Evidence map›Paper›PMID 27507833›Full record

SynthesisChronic respiratory disease2017

Managing fatigue in sarcoidosis - A systematic review of the evidence.

Chris Atkins, Andrew M Wilson

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Chronic respiratory disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.1field-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.

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

23 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Advances in management of sarcoidosis-associated fatigue: A narrative review.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2026
    Article
  5. Contemporary management of sarcoidosis.Frontiers in medicine · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Safety of corticosteroid therapy in sarcoidosis treatment.Frontiers in drug safety and regulation · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

2 authors at 1 institution in 1 country.

Chris AtkinsNorwich Medical School, University of East Anglia, Norwich, Norfolk, UK.
Andrew M WilsonNorwich Medical School, University of East Anglia, Norwich, Norfolk, UK.
University of East Anglia · GB

Funding

Department of Health DRF-2015-08-190
6 · The paper itself

Abstract

Fatigue is a common manifestation of sarcoidosis, often persisting without evidence of disease activity. First-line therapies for sarcoidosis have limited effect on fatigue. This review aimed to assess the treatment options targeting sarcoidosis-associated fatigue. Medline and Web of Science were searched in November 2015; the bibliographies of these papers, and relevant review papers, were also searched. Studies were included if they reported on the efficacy of interventions (both pharmacological and non-pharmacological) on fatigue scores in sarcoidosis patients. Eight studies were identified that fulfilled the inclusion criteria. These studies evaluated six different interventions (infliximab, adalimumab, ARA 290, methylphenidate, armodafinil and exercise programmes). There is evidence to support a treatment effect of anti-tumour necrosis factor (TNF)-αtherapies (adalimumab and infliximab) and neurostimulants (methylphenidate and armodafinil), but within five of the studies, the risk of bias was high within most domains and the remaining three studies included only small numbers of participants and were short in duration. Trial evidence for treating fatigue as a manifestation of sarcoidosis is limited and requires further investigation. Anti-TNF-α therapies may be beneficial in patients with organ-threatening disease. Neurostimulants have some trial evidence supporting improvements in fatigue but further investigation is needed before they can be recommended.

Indexed as

Exercise TherapyAdalimumabAntirheumatic AgentsBenzhydryl CompoundsCentral Nervous System StimulantsFatigueHumansInfliximabMethylphenidateModafinilOligopeptidesSarcoidosisTumor Necrosis Factor-alphaAdalimumabAntirheumatic AgentsBenzhydryl CompoundsCentral Nervous System StimulantscibinetideInfliximabMethylphenidateModafinilOligopeptidesTumor Necrosis Factor-alphaantibodiescentral nervous system stimulantschronicexercise therapyfatiguefatigue syndromemonoclonalSarcoidosis

Identifiers

PMID27507833
PMCPMC5720218
OpenAlexW2515950107

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.