Evidence map›Paper›PMID 28068857›Full record

Trial reportJournal of child neurology2017

AbobotulinumtoxinA (Dysport

Ann Tilton, Barry Russman, Resa Aydin, Umit Dincer, Raul G Escobar, Sehim Kutlay, Zbigniew Lipczyk, Juan Carlos Velez, Anne-Sophie Grandoulier, Anissa Tse and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of child neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
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

12 authors.

Ann Tilton1 LSUHSC and Children's Hospital New Orleans, New Orleans, LA, USA.
Barry Russman2 Shriner's Hospital for Children, Portland, OR, USA.
Resa Aydin3 Istanbul University, Istanbul, Turkey.
Umit Dincer4 GATA Haydarpasa Training Hospital, Istanbul, Turkey.
Raul G Escobar5 Unit of Neurology, Division of Pediatrics, Medical School, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Sehim Kutlay6 Department of PMR, Ankara University, Faculty of Medicine, Ankara, Turkey.
Zbigniew Lipczyk7 B and L-Specialist Medical Centre, Lodz, Poland.
Juan Carlos Velez8 Club De Leones Cruz Del Sur Rehabilitation Center, Punta Arenas, Chile.
Anne-Sophie Grandoulier9 Ipsen, Les Ulis, France.
Anissa Tse9 Ipsen, Les Ulis, France.
Philippe Picaut9 Ipsen, Les Ulis, France.
Mauricio R Delgado10 University of Texas Southwestern Medical Center and Texas Scottish Rite Hospital for Children, Dallas, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This secondary analysis of a large (n = 241), randomized, double-blind study evaluated the efficacy of 2 doses of abobotulinumtoxinA + standard of care (SOC) versus placebo + SOC in enabling children with dynamic equinus due to cerebral palsy to achieve their functional goals using Goal Attainment Scaling. Most parents/caregivers selected goals targeting aspects of gait improvement as most relevant. Mean (95% confidence interval) Goal Attainment Scaling T scores at week 4 were higher for both abobotulinumtoxinA groups versus placebo (treatment difference vs placebo: 10 U/kg/leg: 5.32 [2.31, 8.32], P = .0006, and 15 U/kg/leg 4.65 [1.59, 7.71], P = .0031). Superiority of both abobotulinumtoxinA doses versus placebo was maintained at week 12. Best goal attainment T scores were higher in the abobotulinumtoxinA groups versus placebo for the common goals of improved walking pattern, decreased falling, decreased tripping, and improved endurance. These findings demonstrate that single injections of abobotulinumtoxinA (10 and 15 U/kg/leg) significantly improved the ability of pediatric cerebral palsy patients to achieve their functional goals.

Indexed as

AdolescentBotulinum Toxins, Type ACerebral PalsyChildChild, PreschoolDouble-Blind MethodEquinus DeformityFemaleGaitGoalsHumansMaleNeuromuscular AgentsTreatment OutcomeabobotulinumtoxinABotulinum Toxins, Type ANeuromuscular AgentsabobotulinumtoxinAcerebral palsyDysportequinus footgoal attainment scaling

Identifiers

PMID28068857
PMCPMC5405835

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.