Evidence map›Paper›PMID 37653444›Full record

Observational studyOrphanet journal of rare diseases2023

Screening for late-onset Pompe disease in Internal Medicine departments in Spain.

Mónica López-Rodríguez, Miguel Angel Torralba-Cabeza, Iván Pérez de Pedro, Alberto Rivera, Roi Suarez Gil, Ana Gómez-Belda, Jose Luis Patier de la Peña, Alberto de Los Santos Moreno, Albert Selva-O'Callaghan, Igor Gómez Gárate and 7 more

Open access · goldAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Orphanet journal of rare diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Observational
  2. 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

17 authors at 13 institutions in 1 country.

Mónica López-RodríguezInternal Medicine Department, Ramón y Cajal University Hospital, Madrid, Spain.
Miguel Angel Torralba-CabezaInternal Medicine Department, Lozano Blesa University Hospital, Zaragoza, Spain.
Iván Pérez de PedroInternal Medicine Department, Málaga Regional University Hospital, Málaga, Spain.
Alberto RiveraInternal Medicine Department, University Hospital Complex of Vigo, Vigo, Spain.
Roi Suarez GilInternal Medicine Department, Lucus Augusti University Hospital, Lugo, Spain.
Ana Gómez-BeldaInternal Medicine Department, Dr. Peset University Hospital, Valencia, Spain.
Jose Luis Patier de la PeñaInternal Medicine Department, Ramón y Cajal University Hospital, Madrid, Spain.
Alberto de Los Santos MorenoInternal Medicine Department, Puerta del Mar University Hospital, Cádiz, Spain.
Albert Selva-O'CallaghanInternal Medicine Department, Vall d'Hebron General Hospital, Barcelona, Spain.
Igor Gómez GárateInternal Medicine Department, Araba University Hospital, Álaba, Spain.
Andrés González GarcíaInternal Medicine Department, Ramón y Cajal University Hospital, Madrid, Spain.
Roberto HurtadoInternal Medicine Department, Vega Baja Hospital, Alicante, Spain.
Pablo Tutor de UretaInternal Medicine Department, Puerta de Hierro-Majadahonda University Hospital, Madrid, Spain.
Miguel Ángel Barba-RomeroInternal Medicine Department, Albacete University Hospital, Albacete, Spain.
José C MilisendaInternal Medicine Department, Hospital Clínic, University of Barcelona and CIBERER (Madrid), C/Villarroel 170, 08036, Barcelona, Spain.
Josep M Grau-JunyentInternal Medicine Department, Hospital Clínic, University of Barcelona and CIBERER (Madrid), C/Villarroel 170, 08036, Barcelona, Spain. jmgrau@clinic.cat.ORCID http://orcid.org/0000-0001-7560-224X
POMPE study group
Instituto Cajal · ESCentre for Biomedical Network Research on Rare Diseases · ESHospital Clínico Universitario Lozano Blesa · ESHospital General Universitario de Albacete · ESHospital Regional Universitario de Málaga · ESHospital Universitario Araba · ESHospital Universitario Doctor Peset · ESHospital Universitario Lucus Augusti · ESHospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario Puerta del Mar · ESHospital Vega Baja · ESUniversity Hospital Complex Of Vigo · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe screening of high-risk populations using dried blood spots (DBS) has allowed the rapid identification of patients with Pompe disease, mostly in Neurology departments. The aim of the study was to determine the prevalence of late-onset Pompe disease (LOPD) among patients not previously diagnosed or tested for this entity despite presenting possible signs or symptoms of the disease in Internal Medicine departments in Spain.

methodsThis epidemiological, observational, cross-sectional, multicenter study included a single cohort of individuals with clinical suspicion of LOPD seen at Internal Medicine departments in Spain. The diagnosis of LOPD was initially established on the basis of the result of DBS. If decreased enzyme acid-alpha-1,4-glucosidase (GAA) activity was detected in DBS, additional confirmatory diagnostic measurements were conducted, including GAA activity in lymphocytes, fibroblasts, or muscle and/or genetic testing.

resultsThe diagnosis of LOPD was confirmed in 2 out of 322 patients (0.6%). Reasons for suspecting LOPD diagnosis were polymyositis or any type of myopathy of unknown etiology (in one patient), and asymptomatic or pauci-symptomatic hyperCKemia (in the other). The time between symptom onset and LOPD diagnosis was 2.0 and 0.0 years. Both patients were asymptomatic, with no muscle weakness. Additionally, 19.7% of the non-LOPD cases received an alternative diagnosis.

conclusionsOur study highlights the existence of a hidden population of LOPD patients in Internal Medicine departments who might benefit from early diagnosis and early initiation of potential treatments.

Indexed as

Glycogen Storage Disease Type IIalpha-GlucosidasesCognitionCross-Sectional StudiesHumansSpainalpha-GlucosidasesDried blood spotsInternal medicine departmentLate-onset pompe diseaseScreeningSpain

Identifiers

PMID37653444
PMCPMC10472593
OpenAlexW4386325819

What OpenQuestion holds

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LicenceCC BY
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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.