Newborn screening for vitamin B12 deficiency in Germany: strategies, results, and public health implications

Objective - To evaluate a systematic newborn screening (NBS) strategy for vitamin B12 deficiency. - Study design - In a prospective single-center NBS study, a systematic screening strategy for vitamin B12 deficiency was developed and evaluated. Tandem-mass spectrometry screening was complemented by...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Hauptverfasser: Gramer, Gwendolyn (VerfasserIn) , Fang-Hoffmann, Junmin (VerfasserIn) , Feyh, Patrik (VerfasserIn) , Klinke, Glynis (VerfasserIn) , Monostori, Péter (VerfasserIn) , Mütze, Ulrike (VerfasserIn) , Posset, Roland (VerfasserIn) , Weiss, Karl Heinz (VerfasserIn) , Hoffmann, Georg F. (VerfasserIn) , Okun, Jürgen G. (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2020
In: The journal of pediatrics
Year: 2019, Jahrgang: 216, Pages: 1-12
ISSN:1097-6833
DOI:10.1016/j.jpeds.2019.07.052
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.jpeds.2019.07.052
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0022347619309606
Volltext
Verfasserangaben:Gwendolyn Gramer, MD, Junmin Fang-Hoffmann, MD, Patrik Feyh, Glynis Klinke, PhD, Peter Monostori, PhD, Ulrike Mütze, MD, Roland Posset, MD, Karl Heinz Weiss, MD, Georg F. Hoffmann, MD, and Jürgen G. Okun, PhD

MARC

LEADER 00000caa a2200000 c 4500
001 169771076X
003 DE-627
005 20240405193301.0
007 cr uuu---uuuuu
008 200507r20202019xx |||||o 00| ||eng c
024 7 |a 10.1016/j.jpeds.2019.07.052  |2 doi 
035 |a (DE-627)169771076X 
035 |a (DE-599)KXP169771076X 
035 |a (OCoLC)1341319413 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 33  |2 sdnb 
100 1 |a Gramer, Gwendolyn  |d 1979-  |e VerfasserIn  |0 (DE-588)132278626  |0 (DE-627)520401697  |0 (DE-576)299048179  |4 aut 
245 1 0 |a Newborn screening for vitamin B12 deficiency in Germany  |b strategies, results, and public health implications  |c Gwendolyn Gramer, MD, Junmin Fang-Hoffmann, MD, Patrik Feyh, Glynis Klinke, PhD, Peter Monostori, PhD, Ulrike Mütze, MD, Roland Posset, MD, Karl Heinz Weiss, MD, Georg F. Hoffmann, MD, and Jürgen G. Okun, PhD 
246 3 3 |a Newborn screening for vitamin B 12 deficiency in Germany 
264 1 |c 2020 
300 |a 12 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
500 |a Im Titel ist die Zahl "12" tiefgestellt 
500 |a Available online 8 October 2019 
500 |a Gesehen am 07.05.2020 
520 |a Objective - To evaluate a systematic newborn screening (NBS) strategy for vitamin B12 deficiency. - Study design - In a prospective single-center NBS study, a systematic screening strategy for vitamin B12 deficiency was developed and evaluated. Tandem-mass spectrometry screening was complemented by 2 second-tier strategies, measuring methylmalonic/3-OH-propionic/methylcitric acid, and homocysteine from dried blood spots. - Results - In a cohort of 176 702 children screened over 27 months, 33 children were detected by NBS in whom (maternal) vitamin B12 deficiency was confirmed. Homocysteine was the most sensitive marker for vitamin B12 deficiency, but only combination with a second-tier strategy evaluating methylmalonic acid allowed for detection of all 33 children. Mothers were of various ethnic origins, and 89% adhered to a balanced diet. Treatment in children was performed predominantly by oral vitamin B12 supplementation (84%), and all children remained without clinical symptoms at short-term follow-up. - Conclusions - Vitamin B12 deficiency is a treatable condition but can cause severe neurologic sequelae in infants if untreated. The proposed screening strategy is feasible and effective to identify moderate and severe cases of vitamin B12 deficiency. With an incidence of 1:5355 newborns, vitamin B12 deficiency is more frequent than inborn errors of metabolism included in NBS panels. Treatment of vitamin B12 deficiency is easy, and additional benefits can be achieved for previously undiagnosed affected mothers. This supports inclusion of vitamin B12 deficiency into NBS but also stresses the need for increased awareness of vitamin B12 deficiency in caregivers of pregnant women. 
