Evidence map›Paper›PMID 25387496›Full record

ArticleAnais brasileiros de dermatologia

Long-term results of oxybutynin use in treating facial hyperhidrosis.

Nelson Wolosker, Marcelo Passos Teivelis, Mariana Krutman, Taiz Pereira Dozono de Almeida Campbell, Paulo Kauffman, José Ribas de Campos, Pedro Puech-Leão

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Anais brasileiros de dermatologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. 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

7 authors at 2 institutions in 1 country.

Nelson WoloskerHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Marcelo Passos TeivelisHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Mariana KrutmanHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Taiz Pereira Dozono de Almeida CampbellHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Paulo KauffmanHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
José Ribas de CamposHospital Israelita Albert Einstein, São Paulo, SP, Brazil.
Pedro Puech-LeãoHospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Hospital Israelita Albert Einstein · BRUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFacial hyperhidrosis can lead to serious emotional distress. Video-assisted thoracic sympathectomy resolves symptoms effectively, though it may be associated with compensatory hyperhidrosis, which may be more common in patients undergoing resection of the second thoracic ganglion. Oxybutynin has been used as a pharmacological approach to facial hyperhidrosis but the long-term results of this treatment are unclear.

objectiveTo evaluate the use of low oxybutynin doses in facial hyperhidrosis patients for at least six months.

methods61 patients were monitored for over six months and assessed according to the following variables: impact of hyperhidrosis on quality of life (QOL) before treatment and after six weeks, evolution of facial hyperhidrosis after six weeks and at the last consultation, complaints of dry mouth after six weeks and on last return visit, and improvement at other hyperhidrosis sites.

resultsPatients were monitored for 6 to 61 months (median=17 months). Thirty-six (59%) were female. Age ranged from 17-74 (median:45). Pre-treatment QOL was poor/very poor in 96.72%. After six weeks, 100% of patients improved QOL. Comparing results after six weeks and on the last visit, 91.8% of patients maintained the same category of improvement in facial hyperhidrosis, 3.3% worsened and 4.9% improved. Dry mouth complaints were common but not consistent throughout treatment. More than 90% of patients presented moderate/great improvement at other hyperhidrosis sites.

conclusionPatients who had a good initial response to treatment maintained a good response long-term, did not display tachiphylaxis and experienced improvement on other hyperhidrosis sites.

Indexed as

AdolescentAdultAgedFaceFemaleHumansHyperhidrosisMaleMandelic AcidsMiddle AgedMuscarinic AntagonistsQuality of LifeTime FactorsTreatment OutcomeXerostomiaYoung AdultMandelic AcidsMuscarinic Antagonistsoxybutynin

Identifiers

PMID25387496
PMCPMC4230660
OpenAlexW2091626501

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.