Evidence map›Paper›PMID 26949933›Full record

SynthesisBritish journal of clinical pharmacology2016

Drug-induced Raynaud's phenomenon: beyond β-adrenoceptor blockers.

Charles Khouri, Sophie Blaise, Patrick Carpentier, Céline Villier, Jean-Luc Cracowski, Matthieu Roustit

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in British journal of clinical pharmacology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Drug-induced Raynaud's phenomenon: beyond β-adrenoceptor blockers.British journal of clinical pharmacology · 2016
    Pooled it
  3. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  4. Article
  5. Drug-induced Raynaud phenomenon following initiation of metoprolol succinate.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
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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

6 authors at 5 institutions in 1 country.

Charles KhouriPôle Santé Publique, Pharmacovigilance, CHU Grenoble-Alpes, F-38000, Grenoble.
Sophie BlaiseHP2, Univ. Grenoble Alpes, F-38000, Grenoble.
Patrick CarpentierCHU Grenoble-Alpes, Clinique de Médecine Vasculaire, F-38000, Grenoble.
Céline VillierPôle Santé Publique, Pharmacovigilance, CHU Grenoble-Alpes, F-38000, Grenoble.
Jean-Luc CracowskiHP2, Univ. Grenoble Alpes, F-38000, Grenoble.
Matthieu RoustitHP2, Univ. Grenoble Alpes, F-38000, Grenoble.
Université Grenoble Alpes · FRCentre d'Investigation Clinique - Innovation Technologique · FRCentre Hospitalier Universitaire de Grenoble · FRSanté Publique France · FRSociété Française de Médecine Vasculaire · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDrug-induced Raynaud's phenomenon (RP) has long been associated with the use of different drugs, including cancer chemotherapy or β-adrenoceptor blockers. However, sources report extremely variable prevalence and the level of evidence for each class is heterogeneous. Moreover, new signals are emerging from case reports and small series. Our objective was therefore to review available evidence about this adverse drug effect and to propose a mechanistic approach of drug-induced RP.

methodsA systematic review of English and French language articles was performed through Medline (1946-2015) and Embase (1974-2015). Further relevant papers were identified from the reference lists of retrieved articles.

resultsWe identified 12 classes of drugs responsible for RP, with a variety of underlying mechanisms such as increased sympathetic activation, endothelial dysfunction, neurotoxicity or decreased red blood cell deformability. Cisplatin and bleomycin were associated with the highest risk, followed by β-adrenoceptor blockers. Recent data suggest a possible involvement of tyrosine kinase inhibitors (TKI), through an unknown mechanism.

conclusionDrug-induced RP is a probably underestimated adverse drug event, with limited available evidence regarding its prevalence. Although rare, serious complications like critical digital ischaemia have been reported. When these treatments are started in patients with a history of RP, careful monitoring must be made and, if possible, alternative therapies that do not alter peripheral blood flow should be considered.

Indexed as

Adrenergic beta-AntagonistsAnimalsDrug-Related Side Effects and Adverse ReactionsHumansPrevalenceRaynaud DiseaseAdrenergic beta-Antagonistsperipheral vasoconstrictionRaynaud's phenomenonβ-adrenoceptor blockers

Identifiers

PMID26949933
PMCPMC4917788
OpenAlexW2475141720

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.