Evidence map›Paper›PMID 37466810›Full record

ArticleJournal of endocrinological investigation2024

The clinical management of children with achondroplasia in Italy: results of clinician and parent/caregiver surveys.

M F Bedeschi, S Mora, F Antoniazzi, S Boero, R Ravasio, G Scarano, A Selicorni, M Sessa, F Verdoni, G Zampino and 2 more

Abstract read
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In one paragraph

Article in Journal of endocrinological investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

12 authors at 8 institutions in 1 country.

M F BedeschiDepartment of Woman-Child-Newborn, Medical Genetic Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID http://orcid.org/0000-0002-6723-9177
S MoraLaboratory of Paediatric Endocrinology, Department of Paediatrics, IRCCS Ospedale San Raffaele, Milan, Italy. mora.stefano@hsr.it.ORCID http://orcid.org/0000-0002-4781-6715
F AntoniazziUO of Paediatrics, University of Verona, Verona, Italy.ORCID http://orcid.org/0000-0003-1405-1792
S BoeroOrthopaedics Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID http://orcid.org/0000-0003-4592-1260
R RavasioPharmaLex Italy S.p.A., Milan, Italy.ORCID http://orcid.org/0000-0002-5477-1957
G ScaranoAzienda Ospedaliera di Rilievo Nazionale "San Pio". P.O. "Gaetano Rummo", Benevento, Italy.ORCID http://orcid.org/0000-0001-5477-0711
A SelicorniUOC Pediatria, Centro Fondazione Mariani per il bambino fragile, ASST Lariana, Como, Italy.ORCID http://orcid.org/0000-0001-6187-3727
M SessaAssociazione per l'Informazione e lo Studio dell'Acondroplasia (AISAC), Milan, Italy.
F VerdoniIRCCS Istituto Galeazzi di Milano, Milan, Italy.ORCID http://orcid.org/0000-0002-8544-5847
G ZampinoUOC Pediatria, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.ORCID http://orcid.org/0000-0002-2661-4831
M MaghniePaediatric Clinic and Endocrinology, IRCCS Istituto Giannina Gaslini, Genoa, Italy.ORCID http://orcid.org/0000-0002-7183-5238
JAMP Group
Istituto Giannina Gaslini · ITAzienda Ospedaliera G.Rummo · ITAzienda Socio Sanitaria Territoriale Lariana · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIRCCS Ospedale San Raffaele · ITIstituto Ortopedico Galeazzi · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Verona · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to assess the real-world management of achondroplasia in Italy.

methodsTwo online surveys addressed to (1) parents/caregivers of individuals with achondroplasia and (2) Italian clinicians managing individuals with achondroplasia were conducted to assess real-world perspectives on achondroplasia management. Both surveys collected data on either patient or clinician demographics, details on diagnoses and referrals, disease complications, and views/experiences with limb lengthening surgery.

resultsIn total, 42 parents/caregivers and 19 clinicians (from 18 hospitals) completed the surveys. According to parents/caregivers, achondroplasia diagnosis was most commonly made in the third trimester of gestation (55% of respondents), with a genetic test performed to confirm the diagnosis in all but one case. In contrast, the clinicians indicated that, while achondroplasia was typically suspected during the prenatal period (78%), diagnosis was more frequently confirmed postnatally (72%). Parents/caregivers reported that the greatest impact of achondroplasia-related complications occurred in their children between the ages of 2-5 years. The most significant complications were otitis, sleep apnoea, stenosis of the foramen magnum or pressure on the spinal cord, and hearing difficulties. Lengthening surgery had been presented as a treatment option to 92% of responding parents/caregivers, with 76% of clinicians viewing surgery favourably. Typically, clinicians' reasons for suggesting limb lengthening surgery were to improve patient quality of life, increase patient autonomy and self-acceptance, improve trunk-limb disproportion, short stature and walking, and ensure that all possible treatment options had been presented to the parents/caregivers.

conclusionThis survey provides insight into the real-world management of individuals with achondroplasia in Italy.

Indexed as

AchondroplasiaQuality of LifeCaregiversChildChild, PreschoolHumansParentsSurveys and QuestionnairesAchondroplasiaClinician surveyItalyPatient/caregiver surveyReal-world management

Identifiers

PMID37466810
OpenAlexW4384663386

What OpenQuestion holds

Textmetadata
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.