Evidence map›Paper›PMID 35183224›Full record

ReviewOrphanet journal of rare diseases2022

Congenital hyperinsulinism in infancy and childhood: challenges, unmet needs and the perspective of patients and families.

Indraneel Banerjee, Julie Raskin, Jean-Baptiste Arnoux, Diva D De Leon, Stuart A Weinzimer, Mette Hammer, David M Kendall, Paul S Thornton

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Orphanet journal of rare diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
7.3field-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

39 citing papers in PubMed, 54 citations in OpenAlex.

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  7. [Exercise-induced hyperinsulinism: genetic basis and clinical management].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Indraneel BanerjeeDepartment of Paediatric Endocrinology, Royal Manchester Children's Hospital, Oxford Road, Manchester, M13 9WL, UK. indi.banerjee@manchester.ac.uk.ORCID http://orcid.org/0000-0003-4280-7470
Julie RaskinCongenital Hyperinsulinism International, Glen Ridge, NJ, USA.
Jean-Baptiste ArnouxReference Center for Inherited Metabolic Diseases, Necker-Enfants Malades Hospital, Assistance Publique Hôpitaux de Paris, Paris, France.
Diva D De LeonDivision of Endocrinology and Diabetes, Department of Pediatrics, The Children's Hospital of Philadelphia and the Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Stuart A WeinzimerDepartment of Pediatrics, Yale University School of Medicine, New Haven, CT, USA.
Mette HammerZealand Pharma A/S, Søborg, Denmark.
David M KendallZealand Pharma A/S, Søborg, Denmark.
Paul S ThorntonCongenital Hyperinsulinism Center, Cook Children's Medical Center, Fort Worth, TX, USA.
Zealand Pharma (Denmark) · DKChildren's Hospital of Philadelphia · USCook Children's Medical Center · USHôpital Necker-Enfants Malades · FRRoyal Manchester Children's Hospital · GBYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold, GERALD I SHULMAN · 1993 to 2026
$44.0M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS P30 DK045735
6 · The paper itself

Abstract

backgroundCongenital hyperinsulinism (CHI) is the most common cause of persistent hypoglycemia in infants and children, and carries a considerable risk of neurological damage and developmental delays if diagnosis and treatment are delayed. Despite rapid advances in diagnosis and management, long-term developmental outcomes have not significantly improved in the past years. CHI remains a disease that is associated with significant morbidity, and psychosocial and financial burden for affected families, especially concerning the need for constant blood glucose monitoring throughout patients' lives.

resultsIn this review, we discuss the key clinical challenges and unmet needs, and present insights on patients' and families' perspective on their daily life with CHI. Prevention of neurocognitive impairment and successful management of patients with CHI largely depend on early diagnosis and effective treatment by a multidisciplinary team of specialists with experience in the disease.

conclusionsTo ensure the best outcomes for patients and their families, improvements in effective screening and treatment, and accelerated referral to specialized centers need to be implemented. There is a need to develop a wider range of centers of excellence and networks of specialized care to optimize the best outcomes both for patients and for clinicians. Awareness of the presentation and the risks of CHI has to be raised across all professions involved in the care of newborns and infants. For many patients, the limited treatment options currently available are insufficient to manage the disease effectively, and they are associated with a range of adverse events. New therapies would benefit all patients, even those that are relatively stable on current treatments, by reducing the need for constant blood glucose monitoring and facilitating a personalized approach to treatment.

Indexed as

Congenital HyperinsulinismHyperinsulinismBlood GlucoseBlood Glucose Self-MonitoringChildHumansInfantInfant, NewbornMonitoring, PhysiologicBlood GlucoseCaregiver burdenChallengesCongenital hyperinsulinismHypoglycemiaUnmet needs

Identifiers

PMID35183224
PMCPMC8858501
OpenAlexW4213332437

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.