534 |c 2019 
650 4 |a mother and child health 
650 4 |a prevention 
650 4 |a screening 
700 1 |a Fang-Hoffmann, Junmin  |e VerfasserIn  |0 (DE-588)1152416901  |0 (DE-627)101402417X  |0 (DE-576)499893972  |4 aut 
700 1 |a Feyh, Patrik  |e VerfasserIn  |0 (DE-588)1152414690  |0 (DE-627)1014019699  |0 (DE-576)499890515  |4 aut 
700 1 |a Klinke, Glynis  |d 1986-  |e VerfasserIn  |0 (DE-588)1120505895  |0 (DE-627)873446593  |0 (DE-576)480383197  |4 aut 
700 1 |a Monostori, Péter  |e VerfasserIn  |0 (DE-588)115672287X  |0 (DE-627)1019663952  |0 (DE-576)502395451  |4 aut 
700 1 |a Mütze, Ulrike  |d 1979-  |e VerfasserIn  |0 (DE-588)135567963  |0 (DE-627)693593024  |0 (DE-576)279666438  |4 aut 
700 1 |a Posset, Roland  |d 1986-  |e VerfasserIn  |0 (DE-588)1058087347  |0 (DE-627)796372160  |0 (DE-576)414059034  |4 aut 
700 1 |a Weiss, Karl Heinz  |d 1976-  |e VerfasserIn  |0 (DE-588)130069531  |0 (DE-627)489615465  |0 (DE-576)297980203  |4 aut 
700 1 |a Hoffmann, Georg F.  |d 1957-  |e VerfasserIn  |0 (DE-588)115652868  |0 (DE-627)077386116  |0 (DE-576)261230042  |4 aut 
700 1 |a Okun, Jürgen G.  |d 1968-  |e VerfasserIn  |0 (DE-588)121578232  |0 (DE-627)705551415  |0 (DE-576)292781296  |4 aut 
773 0 8 |i Enthalten in  |t The journal of pediatrics  |d St. Louis, Mo. : Mosby, 1932  |g 216(2020) Artikel-Nummer 165-172.e4, 12 Seiten  |h Online-Ressource  |w (DE-627)315966548  |w (DE-600)2005245-5  |w (DE-576)090887085  |x 1097-6833  |7 nnas  |a Newborn screening for vitamin B12 deficiency in Germany strategies, results, and public health implications 
773 1 8 |g volume:216  |g year:2020  |g pages:1-12  |g extent:12  |a Newborn screening for vitamin B12 deficiency in Germany strategies, results, and public health implications 
856 4 0 |u https://doi.org/10.1016/j.jpeds.2019.07.052  |x Verlag  |x Resolving-System  |z lizenzpflichtig  |3 Volltext 
856 4 0 |u http://www.sciencedirect.com/science/article/pii/S0022347619309606  |x Verlag  |z lizenzpflichtig  |3 Volltext 
951 |a AR 
992 |a 20200507 
993 |a Article 
994 |a 2020 
998 |g 121578232  |a Okun, Jürgen G.  |m 121578232:Okun, Jürgen G.  |d 910000  |d 910500  |e 910000PO121578232  |e 910500PO121578232  |k 0/910000/  |k 1/910000/910500/  |p 10  |y j 
998 |g 115652868  |a Hoffmann, Georg F.  |m 115652868:Hoffmann, Georg F.  |d 910000  |d 910500  |e 910000PH115652868  |e 910500PH115652868  |k 0/910000/  |k 1/910000/910500/  |p 9 
998 |g 130069531  |a Weiss, Karl Heinz  |m 130069531:Weiss, Karl Heinz  |d 910000  |d 910100  |e 910000PW130069531  |e 910100PW130069531  |k 0/910000/  |k 1/910000/910100/  |p 8 
998 |g 1058087347  |a Posset, Roland  |m 1058087347:Posset, Roland  |d 910000  |d 910500  |e 910000PP1058087347  |e 910500PP1058087347  |k 0/910000/  |k 1/910000/910500/  |p 7 
998 |g 135567963  |a Mütze, Ulrike  |m 135567963:Mütze, Ulrike  |d 910000  |d 910500  |e 910000PM135567963  |e 910500PM135567963  |k 0/910000/  |k 1/910000/910500/  |p 6 
998 |g 115672287X  |a Monostori, Peter  |m 115672287X:Monostori, Peter  |d 910000  |d 910500  |e 910000PM115672287X  |e 910500PM115672287X  |k 0/910000/  |k 1/910000/910500/  |p 5 
