Evidence map›Paper›PMID 32183689›Full record

SynthesisThe journal of headache and pain2020

European Headache Federation recommendations for neurologists managing giant cell arteritis.

S P Mollan, K Paemeleire, J Versijpt, R Luqmani, A J Sinclair

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in The journal of headache and pain, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.3field-weighted citation impact, top 4% 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

22 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Designing a workshop for a temporal artery biopsy simulation.Digital journal of ophthalmology : DJO · 2025
    Article
  6. Updates in the Management of Giant Cell Arteritis.Current neurology and neuroscience reports · 2024
    Review
  7. Review
  8. Review
  9. Diagnosing vasculitis with ultrasound: findings and pitfalls.Therapeutic advances in musculoskeletal disease · 2024
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. An update on the clinical approach to giant cell arteritis.Clinical medicine (London, England) · 2022
    Article
  17. Article
  18. Current Perspective on Retinal Migraine.Vision (Basel, Switzerland) · 2021
    Review
  19. Review
  20. 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

5 authors at 4 institutions in 2 countries.

S P MollanBirmingham Neuro-Ophthalmology, University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital, Birmingham, UK.ORCID https://orcid.org/0000-0002-6314-4437
K PaemeleireDepartment of Neurology, Ghent University Hospital, Ghent, Belgium.
J VersijptDepartment of Neurology, Vrije Universiteit Brussel (VUB), Universitair Ziekenhuis Brussel (UZ Brussel), Brussels, Belgium.
R LuqmaniThe Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Kennedy Institute of Rheumatology, Roosevelt Drive, Headington, Oxford, OX3 7FY, UK.
A J SinclairMetabolic Neurology, Institute of Metabolism and Systems Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK. a.b.sinclair@bham.ac.uk.ORCID https://orcid.org/0000-0003-2777-5132
Ghent University Hospital · BEQueen Elizabeth Hospital Birmingham · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBVrije Universiteit Brussel · BE

Funding

Medical Research Council MR/K015184/1Medical Research Council MR/N011775/1
6 · The paper itself

Abstract

BACKGROUND AND

aimGiant cell arteritis (GCA) remains a medical emergency because of the risk of sudden irreversible sight loss and rarely stroke along with other complications. Because headache is one of the cardinal symptoms of cranial GCA, neurologists need to be up to date with the advances in investigation and management of this condition. The aim of this document by the European Headache Federation (EHF) is to provide an evidence-based and expert-based recommendations on GCA.

methodsThe working group identified relevant questions, performed systematic literature review and assessed the quality of available evidence, and wrote recommendations. Where there was not a high level of evidence, the multidisciplinary (neurology, ophthalmology and rheumatology) group recommended best practice based on their clinical experience.

resultsAcross Europe, fast track pathways and the utility of advanced imaging techniques are helping to reduce diagnostic delay and uncertainty, with improved clinical outcomes for patients. GCA is treated with high dose glucocorticoids (GC) as a first line agent however long-term GC toxicity is one of the key concerns for clinicians and patients. The first phase 2 and phase 3 randomised controlled trials of Tocilizumab, an IL-6 receptor antagonist, have been published. It is now been approved as the first ever licensed drug to be used in GCA.

conclusionThe present article will outline recent advances made in the diagnosis and management of GCA.

Indexed as

NeurologistsAntibodies, Monoclonal, HumanizedDelayed DiagnosisEuropeGiant Cell ArteritisGlucocorticoidsHeadacheHumansPolymyalgia RheumaticaPractice Guidelines as TopicAntibodies, Monoclonal, HumanizedGlucocorticoidstocilizumabAnterior Ischaemic optic neuropathyGiant cell arteritisHeadacheLarge vessel VasculitisPolymyalgia RheumaticaStrokeTemporal arteritisTocilizumabVision

Identifiers

PMID32183689
PMCPMC7079499
OpenAlexW3011412142

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.