Evidence map›Paper›PMID 39773751›Full record

GuidelineOrphanet journal of rare diseases2025

Comprehensive Iranian guidelines for the diagnosis and management of maple syrup urine disease: an evidence- and consensus- based approach.

Noushin Rostampour, Setila Dalili, Hossein Moravej, Zhila Afshar, Negar Yazdani, Seyedeh Tahereh Mousavi, Parastoo Rostami, Daniel Zamanfar, Maryam Yahay, Abdolhossein Nikravesh and 5 more

Abstract readGuidelineReview
In one paragraph

Guideline in Orphanet journal of rare diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Review
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

15 authors.

Noushin RostampourLiver Disease Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Setila DaliliPediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Hossein MoravejNeonatal Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. drmoravej@yahoo.com.
Zhila AfsharDepartment of Pediatrics Endocrinology, Shiraz University of Medical Sciences, Shiraz, Iran.
Negar YazdaniCommunity Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Seyedeh Tahereh MousaviAssisstant Professor of Pediatrics Endocrinology, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran. taherehmousavi58@gmail.com.
Parastoo RostamiDivision of Endocrinology and Metabolism, Department of Pediatrics, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Daniel ZamanfarDiabetic Research Center, Mazandaran University of Medical Sciences, Mazandaran, Iran.
Maryam YahayDepartment of Clinical Nutrition Food Sciences & Technology, School of Nutrition & Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran.
Abdolhossein NikraveshDepartment of Pediatric Endocrinology & Metabolism, Bushehr University of Medical Sciences, Bushehr, Iran.
Zahra BeyzaeiShiraz Transplant Research Center (STRC), Shiraz University of Medical Sciences, Shiraz, Iran.
Mohamad Ahangar DavoodiDepartment of Pediatric Endocrinology & Metabolism, Arak University of Medical Sciences, Clinical Research Development Center of Amirkabir Hospital, Arak, Iran.
Atefeh SedaghatDepartment of Pediatrics Endocrinology, Shiraz University of Medical Sciences, Shiraz, Iran.
Tahora HakemzadehPediatric Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Ali TaleaPediatric Endocrinologist, Metabolic Disorders Research Center, Molecular-cellular Endocrinology & Metabolism Research Institute, Tehran University of medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maple Syrup Urine Disease (MSUD) disease is a defect in the function of the Branched-chain 2-ketoacid dehydrogenase complex (BCKDH). It is caused by pathogenic biallelic variants in BCKDHA, BCKA decarboxylase, or dihydrolipoamide dehydrogenase. The brain is the major organ involved in MSUD. MSUD happens in about 1 in 86,800 to 185,000 live births. According to some diversity in the management of Iranian patients with MSUD, the development of a national guideline is essential. This guideline is provided through a literature search on articles in PubMed, Scopus, Web of Sciences, Cochrane, and Embase databases from 2001 to 2022 accompanied by a consensus of physicians of different centers in Iran who are experts in the diagnosis and management of this disease. This article considers pathogenesis, epidemiology, clinical manifestations, diagnosis, treatment, and monitoring of MSUD patients with limited recourse.

Indexed as

Maple Syrup Urine DiseaseConsensusHumansIranBCKDHABCKDHBInherited metabolic disorderMaple syrup urine disease

Identifiers

PMID39773751
PMCPMC11707931

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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.