998 |g 1120505895  |a Klinke, Glynis  |m 1120505895:Klinke, Glynis  |d 700000  |d 721000  |e 700000PK1120505895  |e 721000PK1120505895  |k 0/700000/  |k 1/700000/721000/  |p 4 
998 |g 1152414690  |a Feyh, Patrik  |m 1152414690:Feyh, Patrik  |d 50000  |e 50000PF1152414690  |k 0/50000/  |p 3 
998 |g 1152416901  |a Fang-Hoffmann, Junmin  |m 1152416901:Fang-Hoffmann, Junmin  |d 910000  |d 910500  |e 910000PF1152416901  |e 910500PF1152416901  |k 0/910000/  |k 1/910000/910500/  |p 2 
998 |g 132278626  |a Gramer, Gwendolyn  |m 132278626:Gramer, Gwendolyn  |d 910000  |d 910500  |e 910000PG132278626  |e 910500PG132278626  |k 0/910000/  |k 1/910000/910500/  |p 1  |x j 
999 |a KXP-PPN169771076X  |e 3662632047 
BIB |a Y 
SER |a journal 
JSO |a {"name":{"displayForm":["Gwendolyn Gramer, MD, Junmin Fang-Hoffmann, MD, Patrik Feyh, Glynis Klinke, PhD, Peter Monostori, PhD, Ulrike Mütze, MD, Roland Posset, MD, Karl Heinz Weiss, MD, Georg F. Hoffmann, MD, and Jürgen G. Okun, PhD"]},"language":["eng"],"recId":"169771076X","note":["Im Titel ist die Zahl \"12\" tiefgestellt","Available online 8 October 2019","Gesehen am 07.05.2020"],"origin":[{"dateIssuedDisp":"2020","dateIssuedKey":"2020"}],"id":{"doi":["10.1016/j.jpeds.2019.07.052"],"eki":["169771076X"]},"relHost":[{"recId":"315966548","part":{"pages":"1-12","extent":"12","text":"216(2020) Artikel-Nummer 165-172.e4, 12 Seiten","year":"2020","volume":"216"},"note":["Gesehen am 15.01.20"],"language":["eng"],"origin":[{"dateIssuedKey":"1932","publisher":"Mosby ; Elsevier","dateIssuedDisp":"1932-","publisherPlace":"St. Louis, Mo. ; Frankfurt a. M. [u.a.]"}],"disp":"Newborn screening for vitamin B12 deficiency in Germany strategies, results, and public health implicationsThe journal of pediatrics","pubHistory":["1.1932 -"],"id":{"zdb":["2005245-5"],"eki":["315966548"],"issn":["1097-6833"]},"type":{"bibl":"periodical","media":"Online-Ressource"},"title":[{"title_sort":"journal of pediatrics","title":"The journal of pediatrics"}],"physDesc":[{"extent":"Online-Ressource"}]}],"physDesc":[{"extent":"12 S."}],"title":[{"title_sort":"Newborn screening for vitamin B12 deficiency in Germany","title":"Newborn screening for vitamin B12 deficiency in Germany","subtitle":"strategies, results, and public health implications"}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"person":[{"family":"Gramer","display":"Gramer, Gwendolyn","role":"aut","given":"Gwendolyn"},{"display":"Fang-Hoffmann, Junmin","family":"Fang-Hoffmann","given":"Junmin","role":"aut"},{"display":"Feyh, Patrik","family":"Feyh","given":"Patrik","role":"aut"},{"given":"Glynis","role":"aut","display":"Klinke, Glynis","family":"Klinke"},{"family":"Monostori","display":"Monostori, Péter","role":"aut","given":"Péter"},{"role":"aut","given":"Ulrike","family":"Mütze","display":"Mütze, Ulrike"},{"family":"Posset","display":"Posset, Roland","role":"aut","given":"Roland"},{"family":"Weiss","display":"Weiss, Karl Heinz","role":"aut","given":"Karl Heinz"},{"display":"Hoffmann, Georg F.","family":"Hoffmann","given":"Georg F.","role":"aut"},{"role":"aut","given":"Jürgen G.","family":"Okun","display":"Okun, Jürgen G."}],"titleAlt":[{"title":"Newborn screening for vitamin B 12 deficiency in Germany"}]} 
SRT |a GRAMERGWENNEWBORNSCR2020