Evidence map›Paper›PMID 30536111›Full record

ArticleJournal of neurology2019

Guillain-Barré syndrome in Denmark: a population-based study on epidemiology, diagnosis and clinical severity.

Helle Al-Hakem, Søren H Sindrup, Henning Andersen, Charlotte Dornonville de la Cour, Lisbeth L Lassen, Bianca van den Berg, Bart C Jacobs, Thomas Harbo

Abstract read
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In one paragraph

Article in Journal of neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  6. Review
  7. Review
  8. Three-year follow-up outcomes of adult patients with Guillain-Barré Syndrome after rehabilitation.Malawi medical journal : the journal of Medical Association of Malawi · 2023
    Article
  9. Article
  10. Ten years evaluation of epidemiology- and mortality-related factors in adults and children with Guillain-Barré syndrome in the north of Iran.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  11. Article
  12. GBS and COVID-19: Untangling the Knots.The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques · 2022
    Article
  13. Article
  14. Article
  15. Observational
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  18. Guillain-Barré syndrome and antecedent cytomegalovirus infection, USA 2009-2015.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  19. Article
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

8 authors at 5 institutions in 2 countries.

Helle Al-HakemDepartment of Neurology, Aarhus University Hospital, Nørrebrogade 44, 8000, Aarhus, Denmark. helsma@rm.dk.ORCID http://orcid.org/0000-0002-3544-0204
Søren H SindrupDepartment of Neurology, Odense University Hospital, Odense, Denmark.
Henning AndersenDepartment of Neurology, Aarhus University Hospital, Nørrebrogade 44, 8000, Aarhus, Denmark.
Charlotte Dornonville de la CourDepartment of Clinical Neurophysiology, Rigshospitalet, Copenhagen, Denmark.
Lisbeth L LassenDepartment of Neurology, Rigshospitalet Glostrup, Copenhagen, Denmark.
Bianca van den BergDepartment of Neurology, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
Bart C JacobsDepartment of Neurology and Immunology, Erasmus MC, University Medical Centre, Rotterdam, The Netherlands.
Thomas HarboDepartment of Neurology, Aarhus University Hospital, Nørrebrogade 44, 8000, Aarhus, Denmark.
Aarhus University Hospital · DKErasmus MC · NLGlostrup Hospital · DKOdense University Hospital · DKRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the epidemiology and clinical heterogeneity of Guillain-Barré syndrome (GBS) in Denmark and to compare a population-based cohort to prospectively included patients in the International GBS Outcome Study (IGOS).

methodsThe incidence rate (IR) of GBS in Denmark from September 2012 to December 2015, applying the National Institute of Neurological Disorders and Stroke (NINDS) diagnostic criteria, was estimated and the level of diagnostic certainty was described with the Brighton criteria. All cases registered with a diagnosis of GBS or other inflammatory neuropathies in the Danish National Hospital Registry were reviewed for diagnostic criteria and for information on treatment and clinical course.

resultsA total of 299 GBS cases were confirmed, corresponding to a crude IR of 1.59 (95% CI 1.42-1.78) per 100,000 per year. The Brighton criteria level 1-3 of diagnostic certainty was met in 279 (93%) of the patients. Thirty-five percent of the patients were mildly affected (GBS disability score < 3) and a correlation between high age and high disability score at nadir was found (Spearman's rank correlation coefficient 0.42, p < 0.0001). The group of 89 (30%) patients who were enrolled in IGOS had higher GBS disability score at nadir, were admitted 5 days earlier, reached nadir 4 days faster, and a larger proportion received treatment with IVIg (all p < 0.05).

conclusionThe epidemiology and full clinical spectrum of GBS are described in a population-based study. This includes a larger proportion of milder cases that are underrepresented in prospective cohorts such as IGOS.

Indexed as

Severity of Illness IndexAdultAgedDenmarkFemaleGuillain-Barre SyndromeHumansIncidenceMiddle AgedBrighton criteriaEpidemiologyGuillain–Barré syndromeIGOSInternational GBS outcome study

Identifiers

PMID30536111
OpenAlexW2905022556

What OpenQuestion holds

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Registered trials

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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.