Evidence map›Paper›PMID 33251776›Full record

SynthesisYonsei medical journal2020

Assisted Breathing with a Diaphragm Pacing System: A Systematic Review.

A La Woo, Ha Jin Tchoe, Hae Won Shin, Chae Min Shin, Chae Man Lim

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Yonsei medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. User-Centered Design of Neuroprosthetics: Advancements and Limitations.CNS & neurological disorders drug targets · 2025
    Review
  4. Article
  5. Article
  6. 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 2 institutions in 1 country.

A La WooDivision of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-8818-6115
Ha Jin TchoeDivision for New Technology Assessment, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.ORCID https://orcid.org/0000-0001-6830-499X
Hae Won ShinDivision for New Technology Assessment, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.ORCID https://orcid.org/0000-0002-3394-0803
Chae Min ShinDivision for New Technology Assessment, National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.ORCID https://orcid.org/0000-0001-7970-565X
Chae Man LimDivision of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. cmlim@amc.seoul.kr.ORCID https://orcid.org/0000-0001-5400-6588
National Evidenc- based healthcare Collaborating Agency · KRUlsan College · KR

Funding

National Evidence-based Healthcare Collaborating Agency
6 · The paper itself

Abstract

purposePatients with respiratory failure associated with neurological dysfunction often require mechanical ventilator support, which poses increased economic burden and ventilator-associated complications. A diaphragm pacing system (DPS) is an implanted device that provides respiratory support for such patients. In this systematic review, we reviewed the literature to assess the safety and efficacy of DPS for patients with respiratory failure resulting from amyotrophic lateral sclerosis (ALS) or cervical spinal cord injuries. MATERIALS AND

methodsThe following databases were searched from July 10 to July 30, 2018: MEDLINE, EMBASE, Cochran library, KoreaMed, Research Information Sharing Service, Korean studies Information Service System, Korea Institute of Science and Technology Information, and Korean Medical database. The abstracts and full texts of the searched articles were reviewed by two reviewers.

resultsThe search keywords generated 197 articles: two randomized controlled trials, two case-control studies, and one case report involving patients with ALS; one cohort study, one case-control study, and two case reports involving patients with cervical spine injury; and one case report involving patients with both conditions were included. The primary outcome was safety profile (complications and adverse event) and efficacy (overall survival and sleep improvement). Complications and adverse events were more common in patients with ALS and spinal cord injury receiving DPS than in controls. Efficacy outcomes were inconsistent across ALS studies.

conclusionBased on safety and efficacy results, we do not support using DPS to manage respiratory failure in patients with ALS or cervical spine injury.

Indexed as

RespirationAmyotrophic Lateral SclerosisDiaphragmHumansProstheses and ImplantsRespiration, ArtificialRespiratory InsufficiencySpinal Cord InjuriesTreatment OutcomeAmyotrophic lateral sclerosisdiaphragmelectrical stimulation therapyspinal cord injury

Identifiers

PMID33251776
PMCPMC7700882
OpenAlexW3109357929

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.