Evidence map›Paper›PMID 32239268›Full record

ReviewJournal of neurology2021

Expert opinion: use of valproate in girls and women of childbearing potential with epilepsy: recommendations and alternatives based on a review of the literature and clinical experience-a European perspective.

Manuel Toledo, Barbara Mostacci, Magdalena Bosak, Joanna Jedrzejzak, Rhys H Thomas, Javier Salas-Puig, Arnaud Biraben, Bettina Schmitz

Open access · greenAbstract readReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
6.5field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. The valproate prescription pattern for female mental healthcare users of reproductive age.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

8 authors at 7 institutions in 7 countries.

Manuel ToledoEpilepsy Unit. Vall, D´Hebron University Hospital, Barcelona, Spain. mtoledo@vhebron.net.ORCID http://orcid.org/0000-0003-1550-3316
Barbara MostacciIRCCS Institute of Neurological Sciences of Bologna, Bologna, Italy.
Magdalena BosakDepartment of Neurology, Jagiellonian University Medical College, Kraków, Poland.
Joanna JedrzejzakDepartment of Neurology and Epileptology Centre of Postgraduate Medical Education, Warsaw, Poland.
Rhys H ThomasDepartment of Neurology, Royal Victoria Infirmary, Institute of Neuroscience, Newcastle upon Tyne, UK.
Javier Salas-PuigEpilepsy Unit. Vall, D´Hebron University Hospital, Barcelona, Spain.
Arnaud BirabenDepartement de Neurologie, CHU de Rennes (France), Unité d'épileptologie, Rennes, France.
Bettina SchmitzDepartment of Neurology, Vivantes Humboldt-Klinikum Berlin, Berlin, Germany.
Hebron University · PSHôpital Pontchaillou · FRHumboldt-Universität zu Berlin · DEInstitute of Neurological Sciences · ITJagiellonian University · PLPostgraduate School of Molecular Medicine · PLRoyal Victoria Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Valproate is a broad-spectrum antiepileptic drug (AED) of particular interest in pediatric epilepsy syndromes and idiopathic generalized epilepsy, as it is relatively more effective in these syndromes than other AEDs. In 2018, the European Medicines Agency introduced new restrictions on the use of valproate in girls and women of childbearing potential to avoid exposure during pregnancy. The strengthening of existing restrictions sparked controversy and debate among patients and the medical community. The high prevalence of epilepsy syndromes amenable to valproate treatment in women of childbearing age and the little information available on the teratogenic potential of alternative treatments have created uncertainty on how to manage these patients. In this consensus statement, based on a review of the literature and the clinical experience of a panel of European epilepsy experts, we present general recommendations for the optimal clinical management of AED treatment in girls, women of childbearing potential, and pregnant women across the different epilepsy syndromes.

Indexed as

EpilepsyEpilepsy, GeneralizedPregnancy ComplicationsAnticonvulsantsChildFemaleHumansPregnancyValproic AcidAnticonvulsantsValproic AcidAntiepileptic drugsChildbearingEpilepsyPregnancyTeratogenicityValproate

Identifiers

PMID32239268
OpenAlexW3014972986

What OpenQuestion holds

Textmetadata
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.