Evidence map›Paper›PMID 32650400›Full record

ReviewJournal of clinical medicine2020

The Impact of Dysphagia in Myositis: A Systematic Review and Meta-Analysis.

Bendix Labeit, Marc Pawlitzki, Tobias Ruck, Paul Muhle, Inga Claus, Sonja Suntrup-Krueger, Tobias Warnecke, Sven G Meuth, Heinz Wiendl, Rainer Dziewas

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 2 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Classifying neurogenic dysphagia as a movement disorder.Brain : a journal of neurology · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Muscle weakness with a hidden cause.BMJ case reports · 2025
    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 2 institutions in 1 country.

Bendix LabeitDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Marc PawlitzkiDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Tobias RuckDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Paul MuhleDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Inga ClausDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Sonja Suntrup-KruegerDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Tobias WarneckeDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Sven G MeuthDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Heinz WiendlDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
Rainer DziewasDepartment of Neurology with Institute of Translational Neurology, University Hospital Muenster, 48149 Muenster, Germany.
University Hospital Münster · DEUniversity of Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Dysphagia is a clinical hallmark and part of the current American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) diagnostic criteria for idiopathic inflammatory myopathy (IIM). However, the data on dysphagia in IIM are heterogenous and partly conflicting. The aim of this study was to conduct a systematic review on epidemiology, pathophysiology, outcome and therapy and a meta-analysis on the prevalence of dysphagia in IIM. (2) Methods: Medline was systematically searched for all relevant articles. A random effect model was chosen to estimate the pooled prevalence of dysphagia in the overall cohort of patients with IIM and in different subgroups. (3) Results: 234 studies were included in the review and 116 (10,382 subjects) in the meta-analysis. Dysphagia can occur as initial or sole symptom. The overall pooled prevalence estimate in IIM was 36% and with 56% particularly high in inclusion body myositis. The prevalence estimate was significantly higher in patients with cancer-associated myositis and with NXP2 autoantibodies. Dysphagia is caused by inflammatory involvement of the swallowing muscles, which can lead to reduced pharyngeal contractility, cricopharyngeal dysfunction, reduced laryngeal elevation and hypomotility of the esophagus. Swallowing disorders not only impair the quality of life but can lead to serious complications such as aspiration pneumonia, thus increasing mortality. Beneficial treatment approaches reported include immunomodulatory therapy, the treatment of associated malignant diseases or interventional procedures targeting the cricopharyngeal muscle such as myotomy, dilatation or botulinum toxin injections. (4) Conclusion: Dysphagia should be included as a therapeutic target, especially in the outlined high-risk groups.

Indexed as

aspirationdysphagiainflammatory idiopathic myopathymyositispneumonia

Identifiers

PMID32650400
PMCPMC7408750
OpenAlexW3041855844

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.