Table 3 Comparison of clinical characteristics between cblC-MMA and mut-MMA patients diagnosed by NBS.
From: Long-term follow-up of Chinese patients with methylmalonic acidemia of the cblC and mut subtypes
Characteristics | cblC-MMA | p1 | mut-MMA | p2 | ||
---|---|---|---|---|---|---|
NBS | non-NBS | NBS | non-NBS | |||
No. | 558 | 742 | 112 | 174 | ||
Male sex, No. (%) | 298 (53.4) | 425 (57.3) | 0.18 | 56 (50.0) | 104 (59.8) | 0.13 |
Age during follow-up (years), median (IQR) | 1.56 (0.79–2.80) | 3.89 (1.82–6.72) | <0.0001 | 1.73 (0.78–3.32) | 3.04 (1.42–6) | <0.0001 |
Onset of disease | ||||||
Onset age (months) | 0.059 (0.01–0.21) | 0.21 (0.051–0.67) | <0.0001 | 0.02 (0.01–0.25) | 0.08 (0.01–0.98) | 0.037 |
Onset of symptoms, No. (%)a | 342 (62.3) | 728 (98.6) | <0.0001 | 64 (58.7) | 171 (98.3) | <0.0001 |
Early onset, No. (%) | 212 (92.2) | 504 (80.4) | <0.0001 | 42 (91.3) | 30 (80.5) | 0.14 |
Treatment | ||||||
Interval from onset to treatment (days)b | 15 (1–37) | 42 (12–167) | <0.0001 | 1.5 (−16 to 23) | 16 (5–38) | 0.39 |
Pre-treatment onset, No. (%)a | 174 (43.4) | 725 (98.9) | <0.0001 | 32 (37.7) | 171 (98.3) | <0.0001 |
Responsive to vitB12 treatment, No. (%)a | 527 (100.0) | 644 (100.0) | NA | 55 (56.1) | 49 (38.9) | 0.015 |
Outcome | ||||||
Good prognosis, No. (%) | 287 (51.4) | 80 (10.8) | <0.0001 | 59 (52.7) | 23 (13.2) | <0.0001 |
Poor, No. (%) | 271 (48.6) | 662 (89.2) | 53 (47.3) | 151 (86.8) | ||
Deceased, No. (%) | 10 (3.7) | 53 (8.0) | 0.025 | 12 (22.6) | 55 (36.4) | 0.095 |
Ocular complications, No. (%)a,c | 33 (55) | 67 (64.4) | 0.31 | 1 (20.0) | 5 (38.5) | 0.85 |
Nephropathy, No. (%)a,c | 4 (36.4) | 15 (55.6) | 0.48 | 0 (0.0) | 2 (66.7) | >0.9999 |
Anemia, No. (%)a,c | 34 (23.6) | 32 (12.5) | 0.0051 | 10 (47.6) | 12 (31.6) | 0.26 |
Neurologic disorders, No. (%)a,c | 186 (98.9) | 523 (99.4) | 0.85 | 25 (100) | 66 (97.1) | 0.95 |
Motor disturbance, No. (%)a,c | 43 (41) | 180 (52.5) | 0.051 | 10 (47.6) | 23 (62.2) | 0.42 |
Language impairment, No. (%)a,c | 69 (71.9) | 249 (75.5) | 0.56 | 11 (68.8) | 19 (50.0) | 0.33 |
Abnormal neuropsychological test results, No. (%)a,c | 61 (95.3) | 174 (97.2) | 0.75 | 9 (100.0) | 18 (90.0) | 0.85 |
Abnormal MRI results, No. (%)a,c | 107 (93.0) | 312 (93.2) | >0.9999 | 8 (66.7) | 41 (97.6) | 0.0068 |
Hydrocephalus, No. (%)a,c | 25 (75.8) | 93 (80.2) | 0.76 | 1 (100) | 3 (75) | >0.9999 |