Evidence map›Paper›PMID 40175067›Full record

ArticleArchives of disease in childhood2025

Variant Creutzfeldt-Jakob disease in UK children after 27 years of active prospective surveillance.

Christopher Verity, Elaine Baker, Polly Maunder, Anne Marie Winstone, Suvankar Pal

Erratum issuedAbstract read
In one paragraph

Article in Archives of disease in childhood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Christopher VerityPaediatrics, Addenbrooke's Hospital, Cambridge, UK cm.verity@btinternet.com.ORCID 0000-0002-2496-6809
Elaine BakerAddenbrooke's Hospital, Cambridge, UK.
Polly MaunderAddenbrooke's Hospital, Cambridge, UK.
Anne Marie WinstoneAddenbrooke's Hospital, Cambridge, UK.
Suvankar PalThe National Creutzfeldt-Jakob Disease Research and Surveillance Unit, Western General Hospital, Edinburgh, UK.ORCID 0000-0003-4276-639X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether any children in the UK had variant Creutzfeldt-Jakob disease (vCJD).

designThis active prospective epidemiological study used the British Paediatric Surveillance Unit, asking UK paediatricians to notify all childhood cases of progressive intellectual and neurological deterioration (PIND), a group that would include all cases of vCJD. Clinical data were obtained by questionnaire or via a site visit. An independent expert group classified the cases. If vCJD was suspected, referral to the National Creutzfeldt-Jakob Disease Research and Surveillance Unit was recommended.

resultsBetween May 1997 and April 2024 (27 years), 5222 children were notified. There were four groups. (1) 2540 were 'not cases'-they did not meet the case definition or there were notification errors. (2) 2367 had a known underlying diagnosis other than vCJD; the group contained more than 220 different diseases. (3) 309 had no diagnosis to explain their deterioration; there was evidence that none of these cases had vCJD. (4) There were six cases of vCJD: two males and four females. They developed symptoms between 1998 and 2000, aged 12-15 years, and the last two died in 2003. Their clinical features were similar to those of adults. Four were classified as definite vCJD and two as probable vCJD.

conclusionsThis study has provided unique data about neurodegenerative diseases in UK children. There is no reliable vCJD screening test; so for 27 years, the PIND study has provided reassurance that childhood vCJD cases were not missed. New vCJD cases with the methionine/valine genotype could appear.

Indexed as

Creutzfeldt-Jakob SyndromeAdolescentChildChild, PreschoolDisease NotificationFemaleHumansMalePopulation SurveillanceProspective StudiesUnited KingdomEpidemiologyGeneticsNeurologyPaediatrics

Identifiers

PMID40175067
PMCPMC12171403

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