Evidence map›Paper›PMID 31960165›Full record

ArticleLung2020

Ranking Self-reported Gastrointestinal Side Effects of Pharmacotherapy in Sarcoidosis.

M Drent, V L J Proesmans, M D P Elfferich, N T Jessurun, S M G de Jong, N M Ebner, E D O Lewis, A Bast

Open access · hybridAbstract read
In one paragraph

Article in Lung, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Advanced Pulmonary Sarcoidosis: Treatment and Monitoring.Diagnostics (Basel, Switzerland) · 2025
    Review
  3. Article
  4. Review
  5. Safety of corticosteroid therapy in sarcoidosis treatment.Frontiers in drug safety and regulation · 2023
    Review
  6. Comorbidities of sarcoidosis.Annals of medicine · 2022
    Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. 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

8 authors at 3 institutions in 1 country.

M DrentDepartment of Pharmacology and Toxicology, FHML, Maastricht University, Maastricht, The Netherlands. m.drent@antoniusziekenhuis.nl.ORCID 0000-0003-1586-0110
V L J Proesmansild care foundation Research Team, Ede, The Netherlands.
M D P Elfferichild care foundation Research Team, Ede, The Netherlands.
N T Jessurunild care foundation Research Team, Ede, The Netherlands.
S M G de Jongild care foundation Research Team, Ede, The Netherlands.
N M Ebnerild care foundation Research Team, Ede, The Netherlands.
E D O Lewisild care foundation Research Team, Ede, The Netherlands.
A BastDepartment of Pulmonology, ILD Center of Excellence, St. Antonius Hospital, Koekoekslaan 1, 3435 CM, Nieuwegein, The Netherlands.
Maastricht University · NLIld Care Foundation · NLNetherlands Pharmacovigilance Centre Lareb · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical manifestations of sarcoidosis vary widely, depending on the intensity of the inflammation and the organ systems affected. So far, no curative treatment exists; the disease can only be suppressed. All treatment options cause side effects affecting quality of life. The aim of this study was to establish and rank the prevalence of self-reported gastrointestinal side effects of drugs used in the treatment of sarcoidosis.

methodsA cross-sectional web-based anonymous survey about complaints and side effects was conducted among sarcoidosis patients in the Netherlands, United Kingdom, and United States of America.

resultsOf the participants, 70% were being treated with one or more drugs. The most important reported side effect was weight gain, associated with increased appetite among prednisone users (as monotherapy as well as in combination with other drugs). Methotrexate (MTX) users especially experienced nausea, with monotherapy as well as combination therapy. Vomiting and weight loss were most prominent among azathioprine and mycophenolate mofetil (MMF) users, whereas diarrhoea was frequently mentioned by MMF and MTX users. The reported side effects of hydroxychloroquine were generally rather mild.

conclusionThe current study ranked the gastrointestinal side effects associated with pharmacotherapy in sarcoidosis patients. Pharmacotherapy does have multiple gastrointestinal side effects. The strongest association between a reported side effect and drug use was that of weight gain associated with increased appetite among prednisone users. It would therefore be useful for future research to look further into dietary interventions to counter these side effects and reduce their burden.

Indexed as

Gastrointestinal DiseasesQuality of LifeAdultCross-Sectional StudiesDrug-Related Side Effects and Adverse ReactionsFemaleHumansImmunosuppressive AgentsMaleMethotrexateMycophenolic AcidNeeds AssessmentPrednisoneSarcoidosisSelf ReportWeight GainImmunosuppressive AgentsMethotrexateMycophenolic AcidPrednisoneGastrointestinal side effectsGlucocorticoidsMethotrexatePharmacotherapySarcoidosisSide effectsTreatment

Identifiers

PMID31960165
PMCPMC7105437
OpenAlexW3000849054

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.