Evidence map›Paper›PMID 40124385›Full record

ReviewFrontiers in immunology2025

Multidisciplinary approach to treating complex immune dysregulation disorders: an adaptive model for institutional implementation.

Lauren A Henderson, Roshini S Abraham, Aisha Ahmed, Lindsey Blount, Scott W Canna, Natalia S Chaimowitz, Shanmuganathan Chandrakasan, Bria Coates, James A Connelly, Megan A Cooper and 14 more

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Forest Bathing (Medical sciences (Basel, Switzerland) · 2026
    Review
  3. 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

24 authors.

Lauren A HendersonDivision of Immunology, Boston Children's Hospital, Boston, MA, United States.
Roshini S AbrahamDepartment of Pathology and Laboratory Medicine, Nationwide Children's Hospital, Columbus, OH, United States.
Aisha AhmedDivision of Allergy and Immunology, Ann and Robert H. Lurie Children's Hospital of Chicago and Department of Pediatrics, Northwestern University, Chicago, IL, United States.
Lindsey BlountDivision of Critical Care, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
Scott W CannaDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine and Division of Rheumatology, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Natalia S ChaimowitzDepartment of Immunology, Cook Children's Medical Center, Fort Worth, TX, United States.
Shanmuganathan ChandrakasanDepartment of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA, United States.
Bria CoatesDivision of Critical Care, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
James A ConnellyDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, United States.
Megan A CooperDivision of Rheumatology and Immunology, Department of Pediatrics, Washington University in St. Louis, St. Louis, MO, United States.
Christine N DuncanPediatric Hematopoietic Cellular Therapy, Dana Farber/Boston Children's Cancer and Blood Disorders Center and Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
Anthony FrenchDivision of Pediatric Rheumatology/Immunology, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, United States.
Melissa HazenDivision of Immunology and Department of Pediatrics, Division of Pediatric Hospital Medicine, Boston Children's Hospital, Boston, MA, United States.
Michelle L HermistonDepartment of Pediatrics, UCSF Benioff Children's Hospital, University of California, San Francisco, San Francisco, CA, United States.
Brian NolanDivision of Rheumatology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
Anish RayTexas College of Osteopathic Medicine, The University of North Texas Health Science Center and Department of Hematology/Oncology, Cook Children's Medical Center, Fort Worth, TX, United States.
Melissa J RoseDivision of Pediatric Hematology and Oncology, Nationwide Children's Hospital and Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United States.
Lisa Forbes SatterDepartment of Pediatrics, Division of Immunology, Allergy, and Retrovirology, Baylor College of Medicine, Houston, TX, United States.
Grant SchulertDivision of Rheumatology, Cincinnati Children's Hospital Medical Center and Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Sara Kristen Sexson TejtelDivision of Pediatric Cardiology, Department of Pediatrics, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, United States.
Tiphanie VogelWilliam T. Shearer Center for Human Immunobiology, Texas Children's Hospital, Houston, TX, United States.
Kelly WalkovichPediatric Hematology/Oncology, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, MI, United States.
Matt S ZinterDepartment of Pediatrics, Division of Critical Care Medicine, UCSF School of Medicine, University of California, San Francisco, San Francisco, CA, United States.
Edward M BehrensDepartment of Pediatrics, University of Pennsylvania Perelman School of Medicine and Division of Rheumatology, The Children's Hospital of Philadelphia, Philadelphia, PA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with immune dysregulation may present with varying combinations of autoimmunity, autoinflammation, immunodeficiency, atopy, lymphoproliferation, and/or malignancy, often with multisystem involvement. Recognizing specific patterns of immune dysregulation, coordinating and interpreting complex diagnostic testing, and choosing initial (often empiric) treatment can be challenging. Centers are increasingly assembling multidisciplinary teams (MDTs) to standardize evaluation and optimize treatment of patients with complex immune dysregulation (immune dysregulation MDTs [immMDTs]). However, published information on the composition and function of immMDTs is sparse, and there is little guidance for those seeking to establish or optimize an immMDT. To inform this review, we assembled a panel of 24 pediatric providers from multiple specialties who actively participate in immMDTs to provide expert opinion. We also conducted a search of the available information on pediatric immMDTs from PubMed. Based on these insights, we summarize the structure and function of active immMDTs across the United States and focus on best practices and context-dependent solutions that may enable institutions with varying goals, patient populations, and resources to establish an immMDT.

Indexed as

Immune System DiseasesPatient Care TeamDisease ManagementHumanscollaborative managementhemophagocytic lymphohistiocytosisimmune dysregulationinstitutional implementationmultidisciplinary teamsquality improvement research

Identifiers

PMID40124385
PMCPMC11926151

What OpenQuestion holds

Textmetadata
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.