Evidence map›Paper›PMID 26807304›Full record

ArticleJournal of clinical & experimental ophthalmology2015

Methotrexate as a Corticosteroid-Sparing Agent for Thyroid Eye Disease.

Erick Rivera-Grana, Phoebe Lin, Eric B Suhler, James T Rosenbaum

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical & experimental ophthalmology, 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
0.7field-weighted citation impact, top 28% 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, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. The Use of Biologics for Thyroid Eye Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  4. Review
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  6. Article
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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

4 authors at 1 institution in 1 country.

Erick Rivera-GranaPonce Health Science University, Ponce, Puerto Rico.
Phoebe LinCasey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA.
Eric B SuhlerCasey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA; Portland VA Health Care System, Portland, Oregon, USA.
James T RosenbaumCasey Eye Institute, Oregon Health & Science University, Portland, Oregon, USA; Legacy Devers Eye Institute, Portland, Oregon, USA.
Ponce Health Sciences University · PR

Funding

Gene Expression in Nonspecific Orbital Inflammatory DiseaseR01EY020249 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI ROSENBAUM, JAMES T · 2011 to 2020
$5.0M
NEI NIH HHS R01 EY020249
6 · The paper itself

Abstract

objectiveThyroid eye disease (TED) is generally treated with oral corticosteroid therapy. A steroid sparing drug could be a useful adjunct. We reviewed our experience with methotrexate as a corticosteroid sparing agent to treat TED.

methodsRetrospective chart review from two eye inflammation clinics. Patients with TED who were unable to discontinue prednisone therapy without disease recurrence were included.

results14 patients who were receiving an average of 32 mg/day of prednisone were treated with methotrexate, usually 15 mg/week orally or 20 mg/week subcutaneously. Five patients discontinued therapy for a lack of benefit or intolerance. Of the 9 patients who remained on methotrexate, all were able to discontinue prednisone completely after an average duration of 7.5 months. Improved visual acuity by at least two lines on the Snellen chart was achieved by 7 of 12 patients with reduced acuity and partial improvement in ocular motility was achieved in 5 of 14 patients.

conclusionsMethotrexate provided an effective steroid sparing effect in a subset of patients with TED.

Indexed as

CorticosteroidsGraves' diseaseImmunosuppressionMethotrexatePrednisoneThyroid eye disease

Identifiers

PMID26807304
PMCPMC4718577
OpenAlexW2463161475

What OpenQuestion holds

Textmetadata
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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.