Evidence map›Paper›PMID 39839488›Full record

ArticleJournal of patient experience2025

The Diagnostic Journey of Dysautonomia Patients: Insights from a Patient-Reported Outcome Study.

John A O'Dell, Ash Walker, Andrew J Latham, Daniel J Parisian, Lindsay E Branch, Dreena D Vanderburg, Ava A Cox, Shelley Chavis, Silvia E Smith

Abstract read
In one paragraph

Article in Journal of patient experience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Neuroimmune pathophysiology of long COVID.Psychiatry and clinical neurosciences · 2025
    Review
  10. 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

9 authors.

John A O'DellDepartment of Biology, University of North Carolina Pembroke, Pembroke, NC, USA.
Ash WalkerDepartment of Kinesiology, University of North Carolina Pembroke, Pembroke, NC, USA.
Andrew J LathamDepartment of Mathematics and Computer Science, University of North Carolina Pembroke, Pembroke, NC, USA.
Daniel J ParisianDepartment of Economics, Marketing, Entrepreneurship, and Analytics, University of North Carolina Pembroke, Pembroke, NC, USA.
Lindsay E BranchDepartment of Biology, University of North Carolina Pembroke, Pembroke, NC, USA.
Dreena D VanderburgDepartment of Biology, University of North Carolina Pembroke, Pembroke, NC, USA.
Ava A CoxDepartment of Biology, University of North Carolina Pembroke, Pembroke, NC, USA.
Shelley ChavisDepartment of Biology, University of North Carolina Pembroke, Pembroke, NC, USA.
Silvia E SmithDepartment of Biology, University of North Carolina Pembroke, Pembroke, NC, USA.ORCID https://orcid.org/0009-0001-3981-4592

Funding

U-RISE at the UNC PembrokeT34GM149434 · NIGMS · UNIVERSITY OF NORTH CAROLINA AT PEMBROKE · PI Courtney Carroll Alexander, ROBERT E POAGE · 2024 to 2026
$506k
NIGMS NIH HHS T34 GM149434
6 · The paper itself

Abstract

Dysautonomia refers to any disorder involving altered function of the autonomic nervous system. Dysautonomia can be debilitating as it often affects multiple organ systems. The diagnostic journey for individuals affected by dysautonomia can be hindered by symptom overlap with other conditions and by limited access to autonomic specialists. The present patient-reported outcome study aims to characterize the diagnostic journey of 672 adult individuals affected by different types of dysautonomia. The average time to diagnosis was 7.7 years (SD 10 years) and diagnosis was made primarily by cardiologists, followed by neurologists, and internists or primary care physicians. Common comorbid conditions are Ehlers-Danlos syndrome, mast cell disorders, vitamin deficiency, fibromyalgia, and myalgic encephalomyelitis, all of which can contribute to the symptoms burden and can potentially confound the diagnostic process. We suggest that the prolonged time to diagnosis contributes to morbidity and compounds the psychological and economic burden of dysautonomia. Raising awareness about the numerous obstacles that hinder the diagnostic process among both clinicians and dysautonomia patients is the first step to reduce morbidity and improve clinical outcomes.

Indexed as

comorbid conditionsdiagnosisDysautonomiapatient journey

Identifiers

PMID39839488
PMCPMC11748159

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.