Evidence map›Paper›PMID 30345333›Full record

ArticleNeurology(R) neuroimmunology & neuroinflammation2018

Gender differences in prednisone adverse effects: Survey result from the MG registry.

Ikjae Lee, Henry J Kaminski, Tarrant McPherson, Michelle Feese, Gary Cutter

Open access · goldAbstract read
In one paragraph

Article in Neurology(R) neuroimmunology & neuroinflammation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
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

29 citing papers in PubMed, 82 citations in OpenAlex.

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  10. Prevalence of restless legs and association with patient-reported outcome measures in myasthenia gravis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
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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 2 institutions in 1 country.

Ikjae LeeDepartment of Neurology (I.L.), University of Alabama, Birmingham; Department of Neurology (H.J.K.), the George Washington University; and Department of Biostatistics (T.M., M.F., G.C.), University of Alabama, Birmingham.
Henry J KaminskiDepartment of Neurology (I.L.), University of Alabama, Birmingham; Department of Neurology (H.J.K.), the George Washington University; and Department of Biostatistics (T.M., M.F., G.C.), University of Alabama, Birmingham.
Tarrant McPhersonDepartment of Neurology (I.L.), University of Alabama, Birmingham; Department of Neurology (H.J.K.), the George Washington University; and Department of Biostatistics (T.M., M.F., G.C.), University of Alabama, Birmingham.
Michelle FeeseDepartment of Neurology (I.L.), University of Alabama, Birmingham; Department of Neurology (H.J.K.), the George Washington University; and Department of Biostatistics (T.M., M.F., G.C.), University of Alabama, Birmingham.
Gary CutterDepartment of Neurology (I.L.), University of Alabama, Birmingham; Department of Neurology (H.J.K.), the George Washington University; and Department of Biostatistics (T.M., M.F., G.C.), University of Alabama, Birmingham.
University of Alabama at Birmingham · USGeorge Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrednisone is a first-line immunosuppressive treatment for myasthenia gravis (MG), whereas short-term and long-term adverse effects (AEs) are a limiting factor in its usage.

methodThe MG patient registry is a patient-driven, nation-wide database with patients of age ≥18 years, who were diagnosed with MG and live in the United States. Custom-designed "prednisone-steroid use and MG" survey was sent out to MG registry participants as part of semi-annual follow-up. Data were collected and analyzed for frequency.

resultsA total of 398 MG participants (21% response rate) completed the survey, including 173 men and 225 women. Among them, 298 reported current (174) or past (288) prednisone intake. Current prednisone dosage varied from 0.5 to 75 mg (median 10 mg, IQR 7-20), dosing frequency was daily in 132 (76%) and every other day in 31 (18%). Peak prednisone dose was commonly between 25 mg and 60 mg (Median 50 mg, IQR 25-60); however, doses more than 60 mg daily were reported in 59 (20%). Prednisone AEs were reported more commonly in women (95% vs 81%,

conclusionsPrednisone is commonly used in the treatment of MG, with highly variable dosages and dosing frequencies reflecting the absence of a standard guideline. Intolerable AEs were more commonly reported among women and was associated with unwillingness to accept a dose increase. Consensus guidelines and their validation are required to guide prednisone treatment for MG.

Identifiers

PMID30345333
PMCPMC6192695
OpenAlexW2896034351

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.