Evidence map›Paper›PMID 20880069›Full record

GuidelineEuropean journal of neurology2011

Screening for tumours in paraneoplastic syndromes: report of an EFNS task force.

M J Titulaer, R Soffietti, J Dalmau, N E Gilhus, B Giometto, F Graus, W Grisold, J Honnorat, P A E Sillevis Smitt, R Tanasescu and 4 more

Open access · bronzeAbstract readPractice Guideline
In one paragraph

Guideline in European journal of neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 186 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
186citing papers in PubMed, 8 pooled it
17.2field-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

186 citing papers in PubMed, 8 syntheses or guidelines pooled it, 510 citations in OpenAlex.

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  6. Current oncology (Toronto, Ont.) · 2019
    Pooled it
  7. European journal of nuclear medicine and molecular imaging · 2017
    Pooled it
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126 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

14 authors at 10 institutions in 8 countries.

M J TitulaerDepartment of Neurology, Leiden University Medical Center, Leiden, Netherlands. m.j.titulaer@lumc.nl
R Soffietti
J Dalmau
N E Gilhus
B Giometto
F Graus
W Grisold
J Honnorat
P A E Sillevis Smitt
R Tanasescu
C A Vedeler
R Voltz
J J G M Verschuuren
European Federation of Neurological Societies
Haukeland University Hospital · NOLeiden University Medical Center · NLAzienda Ospedaliero Universitaria San Giovanni Battista · ITCa' Foncello Hospital · ITCarol Davila University of Medicine and Pharmacy · ROConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESErasmus MC · NLUniversité Claude Bernard Lyon 1 · FRUniversity of Cologne · DEUniversity of Pennsylvania · US

Funding

Immunity to Brain Ma Proteins--A Remote Effect of CancerR01CA089054 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DALMAU, JOSEP O. · 2001 to 2011
$2.1M
Paraneoplastic Disorders of the CNS: Autoantigen ProfilingR01NS077851 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DALMAU, JOSEP O. · 2011 to 2015
$1.9M
NCI NIH HHS R01 CA089054NINDS NIH HHS R01 NS077851
6 · The paper itself

Abstract

backgroundparaneoplastic neurological syndromes (PNS) almost invariably predate detection of the malignancy. Screening for tumours is important in PNS as the tumour directly affects prognosis and treatment and should be performed as soon as possible.

objectivesan overview of the screening of tumours related to classical PNS is given. Small cell lung cancer, thymoma, breast cancer, ovarian carcinoma and teratoma and testicular tumours are described in relation to paraneoplastic limbic encephalitis, subacute sensory neuronopathy, subacute autonomic neuropathy, paraneoplastic cerebellar degeneration, paraneoplastic opsoclonus-myoclonus, Lambert-Eaton myasthenic syndrome (LEMS), myasthenia gravis and paraneoplastic peripheral nerve hyperexcitability.

methodsmany studies with class IV evidence were available; one study reached level III evidence. No evidence-based recommendations grade A-C were possible, but good practice points were agreed by consensus. RECOMMENDATIONS: the nature of antibody, and to a lesser extent the clinical syndrome, determines the risk and type of an underlying malignancy. For screening of the thoracic region, a CT-thorax is recommended, which if negative is followed by fluorodeoxyglucose-positron emission tomography (FDG-PET). Breast cancer is screened for by mammography, followed by MRI. For the pelvic region, ultrasound (US) is the investigation of first choice followed by CT. Dermatomyositis patients should have CT-thorax/abdomen, US of the pelvic region and mammography in women, US of testes in men under 50 years and colonoscopy in men and women over 50. If primary screening is negative, repeat screening after 3-6 months and screen every 6 months up till 4 years. In LEMS, screening for 2 years is sufficient. In syndromes where only a subgroup of patients have a malignancy, tumour markers have additional value to predict a probable malignancy.

Indexed as

AntibodiesEarly Detection of CancerFemaleHumansMaleNeoplasmsParaneoplastic SyndromesAntibodies

Identifiers

PMID20880069
PMCPMC3086523
OpenAlexW2134741840

What OpenQuestion holds

Textmetadata
LicenceTDM
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.