Evidence map›Paper›PMID 18458230›Full record

SynthesisNeurology2008

Assessment: Botulinum neurotoxin for the treatment of movement disorders (an evidence-based review) [RETIRED]: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology.

D M Simpson, A Blitzer, A Brashear, C Comella, R Dubinsky, M Hallett, J Jankovic, B Karp, C L Ludlow, J M Miyasaki and 3 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Neurology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 148 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 8 pooled it
36.3field-weighted citation impact, top 1% 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

148 citing papers in PubMed, 8 syntheses or guidelines pooled it, 617 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Guideline
  6. Pooled it
  7. Pooled it
  8. Botulinum toxin injections for low-back pain and sciatica.The Cochrane database of systematic reviews · 2011
    Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. [Molecular imaging and biology · 2020
    Trial
  13. Sensorimotor Perceptive Rehabilitation Integrated (SPRInt) program: exercises with augmented movement feedback associated to botulinum neurotoxin in idiopathic cervical dystonia-an observational study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Trial
  14. Trial
  15. Trial
  16. Dysport and Botox at a ratio of 2.5:1 units in cervical dystonia: a double-blind, randomized study.Movement disorders : official journal of the Movement Disorder Society · 2015
    Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

88 more citing papers are in PubMed but not listed here.

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

13 authors at 7 institutions in 3 countries.

D M SimpsonDepartment of Neurology, Mount Sinai Medical Center, New York, NY, USA.
A Blitzer
A Brashear
C Comella
R Dubinsky
M Hallett
J Jankovic
B Karp
C L Ludlow
J M Miyasaki
M Naumann
Y So
Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology
University of Kansas · USBaylor College of Medicine · USMount Sinai Medical Center · USRush University Medical Center · USSt. Luke's-Roosevelt Hospital Center · USUniversity Hospital Augsburg · DEWake Forest University · US

Funding

Pathophysiology of Basal Ganglia DisordersZ01NS003031 · NINDS · NEUROLOGICAL DISORDERS AND STROKE · PI HALLETT, MARK · 2007 to 2008
$4.4M
Therapy of Movement DisordersZIANS003032 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI HALLETT, MARK · 2009 to 2023
$3.7M
THE BASES OF NORMAL AND DISORDERED LARYNGEAL AND SPEECH SYSTEMSZ01NS002980 · NINDS · NEUROLOGICAL DISORDERS AND STROKE · PI LUDLOW, CHRISTY LESLIE · 1999 to 2008
$3.5M
Therapy of Movement DisordersZ01NS003032 · NINDS · NEUROLOGICAL DISORDERS AND STROKE · PI HALLETT, MARK · 2007 to 2008
$1.6M
Intramural NIH HHS ZIA NS003032
6 · The paper itself

Abstract

objectiveTo perform an evidence-based review of the safety and efficacy of botulinum neurotoxin (BoNT) in the treatment of movement disorders.

methodsA literature search was performed including MEDLINE and Current Contents for therapeutic articles relevant to BoNT and selected movement disorders. Authors reviewed, abstracted, and classified articles based on American Academy of Neurology criteria (Class I-IV).

resultsThe highest quality literature available for the respective indications was as follows: blepharospasm (two Class II studies); hemifacial spasm (one Class II and one Class III study); cervical dystonia (seven Class I studies); focal upper extremity dystonia (one Class I and three Class II studies); focal lower extremity dystonia (one Class II study); laryngeal dystonia (one Class I study); motor tics (one Class II study); and upper extremity essential tremor (two Class II studies). RECOMMENDATIONS: Botulinum neurotoxin should be offered as a treatment option for the treatment of cervical dystonia (Level A), may be offered for blepharospasm, focal upper extremity dystonia, adductor laryngeal dystonia, and upper extremity essential tremor (Level B), and may be considered for hemifacial spasm, focal lower limb dystonia, and motor tics (Level C). While clinicians' practice may suggest stronger recommendations in some of these indications, evidence-based conclusions are limited by the availability of data.

Indexed as

Botulinum ToxinsClinical Trials as TopicDystonic DisordersEssential TremorEvidence-Based MedicineHumansMovement DisordersMuscle, SkeletalNeuromuscular Blocking AgentsTreatment OutcomeBotulinum ToxinsNeuromuscular Blocking Agents

Identifiers

PMID18458230
PMCPMC5565261
OpenAlexW2795831496

What OpenQuestion 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 OpenQuestion graph.