Evidence map›Paper›PMID 25224601›Full record

Trial reportSpinal cord2015

Effects of intrathecal triamincinolone-acetonide treatment in MS patients with therapy-resistant spasticity.

F Kamin, P S Rommer, M Abu-Mugheisib, W Koehler, F Hoffmann, A Winkelmann, R Benecke, U K Zettl

Open access · bronzeAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Spinal cord, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

11 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. 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

8 authors at 3 institutions in 1 country.

F Kamin1] Department of Neurology, University of Rostock, Rostock, Germany [2] Department of Pathology, MVZ Hochstraße, Brandenburg an der Havel, Germany.
P S Rommer1] Department of Neurology, University of Rostock, Rostock, Germany [2] Department of Neurology, Medical University of Vienna, Vienna, Austria.
M Abu-Mugheisib1] Department of Neurology, University of Rostock, Rostock, Germany [2] Department of Neurology, Klinikum Braunschweig, Braunschweig, Germany.
W KoehlerSaechsisches Krankenhaus Hubertusburg, Wermsdorf, Germany.
F HoffmannStaedtisches Krankenhaus Martha-Maria Halle-Doelau, Halle, Germany.
A WinkelmannDepartment of Neurology, University of Rostock, Rostock, Germany.
R BeneckeDepartment of Neurology, University of Rostock, Rostock, Germany.
U K ZettlDepartment of Neurology, University of Rostock, Rostock, Germany.
University of Rostock · DEFachkrankenhaus Hubertusburg · DEMartha-Maria Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMultiple sclerosis (MS) is an autoimmune disease affecting young people and is a major cause of disability. In the course of time, disability progresses and symptoms like spasticity may occur. Spasticity is a major cost factor in MS patients. Various agents are approved for the treatment of spasticity, but each of those agents may have several side effects. Intrathecally administered steroids (triamcinolone-acetonide (TCA)) may be efficient in treating spasticity in patients with lesions in the spinal cord and no response to first-line therapeutics. The aim of this study is to show effects of TCA treatment on clinical parameters in patients with MS.

methodsThis multicentre open label study included 54 patients with MS. The clinical outcome parameters were spasticity, disability, maximum walking distance, bladder function and quality of life. All patients received physiotherapy in addition to TCA treatment to obtain optimal effects on clinical parameters.

resultsSpasticity, maximum walking distance as well as disability improved significantly (P ⩽ 0.001) during TCA applications. Bladder function improved in every seventh patient.

conclusionWe observed the effects of intrathecally administered TCA on different clinical parameters including bladder function. TCA administration is a safe method to treat different symptoms in MS patients. Longitudinal trials with repeated TCA cycles are needed to show long-term effects. Besides TCA treatment, physiotherapy contributes to the improvement of clinical parameters.

Indexed as

Combined Modality TherapyDisability EvaluationFemaleGlucocorticoidsHumansInjections, SpinalMaleMiddle AgedMultiple Sclerosis, Chronic ProgressiveMultiple Sclerosis, Relapsing-RemittingMuscle SpasticityQuality of LifeTreatment OutcomeTriamcinolone AcetonideWalkingGlucocorticoidsTriamcinolone Acetonide

Identifiers

PMID25224601
OpenAlexW2021352808

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.