Evidence map›Paper›PMID 39085584›Full record

GuidelineEuropean journal of human genetics : EJHG2024

ERN GENTURIS clinical practice guidelines for the diagnosis, surveillance and management of people with Birt-Hogg-Dubé syndrome.

Marianne Geilswijk, Maurizio Genuardi, Emma R Woodward, Katie Nightingale, Jazzmin Huber, Mia Gebauer Madsen, Dieke Liekelema-van der Heij, Ian Lisseman, Jenny Marlé-Ballangé, Cormac McCarthy and 10 more

Abstract readPractice GuidelineReview
In one paragraph

Guideline in European journal of human genetics : EJHG, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

  1. Advanced Imaging Techniques for Early in-Vivo Discrimination of Fibrofolliculomas in Birt-Hogg-Dubé Syndrome.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2026
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  20. The impact of the new WHO classification of renal cell carcinoma on the diagnosis of hereditary leiomyomatosis and renal cell carcinoma.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Marianne GeilswijkAarhus University Hospital, Aarhus, Denmark. marianne.geilswijk@auh.rm.dk.ORCID 0000-0003-3101-3130
Maurizio GenuardiDipartimento di Scienze della Vita e Sanità Pubblica, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0002-7410-8351
Emma R WoodwardManchester Centre for Genomic Medicine, University of Manchester, Manchester, UK.ORCID 0000-0002-6297-2855
Katie NightingaleMyrovlytis Trust, BHD Foundation, Manchester, UK.
Jazzmin HuberMyrovlytis Trust, BHD Foundation, Manchester, UK.
Mia Gebauer MadsenAarhus University Hospital, Aarhus, Denmark.
Dieke Liekelema-van der HeijMyrovlytis Trust, BHD Foundation, Manchester, UK.
Ian LissemanMyrovlytis Trust, BHD Foundation, Manchester, UK.
Jenny Marlé-BallangéBHD FRANCE (a charity working closely with the BHD foundation), La Rochelle, France.
Cormac McCarthySchool of Medicine, University College Dublin, Dublin, Ireland.
Fred H MenkoAntoni van Leeuwenhoek Hospital, the Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0001-5475-3241
R Jeroen A van MoorselaarAmsterdam UMC, location VUmc, Amsterdam, the Netherlands.
Elzbieta RadzikowskaInstytut Gruzlicy Chorób Pluc, Warsaw, Poland.
Stéphane RichardFrench NCI (INCa) network for rare cancers in adults PREDIR, AP-HP, Hôpital Bicêtre, Le Kremlin-Bicêtre, France.ORCID 0000-0002-9859-9773
Neil RajanTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0002-5850-5680
Mette SommerlundAarhus University Hospital, Aarhus, Denmark.
Maria T A WetscherekAddenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID 0000-0003-2924-7587
Nataliya Di DonatoDepartment of Human Genetics, Hannover Medical School, Hannover, Germany.
Eamonn R MaherUniversity of Cambridge, Cambridge, UK.
Joan BrunetCatalan Institute of Oncology, Barcelona, Spain.ORCID 0000-0003-1945-3512

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Birt-Hogg-Dubé syndrome (BHD syndrome) is an autosomal dominant multisystem disorder with variable expression due to pathogenic constitutional variants in the FLCN gene. Patients with BHD syndrome are predisposed to benign cutaneous fibrofolliculomas/trichodischomas, pulmonary cysts with an associated risk of spontaneous pneumothorax, and renal cell carcinoma. A requirement for updated International consensus recommendations for the diagnosis and management of BHD syndrome was identified. Based on a comprehensive literature review and expert consensus within the fields of respiratory medicine, urology, radiology, dermatology, clinical oncology and clinical genetics, updated recommendations for diagnosis, surveillance and management in BHD syndrome were developed. With the widespread availability of FLCN genetic testing, clinical scenarios in which a diagnosis should be considered and criteria for genetic testing were defined. Following a clinical and/or molecular diagnosis of BHD syndrome, a multidisciplinary approach to disease management is required. Regular renal cancer surveillance is recommended in adulthood and life-long, but the evidence base for additional tumour surveillance is limited and further research warranted. Recommendations for the treatment of cutaneous, pulmonary and renal manifestations are provided. Awareness of BHD syndrome needs to be raised and better knowledge of the clinical settings in which the diagnosis should be considered should enable earlier diagnosis. Further details, including areas for future research topics are available at: https://www.genturis.eu/l=eng/Guidelines-and-pathways/Clinical-practice-guidelines.html .

Indexed as

Birt-Hogg-Dube SyndromeGenetic TestingProto-Oncogene ProteinsTumor Suppressor ProteinsCarcinoma, Renal CellHumansKidney NeoplasmsFLCN protein, humanProto-Oncogene ProteinsTumor Suppressor Proteins

Identifiers

PMID39085584
PMCPMC11607457

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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.