Evidence map›Paper›PMID 30949555›Full record

ArticleMovement disorders clinical practice2019

Six-Month Use of Droxidopa for Neurogenic Orthostatic Hypotension.

Clément François, Cyndya A Shibao, Italo Biaggioni, Amy M Duhig, Kim McLeod, Augustina Ogbonnaya, Apryl Quillen, Joan Cannon, Byron Padilla, Binglin Yue and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Movement disorders clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Pharmacologic treatment of orthostatic hypotension.Autonomic neuroscience : basic & clinical · 2020
    Review
  6. Review
  7. Review
  8. Review
  9. Management of coexistent neurogenic orthostatic hypotension and supine hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2019
    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

12 authors at 3 institutions in 1 country.

Clément FrançoisLundbeck Deerfield IL USA.
Cyndya A ShibaoVanderbilt University Medical Center Nashville TN USA.
Italo BiaggioniVanderbilt University Medical Center Nashville TN USA.
Amy M DuhigXcenda®, LLC Palm Harbor FL USA.
Kim McLeodXcenda®, LLC Palm Harbor FL USA.
Augustina OgbonnayaXcenda®, LLC Palm Harbor FL USA.
Apryl QuillenXcenda®, LLC Palm Harbor FL USA.
Joan CannonLundbeck Deerfield IL USA.
Byron PadillaLundbeck Deerfield IL USA.
Binglin YueXcenda®, LLC Palm Harbor FL USA.
Laurie OrloskiPharmite Douglassville PA USA.
Steven M KymesLundbeck Deerfield IL USA.
Deerfield (United States) · USVanderbilt University Medical Center · USWellStar Douglas Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDroxidopa is approved for adult patients with symptomatic neurogenic orthostatic hypotension (nOH); there is limited information regarding effects on symptoms, outcomes, and quality of life (QOL) beyond two weeks of treatment.

objectiveExamine the real-world experience of patients taking droxidopa after six months of treatment.

methodsThis non-interventional, US-based, prospective cohort study utilized a pharmacy hub, identifying patients who recently started droxidopa for nOH treatment. Questionnaires for fall frequency and other patient-reported outcomes (PROs) were completed at baseline and one, three, and six months following droxidopa initiation.

results179 enrolled patients completed baseline surveys. Droxidopa continuation rates were high at months one, three, and six (87%, 79%, and 75%, respectively). From baseline to month one, there was significant reduction in the proportion of patients reporting falling at least once (54.1% vs. 43.0%;

conclusionsIn this non-interventional prospective study, fewer nOH patients reported falling after one, three, and six months of droxidopa treatment. Further, improvements reported in nOH symptoms, physical function, and QOL measures were maintained for six months following treatment initiation. Results from randomized clinical trials are required to validate the findings.

Indexed as

droxidopafallsneurogenic orthostatic hypotensionprospective studyquality of life

Identifiers

PMID30949555
PMCPMC6417751
OpenAlexW2909471621

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.