Evidence map›Paper›PMID 37808558›Full record

ArticleFrontiers in pediatrics2023

Estimate of the incidence of PANDAS and PANS in 3 primary care populations.

Ellen R Wald, Jens Eickhoff, Grace E Flood, Michael V Heinz, Daniel Liu, Alisha Agrawal, Richard P Morse, Veronica M Raney, Aravindhan Veerapandiyan, Juliette C Madan

Open access · goldAbstract read
In one paragraph

Article in Frontiers in 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
3.8field-weighted citation impact, top 7% 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. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Psychometric Properties of the PANS 31-Item Symptom Rating Scale.Journal of child and adolescent psychopharmacology · 2024
    Article
  8. 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

10 authors at 3 institutions in 1 country.

Ellen R WaldDepartment of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States.
Jens EickhoffDepartment of Biostatistics and Medical Informatics, University of Wisconsin School of Medicine and Public Health, Madison, WI, United States.
Grace E FloodMedical Director Clinical Analytics and Reporting, University of Wisconsin, Madison, WI, United States.
Michael V HeinzDepartment of Pediatrics, Children's Hospital at Dartmouth, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Daniel LiuDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
Alisha AgrawalDepartment of Pediatrics, Children's Hospital at Dartmouth, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Richard P MorseDepartment of Neurology, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
Veronica M RaneyDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
Aravindhan VeerapandiyanDepartment of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, United States.
Juliette C MadanDepartment of Pediatrics, Children's Hospital at Dartmouth, Geisel School of Medicine at Dartmouth, Hanover, NH, United States.
University of Arkansas for Medical Sciences · USUniversity of Wisconsin–Madison · USDartmouth College · US

Funding

Training Program for Quantitative Population Sciences in CancerT32CA134286 · NCI · DARTMOUTH COLLEGE · PI KARAGAS, MARGARET RITA, TOSTESON, TOR D · 2020 to 2024
$1.5M
NCI NIH HHS T32 CA134286
6 · The paper itself

Abstract

Objective: Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal infection (PANDAS) and Pediatric Acute-Onset Neuropsychiatric syndrome (PANS) are presumed autoimmune complications of infection or other instigating events. To determine the incidence of these disorders, we performed a retrospective review for the years 2017-2019 at three academic medical centers. Methods: We identified the population of children receiving well-child care at each institution. Potential cases of PANS and PANDAS were identified by including children age 3-12 years at the time they received one of five new diagnoses: avoidant/restrictive food intake disorder, other specified eating disorder, separation anxiety disorder of childhood, obsessive-compulsive disorder, or other specified disorders involving an immune mechanism, not elsewhere classified. Tic disorders was not used as a diagnostic code to identify cases. Data were abstracted; cases were classified as PANDAS or PANS if standard definitions were met. Results: The combined study population consisted of 95,498 individuals. The majority were non-Hispanic Caucasian (85%), 48% were female and the mean age was 7.1 (SD 3.1) years. Of 357 potential cases, there were 13 actual cases [mean age was 6.0 (SD 1.8) years, 46% female and 100% non-Hispanic Caucasian]. The estimated annual incidence of PANDAS/PANS was 1/11,765 for children between 3 and 12 years with some variation between different geographic areas. Conclusion: Our results indicate that PANDAS/PANS is a rare disorder with substantial heterogeneity across geography and time. A prospective investigation of the same question is warranted.

Indexed as

epidemiologyfood restrictiongroup A streptococcusobsessive-compulsive disorderPANDASPANS

Identifiers

PMID37808558
PMCPMC10551157
OpenAlexW4386988996

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.