Evidence map›Paper›PMID 32052454›Full record

ArticleMuscle & nerve2020

Nationwide study of therapeutic plasma exchange vs intravenous immunoglobulin in Guillain-Barré syndrome.

Hind A Beydoun, May A Beydoun, Sharmin Hossain, Alan B Zonderman, Shaker M Eid

Open access · greenAbstract readComparative Study
In one paragraph

Article in Muscle & nerve, 2020. 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
1.4field-weighted citation impact, top 15% 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, 24 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Hind A BeydounDepartment of Research Programs, Fort Belvoir Community Hospital, Virginia.
May A BeydounLaboratory of Epidemiology and Population Sciences, National Institute on Aging, NIA/NIH/IRP, Baltimore, Maryland.
Sharmin HossainLaboratory of Epidemiology and Population Sciences, National Institute on Aging, NIA/NIH/IRP, Baltimore, Maryland.
Alan B ZondermanLaboratory of Epidemiology and Population Sciences, National Institute on Aging, NIA/NIH/IRP, Baltimore, Maryland.
Shaker M EidDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
National Institute on Aging · USAlexander T. Augusta Military Medical Center · USJohns Hopkins University · US

Funding

Intramural NIH HHS Z99 AG999999
6 · The paper itself

Abstract

backgroundWe compared outcomes of therapeutic plasma exchange (TPE) vs intravenous immunoglobulin (IVIG) among hospitalized patients diagnosed with Guillain-Barré syndrome (GBS).

methodsIn a retrospective cohort study of 6642 records (2637 TPE and 4005 IVIG) from the 2002-2014 Nationwide Inpatient Sample, treatment type was examined as predictor of length of stay, total charges, and in-hospital death, with regression modeling using risk adjustment and propensity scoring to control for confounders.

resultsCompared with those receiving IVIG, patients who underwent TPE experienced prolonged hospitalization by approximately 7.5 days, greater hospitalization costs by approximately $46,000, and increased in-hospital death with an odds ratio of 2.78. Results did not change after controlling for confounders through risk adjustment, propensity score adjustment, or matching.

conclusionsTPE may be associated with poorer healthcare utilization outcomes vs IVIG, although confounding by indication could not be ascertained.

Indexed as

Hospital MortalityAdolescentAdultAgedAged, 80 and overChildFemaleGuillain-Barre SyndromeHospital ChargesHospitalizationHumansImmunoglobulins, IntravenousImmunologic FactorsLength of StayLinear ModelsLogistic ModelsImmunoglobulins, IntravenousImmunologic FactorsautoimmunityGuillain-Barré syndromehealthcare utilizationimmunotherapyintravenous immunoglobulintherapeutic plasma exchange

Identifiers

PMID32052454
PMCPMC11008558
OpenAlexW3006412623

What OpenQuestion holds

Textmetadata
LicenceTDM
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.