Evidence map›Paper›PMID 38605204›Full record

SynthesisThe Journal of clinical endocrinology and metabolism2024

Outcomes of SDHB Pathogenic Variant Carriers.

Dahlia F Davidoff, Richard De Abreu Lourenco, Venessa H M Tsang, Diana E Benn, Roderick J Clifton-Bligh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The Journal of clinical endocrinology and metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Clinical characteristics and prognosis ofJournal of medical genetics · 2026
    Pooled it
  2. Outcomes of SDHB Pathogenic Variant Carriers.The Journal of clinical endocrinology and metabolism · 2024
    Pooled it
  3. Approach to the Patient With Metastatic Pheochromocytoma and Paraganglioma.The Journal of clinical endocrinology and metabolism · 2025
    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

5 authors.

Dahlia F DavidoffCancer Genetics Laboratory, Kolling Institute, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.ORCID 0000-0003-4084-9239
Richard De Abreu LourencoCentre for Health Economics Research and Evaluation, University of Technology Sydney, Haymarket, Sydney 2007, Australia.
Venessa H M TsangCancer Genetics Laboratory, Kolling Institute, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
Diana E BennCancer Genetics Laboratory, Kolling Institute, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
Roderick J Clifton-BlighCancer Genetics Laboratory, Kolling Institute, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.ORCID 0000-0002-1545-0368

Funding

RACP Foundation 2022RES00038
6 · The paper itself

Abstract

contextCarriers of germline pathogenic variants (PVs) in succinate dehydrogenase type B (SDHB) are at increased risk of developing pheochromocytomas and paragangliomas (PPGLs). Understanding their outcomes can guide recommendations for risk assessment and early detection.

objectiveWe performed a systematic review and meta-analysis of the following outcomes in SDHB PV carriers: age-specific risk of developing tumors, metastatic progression, second primary tumor development, and mortality.

methodsPubMed, MEDLINE, and EMBASE were searched. Sixteen studies met the inclusion criteria and were sorted into 4 outcome categories: age-specific penetrance, metastatic disease, risk of second tumor, and mortality. We assessed heterogeneity and performed a meta-analysis across studies using a random-effects model with the DerSimonian and Laird method.

resultsPenetrance of PPGLs for nonproband/nonindex SDHB PV carriers by age 20 was 4% (95% CI, 3%-6%), 11% (95% CI, 8%-15%) by age 40, 24% (95% CI, 19%-31%) by age 60%, and 35% (95% CI, 25%-47%) by age 80. The overall risk of metastatic disease for nonproband/nonindex carriers with PPGLs was 9% (95%, CI 5%-16%) per lifetime. In all affected cases (combining both proband/index and nonproband/nonindex carriers with tumors), the risk of a second tumor was 24% (95% CI, 18%-31%) and all-cause 5-year mortality was 18% (95% CI, 6%-40%).

conclusionPenetrance for PPGLs in SDHB PV carriers increases linearly with age. Affected carriers are at risk of developing and dying of metastatic disease, or of developing second tumors. Lifelong surveillance is appropriate.

Indexed as

Adrenal Gland NeoplasmsParagangliomaPenetrancePheochromocytomaSuccinate DehydrogenaseGenetic Predisposition to DiseaseGerm-Line MutationHeterozygoteHumansSDHB protein, humanSuccinate DehydrogenaseparagangliomapheochromocytomaSDHBsuccinate dehydrogenase

Identifiers

PMID38605204
PMCPMC11318991

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.