Evidence map›Paper›PMID 32156762›Full record

ArticleBMJ open2020

Pharmacologic and non-pharmacologic interventions to prevent hypersensitivity reactions of non-ionic iodinated contrast media: a systematic review protocol.

Hiroyasu Umakoshi, Takashi Nihashi, Hironori Shimamoto, Takehiro Yamada, Hiroaki Ishiguchi, Akira Takada, Naoki Hirasawa, Shunichi Ishihara, Yasuo Takehara, Shinji Naganawa and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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 5 institutions in 2 countries.

Hiroyasu UmakoshiDepartment of Radiology, Toyohashi Municipal Hospital, Toyohashi, Aichi, Japan.
Takashi NihashiDepartment of Radiology, Komaki City Hospital, Komaki, Aichi, Japan.
Hironori ShimamotoDepartment of Radiology, Toyohashi Municipal Hospital, Toyohashi, Aichi, Japan.
Takehiro YamadaDepartment of Radiology, Toyohashi Municipal Hospital, Toyohashi, Aichi, Japan.
Hiroaki IshiguchiDepartment of Radiology, Komaki City Hospital, Komaki, Aichi, Japan.
Akira TakadaDepartment of Radiology, Toyohashi Municipal Hospital, Toyohashi, Aichi, Japan.
Naoki HirasawaDepartment of Radiology, Komaki City Hospital, Komaki, Aichi, Japan.
Shunichi IshiharaDepartment of Radiology, Toyohashi Municipal Hospital, Toyohashi, Aichi, Japan.
Yasuo TakeharaDepartment of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Shinji NaganawaDepartment of Radiology, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Matthew DavenportDepartments of Radiology and Urology, Michigan Medicine, Ann Arbor, Michigan, USA.
Teruhiko TerasawaDepartment of Emergency and General Internal Medicine, Fujita Health University, Toyoake, Aichi, Japan terasawa@fujita-hu.ac.jp.ORCID 0000-0002-0975-391X
Toyohashi Municipal Hospital · JPKomaki City Hospital · JPNagoya University · JPFujita Health University · JPMichigan Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIodinated contrast media are commonly used in medical imaging and can cause hypersensitivity reactions, including rare but severe life-threatening reactions. Although several prophylactic approaches have been proposed for severe reactions, their effects remain unclear. Therefore, we aim to review systematically the preventive effects of pharmacologic and non-pharmacologic interventions and predictors of acute, hypersensitivity reactions. METHODS AND ANALYSIS: We will search the PubMed, EMBASE and Cochrane Central Register of Controlled Trials databases from 1 January 1990 through 31 December 2019 and will examine the bibliographies of eligible studies, pertinent review articles and clinical practice guidelines. We will include prospective and retrospective studies of any design that evaluated the effects of pharmacological and non-pharmacological preventive interventions for adverse reactions of non-ionic iodinated contrast media. Two assessors will independently extract the characteristics of the study and intervention and the quantitative results. Two independent reviewers will assess the risk of bias using standard design-specific validity assessment tools. The primary outcome will be reduction in acute contrast media-induced hypersensitivity reactions. The secondary outcomes will include characteristics associated with the development of contrast media-induced acute hypersensitivity reactions, and adverse events associated with specific preventive interventions. Unique premedication regimens (eg, dose, drug and duration) and non-pharmacological strategies will be analysed separately. Average-risk and high-risk patients will be considered separately. A meta-analysis will be performed if appropriate. ETHICS AND DISSEMINATION: Ethics approval is not applicable, as this will be a secondary analysis of publicly available data. The results of the analysis will be submitted for publication in a peer reviewed journal. PROSPERO REGISTRATION NUMBER: CRD42019134003.

Indexed as

Contrast MediaDrug HypersensitivityHypersensitivityFemaleHumansMalePremedicationProspective StudiesRandomized Controlled Trials as TopicRetrospective StudiesSystematic Reviews as TopicContrast Mediacontrast mediadiagnostic radiologypremedicationpreventive effectiveness

Identifiers

PMID32156762
PMCPMC7064079
OpenAlexW3011274936

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.