Evidence map›Paper›PMID 31241816›Full record

ReviewNeurogastroenterology and motility2019

Cyclic vomiting syndrome: Pathophysiology, comorbidities, and future research directions.

William L Hasler, David J Levinthal, Sally E Tarbell, Kathleen A Adams, B U K Li, Robert M Issenman, Irene Sarosiek, Safwan S Jaradeh, Ravi N Sharaf, Shahnaz Sultan and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in Neurogastroenterology and motility, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Guideline
  2. Cyclic Vomiting Syndrome in Children.Frontiers in neurology · 2020
    Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Endocannabinoid signaling in stress, nausea, and vomiting.Neurogastroenterology and motility · 2025
    Review
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. [Clinical and gastroscopic features of children with cyclic vomiting syndrome: an analysis of 63 cases].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022
    Article
  18. Article
  19. Article
  20. Cyclic Vomiting Syndrome in Pediatric Patients: A Review of Therapeutics.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    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

11 authors at 10 institutions in 2 countries.

William L HaslerDivision of Gastroenterology, University of Michigan Health System, Ann Arbor, Michigan.
David J LevinthalDivision of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Sally E TarbellDepartment of Psychiatry and Behavioral Sciences, Northwestern Feinberg School of Medicine, Chicago, Illinois.
Kathleen A AdamsCyclic Vomiting Syndrome Association, Milwaukee, Wisconsin.
B U K LiDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Robert M IssenmanDivision of Pediatric Gastroenterology, McMaster University, Hamilton, Ontario, Canada.
Irene SarosiekDivision of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas.
Safwan S JaradehStanford University Medical School, Stanford, California.
Ravi N SharafDivision of Gastroenterology, Department of Healthcare Policy and Research, Weill Cornell Medical Center, New York, New York.
Shahnaz SultanMinneapolis VA Health Care System, Minneapolis, Minnesota.
Thangam VenkatesanDivision of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Medical College of Wisconsin · USCornell University · USMcMaster University · CAMichigan Medicine · USMinneapolis VA Health Care System · USNorthwestern University · USRome Foundation · USStanford University · USTexas Tech University Health Sciences Center · USUniversity of Pittsburgh Medical Center · US

Funding

Gene Dependent Cancer Risk and Optimal Cancer Prevention Strategies in Lynch SyndromeK07CA216326 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI SHARAF, RAVI · 2018 to 2021
$675k
NCI NIH HHS K07 CA216326
6 · The paper itself

Abstract

Cyclic vomiting syndrome (CVS) is characterized by severe episodic emesis in adults and children. Cannabinoid hyperemesis syndrome is an increasingly recognized CVS-like illness that has been associated with chronic cannabis use. There are significant gaps in our understanding of the pathophysiology, clinical features, comorbidities, and effective management options of CVS. Recommendations for treating CVS are based on limited clinical data, as no placebo-controlled, randomized trials have yet been conducted. Diseases associated with CVS, including migraine, mitochondrial disorders, autonomic dysfunction, and psychiatric comorbidities, provide clues about pathophysiologic mechanisms and suggest potential therapies. We review our current understanding of CVS and propose future research directions with the aim of developing effective therapy. Establishing a multicenter, standardized registry of CVS patients could drive research on multiple fronts including developing CVS-specific outcome measures to broaden our understanding of clinical profiles, to serve as treatment end points in clinical trials, and to provide a platform for patient recruitment for randomized clinical trials. Such a robust database would also facilitate conduct of research that aims to determine the underlying pathophysiological mechanisms and genetic basis for CVS, as well as identifying potential biomarkers for the disorder. Soliciting government and industry support is crucial to establishing the necessary infrastructure and achieving these goals. Patient advocacy groups such as the Cyclic Vomiting Syndrome Association (CVSA), which partner with clinicians and researchers to disseminate new information, to promote ongoing interactions between patients, their families, clinicians, investigators, to support ongoing CVS research and education, must be an integral part of this endeavor.

Indexed as

ComorbidityHumansMarijuana AbuseMental DisordersVomitingCannabinoidscyclic vomitingmigraine headachesmulticenter registrypsychosocial dysfunction

Identifiers

PMID31241816
PMCPMC6899706
OpenAlexW2955121540

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.