Evidence map›Paper›PMID 29164020›Full record

ReviewGlobal spine journal2017

Efficacy and Safety of Methylprednisolone Sodium Succinate in Acute Spinal Cord Injury: A Systematic Review.

Michael G Fehlings, Jefferson R Wilson, James S Harrop, Brian K Kwon, Lindsay A Tetreault, Paul M Arnold, Jeffrey M Singh, Gregory Hawryluk, Joseph R Dettori

Open access · goldAbstract readReview
In one paragraph

Review in Global spine journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
5.6field-weighted citation impact, top 3% 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

59 citing papers in PubMed, 130 citations in OpenAlex.

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  19. Spinal cord injury: molecular mechanisms and therapeutic interventions.Signal transduction and targeted therapy · 2023
    Review
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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

9 authors at 8 institutions in 3 countries.

Michael G FehlingsToronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Jefferson R WilsonDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
James S HarropJefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Brian K KwonVancouver General Hospital, Vancouver, British Columbia, Canada.
Lindsay A TetreaultToronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Paul M ArnoldUniversity of Kansas Medical Center, The University of Kansas, Kansas City, KS, USA.
Jeffrey M SinghToronto Western Hospital, University Health Network, Toronto, Ontario, Canada.
Gregory HawrylukUniversity of Utah, Salt Lake City, UT, USA.
Joseph R DettoriSpectrum Research, Inc, Tacoma, WA, USA.
University Health Network · CASpectrum Research (United States) · USSt. Michael's Hospital · CAThomas Jefferson University · USUniversity of Kansas Medical Center · USUniversity of Toronto · CAUniversity of Utah · USVancouver General Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review and meta-analysis.

objectiveThe objective of this study was to conduct a systematic review to assess the comparative effectiveness and safety of high-dose methylprednisolone sodium succinate (MPSS) versus no pharmacological treatment in patients with traumatic spinal cord injury (SCI).

methodsA systematic search was performed in PubMed and the Cochrane Collaboration Library for literature published between January 1956 and June 17, 2015. Included studies were critically appraised, and Grades of Recommendation Assessment, Development and Evaluation methods were used to determine the overall quality of evidence for primary outcomes. Previous systematic reviews on this topic were collated and evaluated using the Assessment of Multiple Systematic Reviews scoring system.

resultsThe search yielded 723 citations, 13 of which satisfied inclusion criteria. Among these, 6 were primary research articles and 7 were previous systematic reviews. Based on the included research articles, there was moderate evidence that the 24-hour NASCIS II (National Acute Spinal Cord Injury Studies) MPSS regimen has no impact on long-term neurological recovery when all postinjury time points are considered. However, there is also moderate evidence that subjects receiving the same MPSS regimen within 8 hours of injury achieve an additional 3.2 points (95% confidence interval = 0.10 to 6.33;

conclusionAlthough safe to administer, a 24-hour NASCIS II MPSS regimen, when all postinjury time points are considered, has no impact on indices of long-term neurological recovery. When commenced within 8 hours of injury, however, a high-dose 24-hour regimen of MPSS confers a small positive benefit on long-term motor recovery and should be considered a treatment option for patients with SCI.

Indexed as

methylprednisolone sodium succinateMPSSspinal cord injurysystematic reviewtraumatic spinal cord injury

Identifiers

PMID29164020
PMCPMC5684849
OpenAlexW2753734936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.