Evidence map›Paper›PMID 42877525›Full record

ArticleJIMD reports2026

Fatty Acid Oxidation Disorders Detected by Newborn Screening: Clinical, Biochemical and Genetic Spectrum in a Single-Center Cohort.

Elena Martín-Hernández, Delia Barrio-Carreras, María Martín-Cazaña, Luis Miguel García-Cárdaba, Carmen Martín-Fernández, Patricia Pérez-Mohand, Teresa Hernández Chamorro, Berta Zamora Crespo, Pedro Ruiz-Sala, Patricia Alcaide Alonso and 1 more

Abstract read
In one paragraph

Article in JIMD reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Elena Martín-HernándezDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.ORCID https://orcid.org/0000-0002-0656-7660
Delia Barrio-CarrerasDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.
María Martín-CazañaDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.
Luis Miguel García-CárdabaDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.ORCID https://orcid.org/0009-0000-1418-6166
Carmen Martín-FernándezDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.
Patricia Pérez-MohandDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.
Teresa Hernández ChamorroDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.
Berta Zamora CrespoDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.
Pedro Ruiz-SalaCentro de Diagnóstico de Enfermedades Moleculares (CEDEM), Universidad Autónoma de Madrid. CIBERER, IdiPAZ Madrid Spain.ORCID https://orcid.org/0000-0003-1785-4988
Patricia Alcaide AlonsoCentro de Diagnóstico de Enfermedades Moleculares (CEDEM), Universidad Autónoma de Madrid. CIBERER, IdiPAZ Madrid Spain.ORCID https://orcid.org/0000-0001-9156-2049
Pilar Quijada-FraileDepartamento de Pediatría, Hospital Universitario 12 de Octubre, National Reference Center (CSUR) for Inherited Metabolic Diseases Unidad de Enfermedades Metabólicas-Mitocondriales Madrid Spain.ORCID https://orcid.org/0000-0003-1026-4854

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Newborn screening (NBS) has significantly improved early detection and survival in fatty acid oxidation disorders (FAODs). However, the expanding phenotypic spectrum challenges prognostic stratification, and long-term morbidity remains incompletely characterized. We conducted an observational, retrospective, single-center study of patients with FAODs identified through NBS and followed between 2011 and 2024. Clinical, biochemical, genetic, and nutritional data were extracted from medical records. Correlations between biochemical markers, enzymatic activity, and clinical outcomes were analyzed. The study was approved by the Research Committee of the Instituto de Investigación, Hospital 12 de Octubre (Madrid). Sixty-five patients were included: 42 MCADD, 11 VLCADD, 5 LCHADD, 2 CPT1D, 3 CPT2D, 1 CACTD, and 1 MADD. Median age at last follow-up was 7.2 years (range 0.4-13.6). Two patients died during follow-up (overall mortality 3.1%). In MCADD, confirmatory C8 concentrations correlated with residual enzyme activity and metabolic decompensations. In VLCADD, NBS and confirmatory C14:1 levels correlated with enzyme activity but not with clinical severity. VLCADD showed marked clinical heterogeneity, whereas LCHADD patients had the highest disease burden and required the most intensive nutritional management. Overall, 40% of patients experienced at least one metabolic decompensation, occurring significantly more frequently in LC-FAOD than in MCADD. Neuropsychological manifestations were observed in 16.9% of patients. In summary, NBS markedly improves survival in FAODs, but morbidity remains substantial, particularly in LC-FAOD. Current biochemical markers are useful for early risk stratification but remain insufficient to predict long-term clinical severity. These findings support individualized multidisciplinary follow-up, including specialized nutritional care and systematic neuropsychological assessment.

Indexed as

fatty acid oxidation disorders (FAOD)long‐chain FAOD (LC‐FAOD)medium‐chain acyl‐CoA dehydrogenase deficiency (MCADD)metabolic decompensationneuropsychological disordersnewborn screening (NBS)

Identifiers

PMID42877525
PMCPMC13662738

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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.