Evidence map›Paper›PMID 32198219›Full record

ReviewEuropean respiratory review : an official journal of the European Respiratory Society2020

Management of repository corticotrophin injection therapy for pulmonary sarcoidosis: a Delphi study.

Franck F Rahaghi, Nadera J Sweiss, Lesley Ann Saketkoo, Mary Beth Scholand, Joseph B Barney, Alicia K Gerke, Elyse E Lower, Mehdi Mirsaeidi, Lanier O'Hare, Mark J Rumbak and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in European respiratory review : an official journal of the European Respiratory Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. International Society for Heart and Lung Transplantation Scientific Statement on pulmonary antibody-mediated rejection and proposed graft, antibody, and pathology (GAP) definition.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
    Guideline
  2. ActharClinical drug investigation · 2023
    Review
  3. Review
  4. Review
  5. Clinical phenotyping: role in treatment decisions in sarcoidosis.European respiratory review : an official journal of the European Respiratory Society · 2020
    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

12 authors at 10 institutions in 1 country.

Franck F RahaghiCleveland Clinic Florida, Weston, FL, USA.
Nadera J SweissUniversity of Illinois at Chicago College of Medicine, Chicago, IL, USA.ORCID https://orcid.org/0000-0003-2215-0221
Lesley Ann SaketkooTulane University School of Medicine, New Orleans, LA, USA.
Mary Beth ScholandUniversity of Utah Medical Center, Salt Lake City, UT, USA.
Joseph B BarneyUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Alicia K GerkeUniversity of Iowa Carver College of Medicine, Iowa City, IA, USA.
Elyse E LowerUniversity of Cincinnati Medical Center, Cincinnati, OH, USA.
Mehdi MirsaeidiUniversity of Miami Miller School of Medicine, Miami, FL, USA.
Lanier O'HareUniversity of Alabama at Birmingham, Birmingham, AL, USA.ORCID https://orcid.org/0000-0003-0080-7579
Mark J RumbakUniversity of South Florida College of Medicine, Tampa, FL, USA.
Lobelia SamavatiWayne State University School of Medicine, Detroit, MI, USA.
Robert P BaughmanUniversity of Cincinnati Medical Center, Cincinnati, OH, USA baughmrp@ucmail.uc.edu.
University of Alabama at Birmingham · USUniversity of Cincinnati · USCleveland Clinic Florida · USTulane University · USUniversity of Illinois Chicago · USUniversity of Iowa · USUniversity of Miami · USUniversity of South Florida · USUniversity of Utah · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients treated with repository corticotrophin injection (RCI) for pulmonary sarcoidosis, effective management of adverse events may improve adherence. However, management of adverse events may be challenging due to limitations in real-world clinical experience with RCI and available published guidelines.We surveyed 12 physicians with a modified Delphi process using three questionnaires. Questionnaire 1 consisted of open-ended questions. Panellists' answers were developed into a series of statements for Questionnaires 2 and 3. In these, physicians rated their agreement with the statements using a Likert scale.Key consensus recommendations included a starting dose of 40 units twice a week for patients with less severe disease, continued at a maintenance dose for patients who responded, particularly those with chronic refractory sarcoidosis. Panellists reached consensus that concomitant steroids should be quickly tapered in patients receiving RCI, but that concomitant use of immunosuppressive medications should be continued. Panellists developed consensus recommendations for adverse event management, and reached consensus that RCI should be down-titrated or discontinued if other interventions for the adverse effects fail or if the adverse effect is severe.In the absence of clinical evidence, our Delphi consensus opinions may provide practical guidance to physicians on the management of RCI to treat pulmonary sarcoidosis.

Indexed as

Adrenocorticotropic HormoneConsensusDelphi TechniqueDrug TaperingDrug Therapy, CombinationEvidence-Based MedicineHormonesHumansImmunosuppressive AgentsInjectionsLungSarcoidosis, PulmonarySteroidsTreatment OutcomeAdrenocorticotropic HormoneHormonesImmunosuppressive AgentsSteroids

Identifiers

PMID32198219
PMCPMC9489143
OpenAlexW3010965630

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.