Evidence map›Paper›PMID 22359151›Full record

SynthesisNeurotoxicity research2012

Efficacy and safety of long-term botulinum toxin treatment in craniocervical dystonia: a systematic review.

Carlo Colosimo, Dorina Tiple, Alfredo Berardelli

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurotoxicity research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02577224 (A Randomised Controlled Trial to Explore the Effectiveness and Cost-effectiveness of a Patient-initiated Botulinum Toxin Treatment Model for Blepharospasm and Hemifacial Spasm Compared to Treatment as Usual), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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.

NCT02577224 nacompletednot on this mapstarted 2015, after this paper: background citation

A Randomised Controlled Trial to Explore the Effectiveness and Cost-effectiveness of a Patient-initiated Botulinum Toxin Treatment Model for Blepharospasm and Hemifacial Spasm Compared to Treatment as Usual

TypeinterventionalSponsorMoorfields Eye Hospital NHS Foundation TrustRan2015 to 2018Enrolled130ConditionsBlepharospasm, Hemi Facial SpasmArmsPatient-initiated treatment
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Does botulinum toxin affect psycho-social aspects in dystonia?Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Observational
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Onabotulinumtoxin A for chronic migraine with medication overuse: clinical results of a long-term treatment.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2017
    Article
  15. Article
  16. Review
  17. Review
  18. Update on treatments for dystonia.Current neurology and neuroscience reports · 2014
    Review
  19. Article
  20. 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

3 authors at 2 institutions in 1 country.

Carlo ColosimoDipartimento di Neurologia e Psichiatria, Sapienza Università di Roma, Viale dell'Università 30, 00185 Rome, Italy. carlo.colosimo@uniroma1.it
Dorina Tiple
Alfredo Berardelli
Sapienza University of Rome · ITIstituto Neurologico Mediterraneo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Botulinum neurotoxins have been shown to be a safe and effective therapeutic option for most forms of focal dystonia, and are now considered to provide the best symptomatic treatment in these disorders. However, only a few papers addressed the long-term efficacy and safety of repeated treatments with this drug. This article reviews the data from clinical trials that have assessed the long-term results of botulinum neurotoxin type A (BoNT-A) and type B in the treatment of the different forms of focal craniocervical dystonia, cervical dystonia (CD), blepharospasm, oromandibular, and laryngeal dystonia. Studies on the long-term effects of BoNT-A therapy have demonstrated that the majority of patients comply with this repeated treatment because they experience a positive and stable effect over time. It is still unclear whether in patients with focal dystonia the mean dose of BoNT-A changes over time. In spite of the wide spectrum of side effects reported to be associated with BoNT-A treatment, there is no evidence of specific side effects due exclusively to the long-term use of such drugs. The only exception to these positive long-term findings is the occurrence of a subgroup of patients with CD who fail to maintain a sustained response after the first or second effective treatment, partly owing to the development of neutralizing antibodies against the toxin. Longitudinal studies aimed at defining the risk factors for this abnormal pattern of response to botulinum toxin treatment are currently being conducted.

Indexed as

Anti-Dyskinesia AgentsBotulinum ToxinsDystonic DisordersHumansLongitudinal StudiesTorticollisTreatment OutcomeAnti-Dyskinesia AgentsBotulinum Toxins

Identifiers

PMID22359151
OpenAlexW2072339075

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.