Evidence map›Paper›PMID 31241818›Full record

ReviewNeurogastroenterology and motility2019

Management of cyclic vomiting syndrome in adults: Evidence review.

Ravi N Sharaf, Thangam Venkatesan, Raj Shah, David J Levinthal, Sally E Tarbell, Safwan S Jaradeh, William L Hasler, Robert M Issenman, Kathleen A Adams, Irene Sarosiek and 3 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% 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, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Review
  5. A call to action [plans] for cyclic vomiting syndrome.Neurogastroenterology and motility · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
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

13 authors at 12 institutions in 3 countries.

Ravi N SharafDivision of Gastroenterology, Department of Medicine, Weill Cornell Medical Center, New York, New York.
Thangam VenkatesanDivision of Gastroenterology, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Raj ShahDivision of Gastroenterology and Liver Disease, Department of Internal Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio.
David J LevinthalDepartment of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburg, Pennsylvania.
Sally E TarbellDepartment of Psychiatry and Behavioral Sciences, Northwestern Feinberg University School of Medicine, Chicago, Illinois.
Safwan S JaradehDepartment of Neurology and Neurological Sciences, Stanford University Medical Center, Stanford, California.
William L HaslerDivision of Gastroenterology, Department of Medicine, University of Michigan Medical School, Ann Arbor, Michigan.
Robert M IssenmanDivision of Pediatric Gastroenterology, Department of Pediatrics, McMaster University, Hamilton, Ontario.
Kathleen A AdamsFounder/President Emerita, Cyclic Vomiting Syndrome Association.
Irene SarosiekDivision of Gastroenterology, Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, Texas.
Christopher D StaveLane Medical Library, Stanford University, Stanford, California.
B U K LiDivision of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Shahnaz SultanDivision of Gastroenterology, Department of Medicine, University of Minnesota, Minneapolis Veterans Affairs Healthcare System, Minneapolis, Minnesota.
Medical College of Wisconsin · USCornell University · USMcMaster University · CAME Association · GBMichigan Medicine · USNorthwestern University · USPittsburg State University · USStanford Medicine · USStanford University · USTexas Tech University · USUniversity of Minnesota · USUniversity School · 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

backgroundThis evidence review was conducted to inform the accompanying clinical practice guideline on the management of cyclic vomiting syndrome (CVS) in adults.

methodsWe followed the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) framework and focused on interventions aimed at prophylactic management and abortive treatment of adults with CVS. Specifically, this evidence review addresses the following clinical questions: (a) Should the following pharmacologic agents be used for prophylaxis of CVS: amitriptyline, topiramate, aprepitant, zonisamide/levetiracetam, or mitochondrial supplements? (b) Should the following pharmacologic agents be used for abortive treatment: triptans or aprepitant?

resultsWe found very low-quality evidence to support the use of the following agents for prophylactic and abortive treatment of CVS: amitriptyline, topiramate, aprepitant, zonisamide/levetiracetam, and mitochondrial supplements. We have moderate certainty of evidence for the use of triptans as abortive therapy. We found limited evidence to support the use of ondansetron and the treatment of co-morbid conditions and complementary therapies.

conclusionsThis evidence review helps inform the accompanying guideline for the management of adults with CVS which is aimed at helping clinicians, patients, and policymakers, and should improve patient outcomes.

Indexed as

AntiemeticsHumansTreatment OutcomeVomitingAntiemeticscyclic vomitingtechnical reviewtreatment

Identifiers

PMID31241818
PMCPMC6899798
OpenAlexW2953547514

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.