Evidence map›Paper›PMID 34143362›Full record

ReviewPulmonary therapy2021

A Comprehensive Review of Sarcoidosis Treatment for Pulmonologists.

Andrea S Melani, Caterina Bigliazzi, Flora Anna Cimmino, Laura Bergantini, Elena Bargagli

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Pulmonary therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06635863 (Immunosuppression Versus Medical Therapy for UN-explained Low Ejection Fraction and VT), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT06635863 phase4enrolling by invitationnot on this mapstarted 2024, after this paper: background citation

Immunosuppression Versus Medical Therapy for UN-explained Low Ejection Fraction and VT

TypeinterventionalSponsorRoderick TungRan2024 to 2027Enrolled40ConditionsVentricular Arrythmia, Non-ischemic Cardiomyopathy, Arrhythmogenic Inflammatory CardiomyopathyArmsPrednisone 40mg
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Infliximab in neurosarcoidosis: a systematic review and meta-analysis.Annals of clinical and translational neurology · 2024
    Pooled it
  2. The onset of sarcoidosis in relation to tattoos: Focus on the treatment landscape. A critical literature review and case report.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2026
    Article
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  15. Why so low? An unusual case of myositis in a child.Pediatric rheumatology online journal · 2023
    Article
  16. Safety of corticosteroid therapy in sarcoidosis treatment.Frontiers in drug safety and regulation · 2023
    Review
  17. Review
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.

Andrea S MelaniPneumology Unit, UOS Pneumologia/UTIP, Dip. Scienze Mediche, Chirurgiche e Neuroscienze, Policlinico Le Scotte, Azienda Ospedaliera Senese, Viale Bracci, 53100, Siena, Italy. a.melani@ao-siena.toscana.it.ORCID http://orcid.org/0000-0002-8300-751X
Caterina BigliazziPneumology Unit, UOS Pneumologia/UTIP, Dip. Scienze Mediche, Chirurgiche e Neuroscienze, Policlinico Le Scotte, Azienda Ospedaliera Senese, Viale Bracci, 53100, Siena, Italy.
Flora Anna CimminoPneumology Unit, UOS Pneumologia/UTIP, Dip. Scienze Mediche, Chirurgiche e Neuroscienze, Policlinico Le Scotte, Azienda Ospedaliera Senese, Viale Bracci, 53100, Siena, Italy.
Laura BergantiniUOC Malattie Respiratorie, Dip. Scienze Mediche, Chirurgiche e Neuroscienze, Università di Siena Policlinico "Le Scotte", Siena, Italy.
Elena BargagliUOC Malattie Respiratorie, Immunology, Allergy, Rare Respiratory Diseases and Lung Transplant Laboratory, Dip. Scienze Mediche, Chirurgiche e Neuroscienze, Università di Siena Policlinico "Le Scotte", Siena, Italy.
Azienda Ospedaliera Universitaria Senese · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Due to frequent lung involvement, the pulmonologist is often the reference physician for management of sarcoidosis, a systemic granulomatous disease with a heterogeneous course. Treatment of sarcoidosis raises some issues. The first challenge is to select patients who are likely to benefit from treatment, as sarcoidosis may be self-limiting and remit spontaneously, in which case treatment can be postponed and possibly avoided without any significant impact on quality of life, organ damage or prognosis. Systemic glucocorticosteroids (GCs) are the drug of first choice for sarcoidosis. When GCs are started, there is a > 50% chance of long-term treatment. Prolonged use of prednisone at > 10 mg/day or equivalent is often associated with severe side effects. In these and refractory cases, steroid-sparing options are advised. Antimetabolites, such as methotrexate, are the second-choice therapy. Biologics, such as anti-TNF and especially infliximab, are third-choice drugs. The three treatments can be used concomitantly. Regardless of whether treatment is started, the clinician needs to organize regular follow-up to monitor remissions, flares, progression, complications, toxicity and relapses in order to promptly adjust the drugs used.

Indexed as

AdalimumabAnti-TNFAzathioprineCorticosteroidsInfliximabMethotrexateSarcoidosisTreatment

Identifiers

PMID34143362
PMCPMC8589889
OpenAlexW3166134387

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.