Evidence map›Paper›PMID 40853601›Full record

ArticleJournal of clinical immunology2025

Self-reported Clinical Outcomes and Quality of Life in Agammaglobulinemia: the Importance of an Early Diagnosis.

Maartje Blom, Annelotte J Duintjer, Mahnaz Jamee, Melanie de Gier, Markéta Bloomfield, Adam Klocperk, Pavlina Kralickova, Neslihan E Karaca, Oksana Boyarchuk, Peter Čižnár and 29 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Journal of clinical immunology, 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors.

Maartje BlomDepartment of Pediatrics, Laboratory for Pediatric Immunology, Willem- Alexander Children's Hospital, Leiden University Medical Center (LUMC), Albinusdreef 2, Leiden, ZA, 2333, the Netherlands. m.blom@lumc.nl.ORCID 0000-0002-2993-7847
Annelotte J DuintjerDepartment of Pediatrics, Laboratory for Pediatric Immunology, Willem- Alexander Children's Hospital, Leiden University Medical Center (LUMC), Albinusdreef 2, Leiden, ZA, 2333, the Netherlands.
Mahnaz JameeDepartment of Pediatrics, Laboratory for Pediatric Immunology, Willem- Alexander Children's Hospital, Leiden University Medical Center (LUMC), Albinusdreef 2, Leiden, ZA, 2333, the Netherlands.
Melanie de GierDepartment of Pediatrics, Laboratory for Pediatric Immunology, Willem- Alexander Children's Hospital, Leiden University Medical Center (LUMC), Albinusdreef 2, Leiden, ZA, 2333, the Netherlands.
Markéta BloomfieldDepartment of Immunology, Motol University Hospital and 2nd Faculty of Medicine, Charles University, Prague, Czech Republic.
Adam KlocperkDepartment of Immunology, Motol University Hospital and 2nd Faculty of Medicine, Charles University, Prague, Czech Republic.
Pavlina KralickovaInstitute of Allergology and Clinical Immunology, Faculty of Medicine, Charles University and University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic.
Neslihan E KaracaDepartment of Pediatric Immunology, Ege University Faculty of Medicine, Izmir, Turkey.
Oksana BoyarchukDepartment of Children's Diseases and Pediatric Surgery, I.Horbachevsky Ternopil National Medical University, Ternopil, Ukraine.
Peter ČižnárPaediatric Department, Comenius University Medical Faculty in Bratislava, National Institute for Childhood Diseases, Bratislava, Slovakia.
Miloš JeseňákCentre for Inborn Errors of Immunity, Department of Pediatrics, Department of Clinical Immunology and Allergology, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, University Hospital in Martin, Martin, Slovakia.
Svetlana SharapovaImmunology lab, Belarusian Research Center for Pediatric Oncology, Hematology and Immunology, Minsk, Belarus.
Ekaterina SkopovetsImmunology lab, Belarusian Research Center for Pediatric Oncology, Hematology and Immunology, Minsk, Belarus.
Luis I Gonzalez-GranadoPrimary Immunodeficiencies Unit, Department of Pediatrics, University Hospital 12 octubre, Research Institute imas12 (i+12), Complutense University School of Medicine, Madrid, Spain.
Serena PalmeriDipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili (DiNOGMI), Università degli Studi di Genova, Genoa, Italy.
Stefano VolpiDipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili (DiNOGMI), Università degli Studi di Genova, Genoa, Italy.
Andrea Martin NaldaPediatric Infectious Diseases and Immunodeficiencies Unit, Children's Hospital. Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Sonia Rodriguez TelloPediatric Infectious Diseases and Immunodeficiencies Unit, Children's Hospital. Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Pere Soler-PalacínPediatric Infectious Diseases and Immunodeficiencies Unit, Children's Hospital. Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain.
Hassan AbolhassaniDivision of Immunology, Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden.
Federica PulvirentiPrimary Immunodeficiency Unit, Academic hospital Policlinico Umberto I, Rome, Italy.
Bianca CinicolaDepartment of Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Uwe WintergerstDepartment of Pediatrics and Adolescent Medicine, St. Josef Hospital, Braunau, Austria.
Godelieve J de BreeDepartment of Infectious Diseases, Amsterdam UMC, Amsterdam, the Netherlands.
J Merlijn van den BergDepartment of Paediatric Immunology, Rheumatology and Infectious Diseases, Emma Children's Hospital, Amsterdam University Medical Centres (AUMC), University of Amsterdam, Amsterdam, the Netherlands.
Helen L LeavisRheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Clementien VermontDepartment of Paediatric Infectious Diseases and Immunology, Erasmus MC Sophia Children's Hospital, Rotterdam, the Netherlands.
Virgil A S H DalmDepartment of Internal Medicine, division of Allergy & Clinical Immunology, Department of Immunology, Erasmus University Medical Center Rotterdam, Rotterdam, the Netherlands.
Koen van AerdeDepartment of Pediatric Infectious Disease and Immunology, Amalia Children's Hospital, Radboudumc, Nijmegen, the Netherlands.
Stefanie HenrietDepartment of Pediatric Infectious Disease and Immunology, Amalia Children's Hospital, Radboudumc, Nijmegen, the Netherlands.
Hetty JolinkDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.
Judith PotjewijdDepartment of Internal Medicine, division Clinical and Experimental Immunology, Maastricht University Medical Center, Maastricht, the Netherlands.
Arjan LankesterDepartment of Pediatrics, Division of Pediatric Immunology and Stem Cell Transplantation, Willem-Alexander Children's Hospital, Leiden, the Netherlands.
Chandoshi Rhea MukherjeeWorcestershire Acute Hospitals NHS Trust, Worcester, UK.
Dagmar BerghuisDepartment of Pediatrics, Division of Pediatric Immunology and Stem Cell Transplantation, Willem-Alexander Children's Hospital, Leiden, the Netherlands.
Małgorzata PacDepartment of Immunology, Children's Memorial Health Institute, Warsaw, Poland.
Benjamin M J ShillitoeSheffield Children's NHS Foundation Trust, Sheffield, UK.
Andrew R GenneryTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.
Mirjam van der BurgDepartment of Pediatrics, Laboratory for Pediatric Immunology, Willem- Alexander Children's Hospital, Leiden University Medical Center (LUMC), Albinusdreef 2, Leiden, ZA, 2333, the Netherlands.

