Evidence map›Paper›PMID 29573033›Full record

ReviewJournal of the peripheral nervous system : JPNS2018

Individualized immunoglobulin therapy in chronic immune-mediated peripheral neuropathies.

Jeffrey A Allen, Melvin Berger, Luis Querol, Krista Kuitwaard, Robert D Hadden

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of the peripheral nervous system : JPNS, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  7. 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

5 authors at 5 institutions in 4 countries.

Jeffrey A AllenDepartment of Neurology, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-8753-2680
Melvin BergerImmunology Research and Development, CSL Behring, King of Prussia, PA, USA.
Luis QuerolNeuromuscular Diseases Unit, Department of Neurology, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-4289-8264
Krista KuitwaardDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Robert D HaddenDepartment of Neurology, King's College Hospital, London, UK.
CSL (United States) · USErasmus MC · NLKing's College Hospital · GBUniversitat Autònoma de Barcelona · ESUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the well-recognized importance of immunoglobulin therapy individualization during the treatment of chronic inflammatory demyelinating polyneuropathy (CIDP), the pathway to best achieve optimization is unknown. There are many pharmacokinetic and immunobiologic variables that can potentially influence the appropriateness of any individual therapy. Although identification of specific autoantibodies and their targets has only been accomplished in a minority of patients with CIDP, already the diagnostic and treatment implications of specific autoantibody detection are being realized. Individual variability in IgG pharmacokinetic properties including IgG catabolic rates and distribution, as well as the IgG level necessary for disease control also require consideration during the optimization process. For optimization to be successful there must be a measure of treatment response that has a clinically meaningful interpretation. There are currently available well-defined and validated clinical assessment tools and outcome measures that are well suited for this purpose. While there remains much to learn on how best to manipulate immunopathology and immunoglobulin pharmacokinetics in the most favorable way, there currently exists an understanding of these principles to a degree sufficient to begin to develop rational and evidence-based treatment optimization strategies.

Indexed as

Autoimmune DiseasesHumansImmunoglobulins, IntravenousPeripheral Nervous System DiseasesPrecision MedicineTreatment OutcomeImmunoglobulins, Intravenousautoimmune neuromuscular diseaseschronic inflammatory demyelinating polyneuropathyimmune-mediated neuropathiesintravenous immunoglobulinpharmacokinetics

Identifiers

PMID29573033
PMCPMC6033159
OpenAlexW2802092711

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.