Evidence map›Paper›PMID 34617265›Full record

ReviewJournal of clinical immunology2022

Long-Term Experience of Subcutaneous Immunoglobulin Therapy in Pediatric Primary Immunodeficient Patients with Low and Normal Body Weight.

Yahya Gul, Hasan Kapakli, Sukru Nail Guner, Havva Bozkurt Alan, Esra Hazar, Sevgi Keles, Ismail Reisli

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of clinical immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 3 institutions in 1 country.

Yahya GulMeram Medical School, Division of Pediatric Allergy and Immunology, Necmettin Erbakan University, Beyşehir Yolu, 42080, Konya, Turkey. yahya.palu@hotmail.com.ORCID http://orcid.org/0000-0002-9973-4471
Hasan KapakliBalıkesir City Hospital, Pediatric Allergy and Immunology Clinic, Balıkesir, Turkey.
Sukru Nail GunerMeram Medical School, Division of Pediatric Allergy and Immunology, Necmettin Erbakan University, Beyşehir Yolu, 42080, Konya, Turkey.
Havva Bozkurt AlanMeram Medical School, Division of Pediatric Allergy and Immunology, Necmettin Erbakan University, Beyşehir Yolu, 42080, Konya, Turkey.
Esra HazarAlanya Training and Research Hospital Pediatric Allergy and Immunology Unit, Antalya, Turkey.
Sevgi KelesMeram Medical School, Division of Pediatric Allergy and Immunology, Necmettin Erbakan University, Beyşehir Yolu, 42080, Konya, Turkey.
Ismail ReisliMeram Medical School, Division of Pediatric Allergy and Immunology, Necmettin Erbakan University, Beyşehir Yolu, 42080, Konya, Turkey.
Necmettin Erbakan University · TRAntalya Eğitim ve Araştırma Hastanesi · TRBalıkesir University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim was to review the compliance, side effects and effectiveness of subcutaneous immunoglobulin (SCIG) supplementation in patients with primary immunodeficiencies (PID) who had previously received intravenous immunoglobulin (IVIG) therapy and subsequently switched to SCIG, as well as to compare these parameters in patients while considering body weight.

methodsDemographic data, clinical and laboratory findings, SCIG dose, and side effects of 87 patients were retrospectively obtained from patient files. In patients who first received IVIG and then SCIG, the monthly SCIG dose was calculated by multiplying the IVIG dose by 1.37. The total monthly SCIG dose was distributed via injection across three or four doses per month, thus every 7 or 10 days.

resultsOf the 87 patients aged between one and 22 years, 50 were male (57.5%) and 37 were female (42.5%). The serum IgG levels of the SCIG group were higher and more stable than those of the IVIG group. The number of hospitalizations and infections decreased significantly after initiation of SCIG. Thirteen patients (14.9%) had low body weight (LBW) for their age, seven of whom were male (53.8%). Serum IgG levels of the LBW cohort were significantly elevated and more stable during the SCIG period than the IVIG period. Mild, local side effects were detected in 153 administrations (3.3%) in 30 patients with normal body weight, while no local reactions were recorded in the patients with LBW.

conclusionSCIG supplementation is an effective treatment for pediatric patients with PID. The preliminary data from the present study suggest that such treatment is also safe for LBW children. The numbers of patient hospitalizations and family visits to clinics were reduced, allowing our patients and their parents to live more normal lives.

Indexed as

Ideal Body WeightImmunologic Deficiency SyndromesAdolescentAdultChildChild, PreschoolFemaleHumansImmunization, PassiveImmunoglobulin GImmunoglobulins, IntravenousInfantInfusions, SubcutaneousMaleRetrospective StudiesYoung AdultImmunoglobulin GImmunoglobulins, Intravenouslow body weightmalnutritionPrimary immunodeficiencySubcutaneous immunoglobulin

Identifiers

PMID34617265
OpenAlexW3174502686

What OpenQuestion holds

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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.