Evidence map›Paper›PMID 35239206›Full record

ArticleEuropean journal of neurology2022

Clinico-genetic spectrum of limb-girdle muscular weakness in Austria: A multicentre cohort study.

Martin Krenn, Matthias Tomschik, Matias Wagner, Gudrun Zulehner, Rosa Weng, Jakob Rath, Sigrid Klotz, Ellen Gelpi, Gabriel Bsteh, Omar Keritam and 18 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in European journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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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

28 authors at 11 institutions in 5 countries.

Martin KrennDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-3026-3082
Matthias TomschikDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-6243-1178
Matias WagnerInstitute of Human Genetics, Technical University Munich, Munich, Germany.ORCID 0000-0002-4454-8823
Gudrun ZulehnerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Rosa WengDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Jakob RathDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-6581-4572
Sigrid KlotzDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0003-3096-2852
Ellen GelpiDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Gabriel BstehDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-0825-0851
Omar KeritamDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Isabella ColonnaDepartment of Neurology, Medical University of Graz, Graz, Austria.
Chiara PaternostroDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-5193-5234
Fiona JägerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Elisabeth Lindeck-PozzaDepartment of Neurology, Klinik Favoriten, Vienna, Austria.
Stephan IglsederDepartment of Neurology, KH der Barmherzigen Brüder, Linz, Austria.
Susanne GrinzingerDepartment of Neurology, Paracelsus Medical University of Salzburg, Salzburg, Austria.
Martina SchönfelderDepartment of Neurology, Klinikum Klagenfurt am Wörthersee, Klagenfurt, Austria.
Christina HohenwarterDepartment of Neurorehabilitation, Gailtal-Klinik, Hermagor, Austria.
Manfred FreimüllerDepartment of Neurorehabilitation, Gailtal-Klinik, Hermagor, Austria.
Norbert EmbacherDepartment of Neurology, University Hospital St. Pölten, St. Pölten, Austria.
Julia WanschitzDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-0207-9977
Raffi TopakianDepartment of Neurology, Klinikum Wels-Grieskirchen, Wels, Austria.
Ana TöpfJohn Walton Muscular Dystrophy Research Centre, Translational and Clinical Research Institute, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Volker StraubJohn Walton Muscular Dystrophy Research Centre, Translational and Clinical Research Institute, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Stefan QuasthoffDepartment of Neurology, Medical University of Graz, Graz, Austria.
Fritz ZimprichDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Wolfgang N LöscherDepartment of Neurology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-7593-3222
Hakan CetinDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-9009-7261
Medical University of Vienna · ATCenter for Neurorehabilitation Services · USInnsbruck Medical University · ATMedical University of Graz · ATNewcastle University · GBConvent Hospital of the Brothers of Saint John of God · ATHelmholtz Zentrum München · DEKlinikum Klagenfurt · ATKlinikum Wels-Grieskirchen · ATUniversitätsklinikum St. Pölten · ATUniversity of Salzburg · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeHereditary myopathies with limb-girdle muscular weakness (LGW) are a genetically heterogeneous group of disorders, in which molecular diagnosis remains challenging. Our aim was to present a detailed clinical and genetic characterization of a large cohort of patients with LGW.

methodsThis nationwide cohort study included patients with LGW suspected to be associated with hereditary myopathies. Parameters associated with specific genetic aetiologies were evaluated, and we further assessed how they predicted the detection of causative variants by conducting genetic analyses.

resultsMolecular diagnoses were identified in 62.0% (75/121) of the cohort, with a higher proportion of patients diagnosed by next-generation sequencing (NGS) than by single-gene testing (77.3% vs. 22.7% of solved cases). The median (interquartile range) time from onset to genetic diagnosis was 8.9 (3.7-19.9) and 17.8 (7.9-27.8) years for single-gene testing and NGS, respectively. The most common diagnoses were myopathies associated with variants in CAPN3 (n = 9), FKRP (n = 9), ANO5 (n = 8), DYSF (n = 8) and SGCA (n = 5), which together accounted for 32.2% of the cohort. Younger age at disease onset (p = 0.043), >10× elevated creatine kinase activity levels (p = 0.024) and myopathic electromyography findings (p = 0.007) were significantly associated with the detection of causative variants.

conclusionsOur findings suggest that an earlier use of NGS in patients with LGW is needed to avoid long diagnostic delays. We further present parameters predictive of a molecular diagnosis that may help to select patients for genetic analyses, especially in centres with limited access to sequencing.

Indexed as

Muscular DiseasesMuscular Dystrophies, Limb-GirdleAnoctaminsAustriaCohort StudiesHumansMuscle WeaknessMutationPentosyltransferasesANO5 protein, humanAnoctaminsFKRP protein, humanPentosyltransferasesAustrialimb-girdle muscular dystrophylimb-girdle muscular weaknessmyopathynext-generation sequencing

Identifiers

PMID35239206
PMCPMC9314602
OpenAlexW4214952171

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LicenceCC BY-NC-ND
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Registered trials

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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.