Evidence map›Paper›PMID 28213829›Full record

ArticleThe journal of headache and pain2017

OnabotulinumtoxinA effectiveness on chronic migraine, negative emotional states and sleep quality: a single-center prospective cohort study.

Elif Ilgaz Aydinlar, Pinar Yalinay Dikmen, Seda Kosak, Ayse Sagduyu Kocaman

Abstract read
In one paragraph

Article in The journal of headache and pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Migraine and sleep disorders: a systematic review.The journal of headache and pain · 2020
    Pooled it
  4. Observational
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  7. Review
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  15. Migraine and Sleep-An Unexplained Association?International journal of molecular sciences · 2021
    Review
  16. The Use of Botulinum Toxin for Treatment of Depression.Handbook of experimental pharmacology · 2021
    Article
  17. Observational
  18. Observational
  19. Article
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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

4 authors.

Elif Ilgaz AydinlarDepartment of Neurology, Acibadem University School of Medicine, Içerenkoy, Kayisdagi Cd, 34752, Atasehir/Istanbul, Turkey. elif.aydinlar@acibadem.edu.tr.
Pinar Yalinay DikmenDepartment of Neurology, Acibadem University School of Medicine, Içerenkoy, Kayisdagi Cd, 34752, Atasehir/Istanbul, Turkey.
Seda KosakDepartment of Neurology, Acibadem University School of Medicine, Içerenkoy, Kayisdagi Cd, 34752, Atasehir/Istanbul, Turkey.
Ayse Sagduyu KocamanDepartment of Neurology, Acibadem University School of Medicine, Içerenkoy, Kayisdagi Cd, 34752, Atasehir/Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnabotulinumtoxinA (OnabotA) is considered effective in in patients with chronic migraine (CM) who failed on traditional therapies. This study was designed to evaluate the effect of OnabotA injection series on migraine outcome, negative emotional states and sleep quality in patients with CM.

methodsA total of 190 patients with CM (mean (SD) age: 39.3 (10.2) years; 87.9% were female) were included. Data on Pittsburgh sleep quality index (PSQI), headache frequency and severity, number of analgesics used, Migraine Disability Assessment Scale. (MIDAS) scores and Depression, Anxiety and Stress Scale (DASS-21) were evaluated at baseline (visit 1) and 4 consecutive follow up visits, each conducted after OnabotA injection series; at week 12 (visit 2), week 24 (visit 3), week 36 (visit 4) and week 48 (visit 5) to evaluate change from baseline to follow up.

resultsFrom baseline to visit 5, significant decrease was noted in least square (LS) mean headache frequency (from 19.5 to 8.4, p = 0.002), headache severity (from 8.1 to 6.1, p = 0.017), number of analgesics (from 26.9 to 10.4, p = 0.023) and MIDAS scores (from 67.3 to 18.5, p < 0.001). No significant change from baseline was noted in global PSOI and DASS-21 scores throughout the study.

conclusionsOur findings revealed that OnabotA therapy was associated with significant improvement in migraine outcome leading to decrease in headache frequency and severity, number of analgesics used and MIDAS scores. While no significant change was noted in overall sleep quality and prevalence of negative emotional states, patients without negative emotional states at baseline showed improved sleep quality throughout the study.

Indexed as

Acetylcholine Release InhibitorsAdultBotulinum Toxins, Type AChronic DiseaseCohort StudiesEmotionsFemaleFollow-Up StudiesHumansMaleMiddle AgedMigraine DisordersPrevalenceProspective StudiesSleepTreatment OutcomeAcetylcholine Release InhibitorsBotulinum Toxins, Type AAnalgesicChronic migraineDASS-21HeadacheMIDASSleep quality

Identifiers

PMID28213829
PMCPMC5315653

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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.