Evidence map›Paper›PMID 33173177›Full record

SynthesisPediatric research2021

Congenital chloride diarrhea clinical features and management: a systematic review.

Lavinia Di Meglio, Giuseppe Castaldo, Caterina Mosca, Andrea Paonessa, Monica Gelzo, Maria Valeria Esposito, Roberto Berni Canani

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pediatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  6. Genetic background of neonatal hypokalemia.Pediatric nephrology (Berlin, Germany) · 2025
    Review
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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

7 authors at 2 institutions in 1 country.

Lavinia Di MeglioDepartment of Translational Medical Science, University Federico II, Naples, Italy.
Giuseppe CastaldoCEINGE Advanced Biotechnologies Research Center, University Federico II, Naples, Italy.
Caterina MoscaDepartment of Translational Medical Science, University Federico II, Naples, Italy.
Andrea PaonessaDepartment of Translational Medical Science, University Federico II, Naples, Italy.
Monica GelzoCEINGE Advanced Biotechnologies Research Center, University Federico II, Naples, Italy.
Maria Valeria EspositoCEINGE Advanced Biotechnologies Research Center, University Federico II, Naples, Italy.
Roberto Berni CananiDepartment of Translational Medical Science, University Federico II, Naples, Italy. berni@unina.it.
Ceinge Biotecnologie Avanzate (Italy) · ITFederico II University Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCongenital chloride diarrhea (CLD) is a rare autosomal recessive disorder characterized by watery diarrhea with a high level of fecal Cl

methodsArticles published between 1 January 1965 and 31 December 2019, reported in PUBMED and EMBASE, were evaluated for a systematic review analyzing four categories: anamnestic features, clinical features, management, and follow-up strategies.

resultsFifty-seven papers reporting information on 193 CLD patients were included. The most common anamnestic features were positive family anamnesis for chronic diarrhea (44.4%), consanguinity (75%), polyhydramnios (98.3%), preterm delivery (78.6%), and failure to pass meconium (60.7%). Mean age at diarrhea onset was 6.63 days. Median diagnostic delay was 60 days. Prenatal diagnosis, based on molecular analysis, was described in 40/172 (23.3%). All patients received NaCl/KCl-substitutive therapy. An improvement of diarrhea during adulthood was reported in 91.3% of cases. Failure to thrive (21.6%) and chronic kidney disease (17.7%) were the most common complications.

conclusionsThis analysis of a large population suggests the necessity of better strategies for the management of CLD. A close follow-up and a multidisciplinary approach is mandatory to manage this condition characterized by heterogeneous and multisystemic complications. IMPACT: In this systematic review, we describe data regarding anamnestic features, clinical features, management, and follow-up of CLD patients obtained from the largest population of patients ever described to date. The results of our investigation could provide useful insights for the diagnostic approach and the management of this condition.

Indexed as

DiarrheaFecesHumansInfant, NewbornMeconiumMetabolism, Inborn ErrorsMutation, Missense

Identifiers

PMID33173177
OpenAlexW3101117182

What Socratic holds

Textmetadata
Read underepoch 390

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 Socratic graph.