Evidence map›Paper›PMID 35911905›Full record

ArticleFrontiers in neurology2022

Assessment and Diagnosis of Down Syndrome Regression Disorder: International Expert Consensus.

Jonathan D Santoro, Lina Patel, Ryan Kammeyer, Robyn A Filipink, Grace Y Gombolay, Kathleen M Cardinale, Diego Real de Asua, Shahid Zaman, Stephanie L Santoro, Sammer M Marzouk and 21 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
10.2field-weighted citation impact, top 1% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Genetics of catatonia: a systematic review of case reports and a gene pathway analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Journal of child and adolescent psychopharmacology · 2026
    Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Article
  19. Article
  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

31 authors at 20 institutions in 4 countries.

Jonathan D SantoroDepartment of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, United States.
Lina PatelDepartment of Psychiatry, University of Colorado School of Medicine, Denver, CO, United States.
Ryan KammeyerDepartment of Neurology, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
Robyn A FilipinkDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Grace Y GombolayDepartment of Pediatrics, Division of Neurology, Emory University and Children's Healthcare of Atlanta, Atlanta, GA, United States.
Kathleen M CardinaleDepartment of Neurology, Yale University School of Medicine, New Haven, CT, United States.
Diego Real de AsuaAdult Down Syndrome Outpatient Clinic, Department of Internal Medicine, Fundación de Investigación Biomédica, Hospital Universitario de La Princesa, Madrid, Spain.
Shahid ZamanCambridge Intellectual & Developmental Disabilities Research Group, Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.
Stephanie L SantoroDown Syndrome Program, Division of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Boston, MA, United States.
Sammer M MarzoukDown Syndrome Program, Division of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Boston, MA, United States.
Mellad KhoshnoodDepartment of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, United States.
Benjamin N VogelDepartment of Neurology, Keck School of Medicine at USC, Los Angeles, CA, United States.
Runi TannaDepartment of Neurology, Keck School of Medicine at USC, Los Angeles, CA, United States.
Dania PagarkarDepartment of Neurology, Keck School of Medicine at USC, Los Angeles, CA, United States.
Sofia DhananiDepartment of Neurology, Keck School of Medicine at USC, Los Angeles, CA, United States.
Maria Del Carmen OrtegaDepartment of Psychiatry, Clinica Universidad de Navarra, Madrid, Spain.
Rebecca PartridgeVirginia Mason Health System, Issaquah, WA, United States.
Maria A StanleyDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States.
Jessica S SandersSie Center for Down Syndrome at the University of Colorado, Aurora, CO, United States.
Alison ChristyProvidence Health System, Portland, OR, United States.
Elise M SannarDepartment of Psychiatry, University of Colorado School of Medicine, Denver, CO, United States.
Ruth BrownDepartment of Psychology, Virginia Commonwealth University, Richmond, VA, United States.
Andrew A McCormickDepartment of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States.
Heather Van MaterDivision of Rheumatology, Department of Pediatrics, Duke University, Durham, NC, United States.
Cathy FranklinQueensland Center for Intellectual and Developmental Disability, Mater Research Institute, The University of Queensland, South Brisbane, QLD, Australia.
Gordon WorleyDivision of Pediatric Neurology and Developmental Medicine, Department of Pediatrics, Duke University School of Medicine, Durham, NC, United States.
Eileen A QuinnDepartment of Pediatrics, University of Toledo College of Medicine and Life Sciences, Toledo, OH, United States.
George T CaponeDepartment of Pediatrics, Kennedy Krieger Institute, Baltimore, MD, United States.
Brian ChicoineAdvocate Medical Group Adult Down Syndrome Center, Park Ridge, IL, United States.
Brian G SkotkoDown Syndrome Program, Division of Medical Genetics and Metabolism, Department of Pediatrics, Massachusetts General Hospital, Boston, MA, United States.
Michael S RafiiDepartment of Neurology, Keck School of Medicine at USC, Los Angeles, CA, United States.
Keck Hospital of USC · USMassachusetts General Hospital · USChildren's Hospital of Los Angeles · USDuke University · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Pittsburgh · USAdvocate Health Care · USChildren's Hospital Colorado · USClinica Universidad de Navarra · ESEmory University · USHospital Universitario de La Princesa · ESJohns Hopkins University · USMater Research · AUProvidence College · USUniversity of Cambridge · GBUniversity of Colorado Denver · USUniversity of Southern California · USUniversity of Toledo · USUniversity of Wisconsin–Madison · USVirginia Commonwealth University · US

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
Impact of COVID-19 on the Mental Health of People with Down SyndromeK08HD092610 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI BROWN, RUTH C · 2018 to 2022
$926k
NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378NIA NIH HHS U54 AG062334NICHD NIH HHS K08 HD092610
6 · The paper itself

Abstract

Objective: To develop standardization for nomenclature, diagnostic work up and diagnostic criteria for cases of neurocognitive regression in Down syndrome. Background: There are no consensus criteria for the evaluation or diagnosis of neurocognitive regression in persons with Down syndrome. As such, previously published data on this condition is relegated to smaller case series with heterogenous data sets. Lack of standardized assessment tools has slowed research in this clinical area. Methods: The authors performed a two-round traditional Delphi method survey of an international group of clinicians with experience in treating Down syndrome to develop a standardized approach to clinical care and research in this area. Thirty-eight potential panelists who had either previously published on neurocognitive regression in Down syndrome or were involved in national or international working groups on this condition were invited to participate. In total, 27 panelists (71%) represented nine medical specialties and six different countries reached agreement on preliminary standards in this disease area. Moderators developed a proposed nomenclature, diagnostic work up and diagnostic criteria based on previously published reports of regression in persons with Down syndrome. Results: During the first round of survey, agreement on nomenclature for the condition was reached with 78% of panelists agreeing to use the term Down Syndrome Regression Disorder (DSRD). Agreement on diagnostic work up and diagnostic criteria was not reach on the first round due to low agreement amongst panelists with regards to the need for neurodiagnostic testing. Following incorporation of panelist feedback, diagnostic criteria were agreed upon (96% agreement on neuroimaging, 100% agreement on bloodwork, 88% agreement on lumbar puncture, 100% agreement on urine studies, and 96% agreement on "other" studies) as were diagnostic criteria (96% agreement). Conclusions: The authors present international consensus agreement on the nomenclature, diagnostic work up, and diagnostic criteria for DSRD, providing an initial practical framework that can advance both research and clinical practices for this condition.

Indexed as

consensuscriteria & indicatorsDown syndromeencephalopathyregression

Identifiers

PMID35911905
PMCPMC9335003
OpenAlexW4285590760

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.