Funding

European Academy of Allergy & Clinical Immunology FellowshipEuropean Federation of Immunological Societies FellowshipInstituto de Salud Carlos III (ISCIII) FIS-PI21/01642Jeffrey Modell Foundation C.H.I.L.D.R.E.N. grant 2021Takeda honorariaTakeda Pharmaceuticals International AG IISR-2021-200128ZonMw 427002014
6 · The paper itself

Abstract

purposePatients with (X-linked) agammaglobulinemia (XLA) suffer from severe, recurrent infections potentially leading to life-threatening complications such as sepsis, meningoencephalitis and chronic lung disease. Early diagnosis and timely treatment can prevent infections and secondary complications, emphasizing a role for early detection of XLA via newborn screening (NBS). Our international multicenter survey study aimed to evaluate self-reported outcomes and parental perspectives in XLA patients to determine whether an early diagnosis is associated with better quality of life (QoL).

methodsQoL-questionnaires included the PedsQL for children and SF-36, CVID_QOL, PADQOL-16 for adults. A new questionnaire was specifically developed for parents about an early diagnosis of XLA.

resultsIn total, 88 adult and 65 pediatric XLA patients, and 69 parents from 14 countries completed the survey. Patients with an early diagnosis reported less severe, recurrent infections and less hospitalization (p < 0.05). QoL was significantly lower in multiple health domains for pediatric and adult patients with a late diagnosis compared to the general population. Patients with an early diagnosis reported similar QoL outcomes compared to the general population. Parents showed immense support for NBS for XLA stating that an early diagnosis prevents emotional insecurity, health damage, unnecessary diagnostics and allows early access to medical care and informed family planning.

conclusionOur study has shown supportive evidence to pursue an early diagnosis of XLA from both a self-reported clinical, health related QoL and parental perspective. The main plea from patients and parents is to achieve an early diagnosis for XLA and severe B-lymphocyte deficiencies with NBS.

Indexed as

AgammaglobulinemiaGenetic Diseases, X-LinkedQuality of LifeAdolescentAdultChildChild, PreschoolEarly DiagnosisFemaleHumansInfantInfant, NewbornMaleMiddle AgedNeonatal ScreeningParentsB-lymphocyte deficiencies - BTKIEIInborn errors of immunityKRECNewborn screeningQoLQuality of lifeXLAX-linked agammaglobulinemia

Identifiers

PMID40853601
PMCPMC12378137

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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.