Evidence map›Paper›PMID 37386496›Full record

Observational studyBMC pediatrics2023

Childhood tuberous sclerosis complex in southern Sweden: a paradigm shift in diagnosis and treatment.

Kevin Pearsson, Josefin Björk Werner, Johan Lundgren, Lotta Gränse, Emma Karlsson, Kristina Källén, Erik A Eklund, Zivile Bekassy

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 13% 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, 12 citations in OpenAlex.

  1. Observational
  2. A child with tuberous sclerosis having Novel NRAS gene mutation.Journal of family medicine and primary care · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
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

8 authors at 4 institutions in 1 country.

Kevin PearssonDepartment of Clinical Sciences Lund, Clinical Sciences Helsingborg, Lund University, Lund, Sweden.
Josefin Björk WernerSection for Paediatric Cardiology, Skåne University Hospital, Lund, Sweden.
Johan LundgrenSection for Paediatric Neurology, Skåne University Hospital, Lund, Sweden.
Lotta GränseDepartment of Ophthalmology, Skåne University Hospital, Lund, Sweden.
Emma KarlssonDepartment of Paediatrics, Blekingesjukhuset, Karlskrona, Sweden.
Kristina KällénDepartment of Clinical Sciences Lund, Clinical Sciences Helsingborg, Lund University, Lund, Sweden.
Erik A EklundSection for Paediatric Neurology, Skåne University Hospital, Lund, Sweden.
Zivile BekassyPediatrics, Clinical Sciences Lund, Lund University, Lund, Sweden. zivile.bekassy@med.lu.se.
Lund University · SESkåne University Hospital · SEBlekingesjukhuset · SEHelsingborgs lasarett · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the complete clinical spectrum of individuals with paediatric tuberous sclerosis complex in southern Sweden and explore changes over time.

methodsIn this retrospective observational study, 52 individuals aged up to 18 years at the study start were followed-up at regional hospitals and centres for habilitation from 2000 to 2020.

resultsCardiac rhabdomyoma was detected prenatally/neonatally in 69.2% of the subjects born during the latest ten years of the study period. Epilepsy was diagnosed in 82.7% of subjects, and 10 (19%) were treated with everolimus, mainly (80%) for a neurological indication. Renal cysts were detected in 53%, angiomyolipomas in 47%, astrocytic hamartomas in 28% of the individuals. There was a paucity of standardized follow-up of cardiac, renal, and ophthalmological manifestations and no structured transition to adult care.

conclusionOur in-depth analysis shows a clear shift towards an earlier diagnosis of tuberous sclerosis complex in the latter part of the study period, where more than 60% of cases showed evidence of this condition already in utero due to the presence of a cardiac rhabdomyoma. This allows for preventive treatment of epilepsy with vigabatrin and early intervention with everolimus for potential mitigation of other symptoms of tuberous sclerosis complex.

Indexed as

Heart NeoplasmsRhabdomyomaTuberous SclerosisAdultAgedChildEarly Intervention, EducationalEverolimusHumansSwedenEverolimusAngiomyolipomaAstrocytic hamartomaCardiac rhabdomyomaEpilepsyEverolimus

Identifiers

PMID37386496
PMCPMC10308728
OpenAlexW4382630956

What OpenQuestion holds

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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.