Evidence map›Paper›PMID 22696361›Full record

SynthesisThe Cochrane database of systematic reviews2012

Treatment for POEMS (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes) syndrome.

Satoshi Kuwabara, Angela Dispenzieri, Kimiyoshi Arimura, Sonoko Misawa, Chiaki Nakaseko

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
7.4field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 107 citations in OpenAlex.

  1. Trial
  2. Trial
  3. POEMS syndrome-An unusual cause for high-gradient ascites.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. POEMS syndrome presents with a distended abdomen: A case report.The Journal of international medical research · 2023
    Article
  9. Castleman disease.Nature reviews. Disease primers · 2021
    Review
  10. Review
  11. Vascular Dysfunction Induced by Mercury Exposure.International journal of molecular sciences · 2019
    Review
  12. POEMS syndrome: clinical update.Journal of neurology · 2019
    Review
  13. Article
  14. Advances in the Treatment of Paraproteinemic Neuropathy.Current treatment options in neurology · 2017
    Review
  15. Article
  16. POEMS Syndrome: an Enigma.Current hematologic malignancy reports · 2017
    Review
  17. Article
  18. Monoclonal gammopathy-associated pure red cell aplasia.British journal of haematology · 2016
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Satoshi KuwabaraDepartment of Neurology, Graduate School of Medicine, Chiba University, Chiba, Japan. kuwabara-s@faculty.chiba-u.jp.
Angela Dispenzieri
Kimiyoshi Arimura
Sonoko Misawa
Chiaki Nakaseko
Chiba University · JPChiba University Hospital · JPKagoshima University · JPMayo Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPOEMS (polyneuropathy, organomegaly, endocrinopathy, M-protein, and skin changes) syndrome is a rare cause of demyelinating and axonal mixed neuropathy with monoclonal plasma cell proliferative disorder and multiorgan involvement. The pathogenesis of POEMS syndrome is not well understood, but overproduction of vascular endothelial growth factor (VEGF), probably secreted by plasmacytomas, is likely to be responsible for most of the characteristic symptoms. POEMS syndrome is a potentially fatal disease, and patients' quality of life deteriorates because of progressive neuropathy, massive pleural effusion or ascites, or thromboembolic events. There is a need for efficacious therapy to improve prognosis. This is the first update of a review first published in 2008.

objectivesTo assess the effects of treatment for POEMS syndrome. SEARCH

methodsWe searched the Cochrane Neuromuscular Disease Group Specialized Register (23 February 2012), CENTRAL (2012, Issue 2), MEDLINE (January 1966 to February 2012), EMBASE (January 1980 to February 2012) and CINAHL Plus (January 1937 to February 2012) for all papers on POEMS syndrome SELECTION CRITERIA: We sought all randomized and quasi-randomized controlled trials, and non-randomized controlled studies. Since we discovered no such clinical trials, we assessed and summarized all retrospective case series including five or more patients in the 'Discussion' section. DATA COLLECTION AND ANALYSIS: Two review authors independently reviewed and extracted details of all potentially relevant trials with any treatment for POEMS syndrome. We then collated and summarized information on the outcome. MAIN

resultsWe found no randomized or non-randomized prospective controlled trials of treatment for POEMS syndrome. We summarized the results of retrospective case series containing five or more patients in the 'Discussion' section. AUTHORS'

conclusionsThere are no randomized or quasi-randomized controlled clinical trials of treatment for POEMS syndrome on which to base practice.

Indexed as

Adrenal Cortex HormonesHematopoietic Stem Cell TransplantationHumansMelphalanPOEMS SyndromeRetrospective StudiesThalidomideAdrenal Cortex HormonesMelphalanThalidomide

Identifiers

PMID22696361
PMCPMC7389818
OpenAlexW2114680997

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.