Evidence map›Paper›PMID 34085549›Full record

Trial reportAnnals of Saudi medicine

Intradermal mesotherapy versus intravenous dexketoprofen for the treatment of migraine headache without aura: a randomized controlled trial.

Ilker Akbas, Meryem Betos Kocak, Abdullah Osman Kocak, Sultan Tuna Akgol Gur, Sinem Dogruyol, Mehmet Demir, Zeynep Cakir

Registry-linked trialOpen access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of Saudi medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04519346 (Comparison of Intradermal Mesotherapy With Systemic Therapy in the Treatment of Migraine Headache), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 23% 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.

NCT04519346 nacompletednot on this map

Comparison of Intradermal Mesotherapy With Systemic Therapy in the Treatment of Migraine Headache: A Prospective Randomized Study

TypeinterventionalSponsorAtaturk UniversityRan2019 to 2020Enrolled150ConditionsMigraine HeadacheArmsintradermal injection
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 4 institutions in 1 country.

Ilker AkbasFrom the Department of Emergency Medicine, Bingol State Hospital, Bingol, Turkey.
Meryem Betos KocakFrom the Department of Family Medicine, Sukru Pasa Family Health Center, Erzurum, Turkey.
Abdullah Osman KocakFrom the Department of Emergency Medicine, Ataturk University Faculty of Medicine, Erzurum, Turkey.
Sultan Tuna Akgol GurFrom the Department of Emergency Medicine, Ataturk University Faculty of Medicine, Erzurum, Turkey.
Sinem DogruyolFrom the Department of Emergency Medicine, Manisa Merkez Efendi State Hospital, Manisa, Turkey.
Mehmet DemirFrom the Department of Emergency Medicine, Health Sciences University Bursa Higher Specialization Training and Research Hospital, Bursa, Turkey.
Zeynep CakirFrom the Department of Emergency Medicine, Ataturk University Faculty of Medicine, Erzurum, Turkey.
Atatürk University · TRBingöl University · TRBursa Technical University · TRSivas State Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMigraine is a prevalent disabling primary headache disorder that is classified into two major types: migraine without aura and migraine with aura. New therapeutic methods to reduce migraine headaches in the emergency department (ED) include intradermal mesotherapy.

objectiveCompare the efficacy of intradermal mesotherapy versus a systemic therapy in pain control in patients with headache related to migraine without aura.

designProspective parallel-group randomized controlled trial.

settingUniversity hospital in Turkey. PATIENTS AND

methodsPatients 18 years of age and older who were admitted to the ED over a 15-month period with headache related to migraine without aura were eligible for inclusion if they had a VAS score of 4 or above. Patients were randomly allocated to one session of mesotherapy or intravenous dexketoprofen. Changes in pain intensity were measured by the score on a visual analog scale (VAS) at 30, 60, and 120 minutes and 24 hours after treatment. Efficacy was also assessed by the need for use of an analgesic drug within 24 hours, by readmission with the same complaint to the ED within 72 hours, and by adverse effect rates.

main outcome measurePain intensity on the VAS scale. SAMPLE SIZE: 148 patients (154 enrolled and treated; 1 patient in the mesotherapy and 5 patients in the systemic therapy group lost to follow up).

resultsPain intensity on the VAS scale decreased from a median score of 8 to 4 in the mesotherapy group and from 8 to 5 in the systemic therapy group. These differences were statistically significant from baseline for all time intervals (

conclusionsMesotherapy is more efficacious than intravenous dexketoprofen in the management of acute attack of migraine without aura in the ED. LIMITATIONS: Unblinded. Valid for assessing short-term pain relief, but not sufficient to predict long-term efficacy. Not generalizable because single center and small sample size. CONFLICT OF INTEREST: None. REGISTRATION: ClinicalTrials.gov (NCT04519346).

Indexed as

EpilepsyMesotherapyMigraine DisordersAdolescentAdultDouble-Blind MethodHumansKetoprofenProspective StudiesTreatment OutcomeTromethaminedexketoprofen trometamolKetoprofenTromethamine

Identifiers

PMID34085549
PMCPMC8176379
OpenAlexW3165228538

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.