Evidence map›Paper›PMID 32611961›Full record

SynthesisInternal medicine (Tokyo, Japan)2020

Recommendations for the Management of Neuro-Behçet's Disease by the Japanese National Research Committee for Behçet's Disease.

Shunsei Hirohata, Hirotoshi Kikuchi, Tetsuji Sawada, Masato Okada, Mitsuhiro Takeno, Masataka Kuwana, Izumi Kawachi, Hideki Mochizuki, Susumu Kusunoki, Yoshiaki Ishigatsubo

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in Internal medicine (Tokyo, Japan), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.7field-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

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Review
  8. Article
  9. Article
  10. Treatment with Biologic Drugs in Pediatric Behçet's Disease: A Comprehensive Analysis of the Published Data.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. 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

10 authors at 9 institutions in 1 country.

Shunsei HirohataDepartment of Rheumatology, Nobuhara Hospital, Japan.
Hirotoshi KikuchiDepartment of Internal Medicine, Teikyo University School of Medicine, Japan.
Tetsuji SawadaDepartment of Rheumatology, Tokyo Medical University, Japan.
Masato OkadaImmuno-Rheumatology Center, St. Luke's International Hospital, Japan.
Mitsuhiro TakenoDepartment of Allergy and Rheumatology, Nippon Medical University Musashi-Kosugi Hospital, Japan.
Masataka KuwanaDepartment of Allergy and Rheumatology, Nippon Medical School Graduate School of Medicine, Japan.
Izumi KawachiComprehensive Medical Education Center, Niigata University School of Medicine, Japan.
Hideki MochizukiDepartment of Neurology, Osaka University Graduate School of Medicine, Japan.
Susumu KusunokiDepartment of Neurology, Kindai University School of Medicine, Japan.
Yoshiaki IshigatsuboDepartment of Internal Medicine and Clinical Immunology, Yokohama City University Graduate School of Medicine, Japan.
Teikyo University · JPKindai University · JPNiigata University · JPNippon Medical School · JPNippon Medical School Musashi Kosugi Hospital · JPOsaka University · JPSt. Luke's International Hospital · JPTokyo Medical University · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective Brain parenchymal involvement in Behçet's disease (BD) (neuro-Behçet's disease, NB) can be classified into acute type (ANB) and chronic progressive type (CPNB) based on differences in the clinical course and responses to corticosteroid treatment. The present study developed evidence-based recommendations for the management of NB.Methods The task force of the research subcommittee consisted of seven board-certified rheumatologists (one was also a board-certified neurologist) and three board-certified neurologists. First, several clinical questions (CQs) were established. A systematic literature search was performed by The Japan Medical Library Association in order to develop recommendations. The final recommendations for each CQ developed from three blind Delphi rounds, for which the rate of agreement scores [range 1 (strongly disagree)-5(strongly agree)] was determined through voting by the task force.Results A flow chart of the algorithm was established for the management of ANB and CPNB. Thirteen recommendations were developed for NB (general 1, ANB 7, CPNB 5). The strength of each recommendation was established based on the evidence level as well as the rate of agreement.Conclusion The recommendations generated in this study are based on the results of uncontrolled evidence from open trials, retrospective cohort studies and expert opinions, due to the lack of randomized clinical trials. Nevertheless, these recommendations can be used for international studies, although verification by further properly designed controlled clinical trials is required.

Indexed as

Drug Dosage CalculationsPractice Guidelines as TopicAdrenal Cortex HormonesBehcet SyndromeHumansJapanRetrospective StudiesAdrenal Cortex HormonesBehçet's diseaseguidelinemanagementneurological involvement

Identifiers

PMID32611961
PMCPMC7644487
OpenAlexW3039664032

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.