Evidence map›Paper›PMID 34409331›Full record

ArticleJAAD international2020

Efficacy of intralesional sodium thiosulfate for the treatment of dystrophic calcinosis cutis: A double-blind, placebo-controlled pilot study.

Amelia R Winter, Skylar Klager, Rachel Truong, Adam Foley, Naveed Sami, David Weinstein

Open access · goldAbstract read
In one paragraph

Article in JAAD international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Calcinosis in dermatomyositis.Current opinion in rheumatology · 2024
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Calcinosis in dermatomyositis: Origins and possible therapeutic avenues.Best practice & research. Clinical rheumatology · 2022
    Review
  11. 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

6 authors at 2 institutions in 1 country.

Amelia R WinterUniversity of Central Florida College of Medicine, Orlando, Florida.
Skylar KlagerUniversity of Central Florida College of Medicine, Orlando, Florida.
Rachel TruongUniversity of Central Florida College of Medicine, Orlando, Florida.
Adam FoleyUniversity of Central Florida College of Medicine, Orlando, Florida.
Naveed SamiDepartment of Internal Medicine, University of Central Florida College of Medicine, Orlando, Florida.
David WeinsteinDepartment of Internal Medicine, University of Central Florida College of Medicine, Orlando, Florida.
Florida College · USUniversity of Central Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntralesional injection of sodium thiosulfate has emerged as a promising therapy for calcinosis cutis, but to our knowledge there are no randomized controlled trials evaluating its efficacy as a treatment.

objectiveConduct a prospective, double-blinded investigation of intralesional sodium thiosulfate versus normal saline in the treatment of dystrophic calcinosis cutis.

methodsThis prospective pilot study injected normal saline or sodium thiosulfate at 0.1 mL/cm

resultsOf 4 subjects who completed the study, only 1 experienced improvement in the size and Physician Global Assessment score of the lesion. By 3-month follow-up, there was no difference between the average size of the treatment and control lesions ( LIMITATIONS: This was a small single-center study with limited demographic diversity and a short follow-up period. Only dystrophic calcinosis cutis subjects were included, and subjects received only 3 monthly injections of sodium thiosulfate.

conclusionsWith only 1 positive response, our results highlight the need for further study of sodium thiosulfate treatment for dystrophic calcinosis.

Indexed as

calcinosisdouble-blind methodPGA, Physician Global Assessmentpilot projectssaline solutionsodium thiosulfatethiosulfates

Identifiers

PMID34409331
PMCPMC8362252
OpenAlexW3047807605

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.