Evidence map›Paper›PMID 37678573›Full record

ArticleThe Journal of allergy and clinical immunology2024

Impact of newborn screening for SCID on the management of congenital athymia.

Evey Howley, Zainab Golwala, Matthew Buckland, Federica Barzaghi, Sujal Ghosh, Scott Hackett, Rosie Hague, Fabian Hauck, Ursula Holzer, Adam Klocperk and 16 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Optimizing TREC- and KREC-based newborn screening: Risk-stratified algorithms significantly reduce referrals.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Thymic inborn errors of immunity.The Journal of allergy and clinical immunology · 2025
    Review
  9. Article
  10. 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

26 authors at 20 institutions in 12 countries.

Evey HowleyDepartment of Immunology and Gene Therapy, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Zainab GolwalaDepartment of Immunology and Gene Therapy, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Matthew BucklandDepartment of Immunology and Gene Therapy, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
Federica BarzaghiSan Raffaele Telethon Institute for Gene Therapy and Pediatric Immunohematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Sujal GhoshDepartment of Pediatric Oncology, Hematology and Clinical Immunology, Medical Faculty, Center of Child and Adolescent Health, Heinrich-Heine-University, Düsseldorf, Germany.
Scott HackettUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Rosie HagueDepartment of Paediatric Infectious Diseases and Immunology, Royal Hospital for Children, Glasgow, United Kingdom.
Fabian HauckDepartment of Pediatrics, Dr von Hauner Children's Hospital, University Hospital, Ludwig-Maximilians-Universität München, Munich, Germany.
Ursula HolzerUniversity Children's Hospital, Eberhard Karls University, Tübingen, Germany.
Adam KlocperkDepartment of Immunology, Second Faculty of Medicine, Charles University and University Hospital in Motol, Prague, Israel.
Minna KoskenvuoDivision of Hematology-Oncology and Stem Cell Transplantation, New Children's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Nufar MarcusKipper Institute for Immunology, Schneider Children's Medical Center of Israel, Petach Tikva, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Antonio MarzolloPediatric Hematology, Oncology and Stem Cell Transplant Division, Padua University Hospital, Padua, Italy.
Malgorzata PacDepartment of Immunology, Children's Memorial Health Institute, Warsaw, Poland.
Jan SinclairStarship Children's Hospital, Auckland, New Zealand.
Carsten SpeckmannInstitute for Immunodeficiency, Center for Chronic Immunodeficiency (CCI), Faculty of Medicine, Faculty of Medicine, Medical Center-University of Freiburg, Germany; Center for Pediatrics and Adolescent Medicine, Department of Pediatric Hematology and Oncology, Faculty of Medicine, Medical Center-University of Freiburg, Germany.
Maarja SoomannDivision of Immunology, University Children's Hospital Zurich, University of Zurich, Zurich, Switzerland.
Lynne SpeirsDepartment of Paediatrics, Royal Belfast Hospital for Sick Children, Belfast, United Kingdom.
Sneha SureshDivision of IHOPE, Department of Pediatrics, University of Alberta, Edmonton, Canada.
Sophie TaqueDepartment of Paediatrics, CHU Rennes, Rennes, France.
Joris van MontfransDepartment of Pediatric Immunology and Infectious Diseases, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, The Netherlands.
Horst von BernuthDepartment of Pediatric Respiratory Medicine, Immunology, and Critical Care Medicine, Charité Universitätsmedizin Berlin, Berlin, Germany; Labor Berlin Charité-Vivantes, Department of Immunology, Berlin, Germany; Berlin Institute of Health, Charité Universitätsmedizin Berlin, Berlin, Germany; Berlin-Brandenburg Center for Regenerative Therapies, Berlin, Germany.
Brynn K WainsteinDepartment of Immunology and Infectious Diseases, Sydney Children's Hospital, Sydney, Australia; School of Clinical Medicine, University of New South Wales, Sydney, Australia.
Austen WorthDepartment of Immunology and Gene Therapy, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom.
E Graham DaviesDepartment of Immunology and Gene Therapy, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom; Infection, Immunity and Inflammation Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, United Kingdom.
Alexandra Y KreinsDepartment of Immunology and Gene Therapy, Great Ormond Street Hospital for Children NHS Foundation Trust, London, United Kingdom; Infection, Immunity and Inflammation Research and Teaching Department, University College London Great Ormond Street Institute of Child Health, London, United Kingdom. Electronic address: a.kreins@ucl.ac.uk.
Great Ormond Street Hospital for Children NHS Foundation Trust · GBGreat Ormond Street Hospital · GBCentre Hospitalier Universitaire de Rennes · FRChildren's Memorial Health Institute · PLHeinrich Heine University Düsseldorf · DELudwig-Maximilians-Universität München · DERoyal Belfast Hospital for Sick Children · GBRoyal Hospital for Children · GBStarship Children's Health · NZTel Aviv University · ILThe San Raffaele Telethon Institute for Gene Therapy · ITUniversity Children's Hospital Tübingen · DEUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Alberta · CAUniversity of Freiburg · DEUniversity of Helsinki · FIUniversity of Padua · ITUniversity of Zurich · CHUNSW Sydney · AUVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNewborn screening (NBS) programs for severe combined immunodeficiency facilitate early diagnosis of severe combined immunodeficiency and promote early treatment with hematopoietic stem cell transplantation, resulting in improved clinical outcomes. Infants with congenital athymia are also identified through NBS because of severe T-cell lymphopenia. With the expanding introduction of NBS programs, referrals of athymic patients for treatment with thymus transplantation have recently increased at Great Ormond Street Hospital (GOSH) (London, United Kingdom).

objectiveWe studied the impact of NBS on timely diagnosis and treatment of athymic infants with thymus transplantation at GOSH.

methodsWe compared age at referral and complications between athymic infants diagnosed after clinical presentation (n = 25) and infants identified through NBS (n = 19) who were referred for thymus transplantation at GOSH between October 2019 and February 2023. We assessed whether age at time of treatment influences thymic output at 6 and 12 months after transplantation.

resultsThe infants referred after identification through NBS were significantly younger and had fewer complications, in particular fewer infections. All deaths occurred in the group of those who did not undergo NBS, including 6 patients before and 2 after thymus transplantation because of preexisting infections. In the absence of significant comorbidities or diagnostic uncertainties, timely treatment was achieved more frequently after NBS. Treatment when younger than age 4 months was associated with higher thymic output at 6 and 12 months after transplantation.

conclusionNBS contributes to earlier recognition of congenital athymia, promoting referral of athymic patients for thymus transplantation before they acquire infections or other complications and facilitating treatment at a younger age, thus playing an important role in improving their outcomes.

Indexed as

Immunologic Deficiency SyndromesSevere Combined ImmunodeficiencyHumansInfantInfant, NewbornNeonatal ScreeningThymus GlandathymiaDiGeorge syndromenewborn screeningsevere combined immunodeficiencyThymus transplantation

Identifiers

PMID37678573
PMCPMC10940165
OpenAlexW4386529524

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.