Evidence map›Paper›PMID 40368343›Full record

ArticleJournal of child neurology2025

Exploration Into Lived Experiences of Multiple Sulfatase Deficiency-Affected Individuals and Their Families.

Francesco Gavazzi, Emily Yu, Zarrin Tashnim, Sarah Woidill, Anjana Sevagamoorthy, Kaley Arnold, Louisa Ammann-Schnell, Samuel Groeschel, Ingeborg Krägeloh-Mann, Vivian Breitling and 3 more

Abstract read
In one paragraph

Article in Journal of child neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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

13 authors.

Francesco GavazziDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.ORCID 0000-0002-4908-8395
Emily YuDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Zarrin TashnimDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Sarah WoidillDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Anjana SevagamoorthyDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kaley ArnoldDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Louisa Ammann-SchnellDepartment of Child Neurology, Children's Hospital, University of Tübingen, Tübingen, Germany.
Samuel GroeschelDepartment of Child Neurology, Children's Hospital, University of Tübingen, Tübingen, Germany.
Ingeborg Krägeloh-MannDepartment of Child Neurology, Children's Hospital, University of Tübingen, Tübingen, Germany.
Vivian BreitlingDepartment of Pediatrics and Adolescent Medicine, University Medical Centre Göttingen, Gottingen, Germany.
Lars SchlotawaDepartment of Pediatrics and Adolescent Medicine, University Medical Centre Göttingen, Gottingen, Germany.
Rebecca Ahrens-NicklasDivision of Human Genetics and Metabolism, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Laura A AdangDivision of Neurology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Validation of the GMFC-MLDU54NS115052 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI Laura Ann Adang, FLORIAN S EICHLER · 2019 to 2026
$14.3M
Clinical Outcomes in Aicardi Goutières SyndromeU01NS106845 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI VANDERVER, ADELINE LUCIE · 2019 to 2023
$7.5M
Clinical measures in Aicardi Goutieres SyndromeK23NS114113 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI ADANG, LAURA ANN · 2019 to 2023
$947k
NINDS NIH HHS K23 NS114113NINDS NIH HHS U01 NS106845NINDS NIH HHS U54 NS115052
6 · The paper itself

Abstract

Despite their importance, rare diseases' impact on patients and families is understudied. This is particularly true for ultrarare disorders, such as multiple sulfatase deficiency (MSD), a pediatric neurodegenerative disorder. To address this gap, we captured caregiver perspectives on how multiple sulfatase deficiency affects their child, themselves, and their families regarding adaptive behaviors and health-related quality of life.Overall, 19 multiple sulfatase deficiency caregivers participated in assessments capturing health outcomes related to daily functional abilities (Vineland Adaptive Behavior Scale-Third Edition [VABS-3]: n = 19), child health-related quality of life (Caregiver Priorities and Child Health Index of Life with Disabilities: n = 12; Pediatric Quality of Life Inventory-generic core scales: n = 13), and caregiver health-related quality of life (Pediatric Quality of Life Inventory-family impact module: n = 12; Traumatic Brain Injury Caregiver Quality of Life: n = 15). The Pediatric Quality of Life Inventory-family impact module results were compared to a data set from metachromatic leukodystrophy (n = 30), a rare disease with an overlapping sulfatase deficiency.The Vineland Adaptive Behavior Scale-Third Edition captured global impairment across domains in multiple sulfatase deficiency. Despite these functional limitations, the Caregiver Priorities and Child Health Index of Life with Disabilities and Pediatric Quality of Life Inventory-generic core scales captured relative preservation of health-related quality of life, especially related to emotional well-being. Compared with the Pediatric Quality of Life Inventory-generic core scales, the Caregiver Priorities and Child Health Index of Life with Disabilities captured a broader spectrum of health-related quality of life across all domains and caregivers' top priorities in disease management and care coordination. The health-related quality of life of caregivers was severely impacted, with caregivers reporting profound feelings of grief and entrapment. Additionally, there was a similar caregiver burden between multiple sulfatase deficiency and metachromatic leukodystrophy.Our results will help inform psychosocial outcome measures for rare disease families and patient-centered endpoints in impending multiple sulfatase deficiency clinical trials.

Indexed as

CaregiversFamilyMultiple Sulfatase Deficiency DiseaseQuality of LifeAdaptation, PsychologicalAdolescentAdultChildChild, PreschoolFemaleHumansLeukodystrophy, MetachromaticMaleaicardi goutieres syndromeimpact of diseasepediatricquality of life

Identifiers

PMID40368343
PMCPMC12240456

What OpenQuestion holds

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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.