Evidence map›Paper›PMID 27134672›Full record

ArticleTherapeutic advances in neurological disorders2016

Treatment of patients with multifocal motor neuropathy with immunoglobulins in clinical practice: the SIGNS registry.

Martin Stangel, Ralf Gold, David Pittrow, Ulrich Baumann, Michael Borte, Maria Fasshauer, Manfred Hensel, Dörte Huscher, Marcel Reiser, Claudia Sommer

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Therapeutic advances in neurological disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01287689 (An Open, Uncontrolled, Non-interventional Observational Cohort Outcome Study of Immunoglobulins in 3 Indications), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.2field-weighted citation impact, top 13% 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.

NCT01287689 completednot on this map

An Open, Uncontrolled, Non-interventional Observational Cohort Outcome Study of Immunoglobulins in 3 Indications: Primary and Secondary Immunodeficiencies and Neurological Auto-immune Diseases

Typeobservational_patient_registrySponsorTechnische Universität DresdenRan2010 to 2016Enrolled685ConditionsPrimary Immunodeficiency (PID), Secondary Immunodeficiency (SID), Neurological Autoimmune DiseaseArmsImmunoglobulin G (IgG)
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Immune-mediated neuropathies.Nature reviews. Disease primers · 2018
    Review
  10. MULTIFOCAL MOTOR NEUROPATHY: CASE REPORTS.Acta clinica Croatica · 2018
    Article
  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

10 authors at 7 institutions in 1 country.

Martin StangelClinical Neuroimmunology and Neurochemistry, Department of Neurology, Hanover Medical School, Carl-Neuberg-Str. 1, D-30625 Hannover, Germany.
Ralf GoldDepartment for Neurology, St. Josef-Hospital, Ruhr University Bochum, Germany.
David PittrowInstitute for Clinical Pharmacology, Medical Faculty, Technical University Dresden, Germany.
Ulrich BaumannPaediatric Pulmonology, Allergy and Neonatology, Hanover Medical School, Hanover, Germany.
Michael BortePaediatric Rheumatology, Immunology and Infectiology, Hospital St. Georg, Leipzig, Germany.
Maria FasshauerPaediatric Rheumatology, Immunology and Infectiology, Hospital St. Georg, Leipzig, Germany.
Manfred HenselMannheimer Onkologie Praxis, Mannheim, Germany.
Dörte HuscherEpidemiology, German Rheumatism Research Centre, Berlin, Germany and; Rheumatology and Clinical Immunology, Charité University Hospital, Berlin, Germany.
Marcel ReiserPIOH - Praxis Internistische Onkologie, Hämatologie, Köln, Germany.
Claudia SommerDepartment of Neurology, University Hospital Würzburg, Germany.
Klinikum St. Georg · DEMedizinische Hochschule Hannover · DEPraxis für Hämatologie und Onkologie · DEGerman Rheumatism Research Centre · DESt. Josef-Hospital · DETU Dresden · DEUniversitätsklinikum Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe management of patients with multifocal motor neuropathy (MMN) under everyday clinical conditions has been insufficiently studied. We therefore collected comprehensive observational data on patients with MMN who received intravenous (IV) or subcutaneous (SC) immunoglobulins (IGs) as maintenance therapy.

methodsThis was a prospective, noninterventional study (registry) in neurological centres (hospitals and offices) throughout Germany.

resultsAs of 1 December 2015, 80 patients with MMN were included (mean age 55.4 ± 9.8 years, 67% males, mean disease duration 10.7 ± 10.2 years). The affected limb regions were predominantly distal muscle groups of the upper extremities. On the inflammatory neuropathy cause and treatment (INCAT) scale, 94% of the patients had some disability in the arms and 61% in the legs. At inclusion, 98.8% received IVIG and 1.3% SCIG. Substantial variation was observed between IVIG treatment intervals (every 0.7 to 17.3 weeks) and dosage (0.2-2.1 g/kg body weight received during a single administration; mean monthly dosage, 0.9 g/kg body weight). However, the mean monthly dosage was steady over time. At 1-year follow up, improvement was seen in muscle strength, INCAT and quality of life (QoL) scores (SF-36 questionnaire).

conclusionsThe management of patients with MMN in everyday clinical practice demonstrates a wide range of absolute dosages and treatment intervals of IG, supporting the recommended practice of determining treatment dose on an individual patient basis. The improvements in muscle strength and reduction in disability, accompanied by increased QoL, strengthen the case for use of IG as a maintenance treatment for MMN.

Indexed as

autoimmune diseasedisabilityneuroimmunologyneurologyobservationalpatient-related outcomesquality of liferoutine caretherapy

Identifiers

PMID27134672
PMCPMC4811011
OpenAlexW2304960491

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.