Evidence map›Paper›PMID 35042231›Full record

ArticleBlood advances2022

Benefits of newborn screening and hematopoietic cell transplant in infantile Krabbe disease.

Kristin M Page, Margie A Ream, Hemalatha G Rangarajan, Rafael Galindo, Ali Y Mian, Mai-Lan Ho, James Provenzale, Kathryn E Gustafson, Jennifer Rubin, Shalini Shenoy and 1 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

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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

11 authors at 4 institutions in 1 country.

Kristin M PageDivision of Pediatric Transplant and Cellular Therapy, Duke University, Durham, NC.ORCID 0000-0001-9670-8828
Margie A ReamDivision of Pediatric Neurology, Nationwide Children's Hospital, Columbus, OH.
Hemalatha G RangarajanDivision of Pediatric Hematology, Oncology, Blood and Marrow Transplant, Nationwide Children's Hospital, Columbus, OH.ORCID 0000-0003-3371-2920
Rafael GalindoDepartment of Pediatric and Developmental Neurology, Washington University in St. Louis, St. Louis, MO.
Ali Y MianMallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, MO.ORCID 0000-0002-0675-2719
Mai-Lan HoDepartment of Radiology, Nationwide Children's Hospital, Columbus, OH.ORCID 0000-0002-9455-1350
James ProvenzaleDepartment of Radiology, Duke University School of Medicine, Durham, NC.
Kathryn E GustafsonDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC.
Jennifer RubinDepartment of Pediatric Neurology, Ann & Robert H. Lurie Children's Hospital, Chicago, IL.ORCID 0000-0001-5594-3389
Shalini ShenoyDivision of Pediatric Hematology Oncology, Washington University School of Medicine, St. Louis, MO; and.
Joanne KurtzbergDivision of Pediatric Transplant and Cellular Therapy, Duke University, Durham, NC.ORCID 0000-0002-3370-0703
Duke University · USNationwide Children's Hospital · USWashington University in St. Louis · USLurie Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infantile Krabbe disease (IKD) can be treated with hematopoietic cell transplantation (HCT) if done during the first weeks of life before symptoms develop. To facilitate this, newborn screening (NBS) has been instituted in 8 US states. An application to add IKD to the recommended NBS panel is currently under review. In this report, the outcomes of newborns with IKD diagnosed through NBS and treated with HCT are presented. The unique challenges associated with NBS for this disease are discussed, including opportunities for earlier diagnosis and streamlining treatment referrals. This is a retrospective review of six infants with IKD detected by NBS who were referred for HCT. The timing from diagnosis to HCT was examined, and both HCT and neurodevelopmental outcomes are described. Neurologic testing before HCT revealed evidence of active IKD in all infants. All underwent HCT between 24 and 40 days of age, were successfully engrafted, and are alive 30 to 58 months later (median, 47.5 months). All are gaining developmental milestones albeit at a slower pace than unaffected age-matched peers. Gross motor function is most notably affected. NBS for these patients enabled early access to HCT, the only currently available treatment of infants with IKD. All children are alive and have derived developmental and neurologic benefits from timely HCT. Long-term follow up is ongoing. Optimization of HCT and further development of emerging therapies, all of which must be delivered early in life, are expected to further improve outcomes of infants with IKD.

Indexed as

Hematopoietic Stem Cell TransplantationLeukodystrophy, Globoid CellChildChild, PreschoolHumansInfantInfant, NewbornLongitudinal StudiesNeonatal Screening

Identifiers

PMID35042231
PMCPMC9092415
OpenAlexW4206694499

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.