Evidence map›Paper›PMID 33609012›Full record

ArticleAnnals of clinical and translational neurology2021

Clinical efficacy of plasma exchange in patients with autoimmune encephalitis.

Yan Zhang, Hui-Jin Huang, Wei-Bi Chen, Gang Liu, Fang Liu, Ying-Ying Su

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Autoimmune Encephalitis in Acute Care-Pathology, Diagnosis, and Management.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
  5. Article
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  7. Multimodal temporal dissociation in anti-GABAFrontiers in immunology · 2026
    Article
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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

6 authors at 1 institution in 1 country.

Yan ZhangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.ORCID 0000-0001-6615-5329
Hui-Jin HuangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Wei-Bi ChenDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Gang LiuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Fang LiuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Ying-Ying SuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China.
Capital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the clinical and antibody response after therapeutic plasma exchange (TPE) in patients with severe refractory antibody-associated autoimmune encephalitis (AE).

methodsThis single-center prospective cohort included all patients consecutively admitted to our hospital because of severe refractory AE over the period from July 2014 to June 2019. All patients received immunotherapy (steroids, intravenous immunoglobulin (IVIG), and/or TPE). The primary outcome was evaluated at 1- and 2-month postenrollment, and the long-term outcome was followed up at 6 and 12 months. AE antibody titers in the cerebrospinal fluid and plasma were evaluated before and after TPE/IVIG.

resultsThis study enrolled 57 patients with severe refractory AE, including anti-NMDA receptor encephalitis (n = 51), anti-GABAb receptor encephalitis (n = 3), anti-LGI 1 encephalitis (n = 2), and anti-AMPA receptor encephalitis (n = 1). Of all 57 patients, 33 patients received TPE for a total of 193 procedures, and 24 patients with contraindications or refusal of TPE were in the non-TPE group. Compared with the non-TPE group, the TPE group exhibited greater clinical improvement: 21 (37%) versus 8 (14%) after 1 month (P = 0.03) and 31 (54%) versus 16 (28%) after 2 months (P = 0.01), respectively. Complications and adverse events associated with TPE occurred in 91 procedures (47%) without serious adverse events associated with the use of TPE.

interpretationTPE might be an effective rescue therapy associated with rapid functional improvement in patients with severe steroid/IVIG refractory antibody-associated AE from this nonrandomized control trial.

Indexed as

Plasma ExchangeAdultAnti-N-Methyl-D-Aspartate Receptor EncephalitisAutoantibodiesAutoimmune Diseases of the Nervous SystemEncephalitisFemaleHumansImmunotherapyMaleOutcome Assessment, Health CareProspective StudiesTime FactorsYoung AdultAutoantibodies

Identifiers

PMID33609012
PMCPMC8045938
OpenAlexW3131137263

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.