-term complications. Dietary treatment has improved the prognosis for patients with GSDIa; however, the disease itself, its management and monitoring have significant physical, psychological and psychosocial burden on individuals and parents/caregivers. Hypoglycaemia risk persists if a single dose of UCCS is delayed/missed or in cases of gastrointestinal intolerance. UCCS therapy is imprecise, does not treat the cause of disease, may trigger secondary metabolic manifestations and may not prevent long-term complications. We review the importance of and challenges associated with achieving good glycaemic/metabolic control in individuals with GSDIa and how this should be balanced with age-specific psychosocial development towards independence, management of anxiety and preservation of quality of life (QoL). The unmet need for treatment strategies that address the cause of disease, restore glucose homeostasis, reduce the risk of hypoglycaemia/secondary metabolic perturbations and improve QoL is also discussed.

Indexed as

Disease ManagementCost of IllnessGlycemic ControlGlycogen Storage Disease Type IHealth Services Needs and DemandHumansHypoglycemiaKidneyLiverStarchStarchburden of diseasedietary treatmentglycogen storage disease type Ialong-term complicationsquality of lifeuncooked cornstarchunmet need

Identifiers

PMID34836082
PMCPMC8621617
OpenAlexW3209947822

What OpenQuestion holds

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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.