Evidence map›Paper›PMID 27672078›Full record

SynthesisClinical reviews in allergy & immunology2018

Efficacy of Treatment of Non-hereditary Angioedema.

Mignon van den Elzen, M F C L Go, A C Knulst, M A Blankestijn, H van Os-Medendorp, H G Otten

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical reviews in allergy & immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06096077 (Evaluation of Tranexamic Acid for Angiotensin-converting Enzyme Inhibitor-induced Angioedema in the Emergency Department), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

NCT06096077 completednot on this mapstarted 2022, after this paper: background citation

Evaluation of Tranexamic Acid for Angiotensin-converting Enzyme Inhibitor-induced Angioedema in the Emergency Department

TypeobservationalSponsorMethodist Health SystemRan2022 to 2023Enrolled50ConditionsAngioedema
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Recurrent Angiotensin-Converting Enzyme Inhibitor-Induced Angioedema Refractory to Fresh Frozen Plasma.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2019
    Article
  6. Article
  7. Article
  8. Review
  9. 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

6 authors at 2 institutions in 1 country.

Mignon van den ElzenDivision of Internal Medicine and Dermatology, University Medical Center Utrecht, Utrecht, The Netherlands. melzen3@umcutrecht.nl.ORCID http://orcid.org/0000-0002-8796-2231
M F C L GoDivision of Internal Medicine and Dermatology, University Medical Center Utrecht, Utrecht, The Netherlands.
A C KnulstDivision of Internal Medicine and Dermatology, University Medical Center Utrecht, Utrecht, The Netherlands.
M A BlankestijnDivision of Internal Medicine and Dermatology, University Medical Center Utrecht, Utrecht, The Netherlands.
H van Os-MedendorpDivision of Internal Medicine and Dermatology, University Medical Center Utrecht, Utrecht, The Netherlands.
H G OttenLaboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-hereditary angioedema (AE) with normal C1 esterase inhibitor (C1INH) can be presumably bradykinin- or mast cell-mediated, or of unknown cause. In this systematic review, we searched PubMed, EMBASE, and Scopus to provide an overview of the efficacy of different treatment options for the abovementioned subtypes of refractory non-hereditary AE with or without wheals and with normal C1INH. After study selection and risk of bias assessment, 61 articles were included for data extraction and analysis. Therapies were described for angiotensin-converting enzyme inhibitor-induced AE (ACEi-AE), for idiopathic AE, and for AE with wheals. Described treatments consisted of ecallantide, icatibant, C1INH, fresh frozen plasma (FFP), tranexamic acid (TA), and omalizumab. Additionally, individual studies for anti-vitamin K, progestin, and methotrexate were found. Safety information was available in 26 articles. Most therapies were used off-label and in few patients. There is a need for additional studies with a high level of evidence. In conclusion, in acute attacks of ACEi-AE and idiopathic AE, treatment with icatibant, C1INH, TA, and FFP often leads to symptom relief within 2 h, with limited side effects. For prophylactic treatment of idiopathic AE and AE with wheals, omalizumab, TA, and C1INH were effective and safe in the majority of patients.

Indexed as

AngioedemaAngiotensin-Converting Enzyme InhibitorsBradykininHumansOmalizumabProgestinsTranexamic AcidTreatment OutcomeAngiotensin-Converting Enzyme InhibitorsBradykininicatibantOmalizumabProgestinsTranexamic AcidAngioedemaAngiotensin-converting enzyme inhibitorIdiopathicTreatmentWheals

Identifiers

PMID27672078
PMCPMC6002429
OpenAlexW2526901302

What OpenQuestion holds

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LicenceCC BY
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.