Evidence map›Paper›PMID 35290391›Full record

SynthesisPloS one2022

The natural history of ataxia-telangiectasia (A-T): A systematic review.

Emily Petley, Alexander Yule, Shaun Alexander, Shalini Ojha, William P Whitehouse

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Spectrum of Hereditary Ataxia in Omani Children.Journal of clinical medicine · 2026
    Article
  5. Article
  6. Ophthalmic and Oculomotor Characteristics in Ataxia-Telangiectasia: A Clinical Cohort Study using Video-Oculography.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2026
    Article
  7. Article
  8. Ophthalmic screening in phakomatoses.Frontiers in cell and developmental biology · 2026
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. MRI and Biomarkers in Early Detection of Pulmonary Changes in Ataxia-Telangiectasia.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Update on Recommendations for Cancer Screening and Surveillance in Children with Genomic Instability Disorders.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Review
  19. Review
  20. 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 3 institutions in 1 country.

Emily PetleySchool of Medicine, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0003-2388-3793
Alexander YuleUnited Lincolnshire Hospitals NHS Trust, Lincoln, United Kingdom.
Shaun AlexanderSchool of Medicine, University of Nottingham, Nottingham, United Kingdom.
Shalini OjhaSchool of Medicine, University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0001-5668-4227
William P WhitehouseSchool of Medicine, University of Nottingham, Nottingham, United Kingdom.
University of Nottingham · GBNottingham University Hospitals NHS Trust · GBUnited Lincolnshire Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtaxia-telangiectasia is an autosomal recessive, multi-system, and life-shortening disease caused by mutations in the ataxia-telangiectasia mutated gene. Although widely reported, there are no studies that give a comprehensive picture of this intriguing condition.

objectivesUnderstand the natural history of ataxia-telangiectasia (A-T), as reported in scientific literature. SEARCH

methods107 search terms were identified and divided into 17 searches. Each search was performed in PubMed, Ovid SP (MEDLINE) 1946-present, OVID EMBASE 1980 -present, Web of Science core collection, Elsevier Scopus, and Cochrane Library. SELECTION CRITERIA: All human studies that report any aspect of A-T. DATA COLLECTION AND ANALYSIS: Search results were de-duplicated, data extracted (including author, publication year, country of origin, study design, population, participant characteristics, and clinical features). Quality of case-control and cohort studies was assessed by the Newcastle-Ottawa tool. Findings are reported descriptively and where possible data collated to report median (interquartile range, range) of outcomes of interest. MAIN

results1314 cases reported 2134 presenting symptoms. The most common presenting symptom was abnormal gait (1160 cases; 188 studies) followed by recurrent infections in classical ataxia-telangiectasia and movement disorders in variant ataxia-telangiectasia. 687 cases reported 752 causes of death among which malignancy was the most frequently reported cause. Median (IQR, range) age of death (n = 294) was 14 years 0 months (10 years 0 months to 23 years 3 months, 1 year 3 months to 76 years 0 months).

conclusionsThis review demonstrates the multi-system involvement in A-T, confirms that neurological symptoms are the most frequent presenting features in classical A-T but variants have diverse manifestations. We found that most individuals with A-T have life limited to teenage or early adulthood. Predominance of case reports, and case series demonstrate the lack of robust evidence to determine the natural history of A-T. We recommend population-based studies to fill this evidence gap.

Indexed as

Ataxia TelangiectasiaMovement DisordersAdolescentAdultAtaxia Telangiectasia Mutated ProteinsCohort StudiesHumansMutationAtaxia Telangiectasia Mutated Proteins

Identifiers

PMID35290391
PMCPMC9049793
OpenAlexW4220848570

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.