Evidence map›Paper›PMID 35123436›Full record

ArticleBMC neurology2022

Comparison of the effects of different doses of Glucocorticoids on distinct subtypes of Guillain-Barré syndrome in Southern China.

Linzhuo Ma, Shuping Liu, Zheman Xiao, Jingxia Guan, Yin Liu, Jiajia Yao, Zuneng Lu

Open access · goldAbstract read
In one paragraph

Article in BMC neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Take children with progressive quadruparesis after SARS-CoV-2 infection seriously.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    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 2 institutions in 1 country.

Linzhuo Ma *Department of Neurology, Renmin hospital of Wuhan University, 99 Zhang Zhidong Road, Wuchang District, Hubei Province, 430060, Wuhan, P. R. China.
Shuping Liu *Department of Neurology, Renmin hospital of Wuhan University, 99 Zhang Zhidong Road, Wuchang District, Hubei Province, 430060, Wuhan, P. R. China.
Zheman XiaoDepartment of Neurology, Renmin hospital of Wuhan University, 99 Zhang Zhidong Road, Wuchang District, Hubei Province, 430060, Wuhan, P. R. China.
Jingxia GuanDepartment of Neurology, Renmin hospital of Wuhan University, 99 Zhang Zhidong Road, Wuchang District, Hubei Province, 430060, Wuhan, P. R. China.
Yin LiuDepartment of Neurology, Renmin hospital of Wuhan University, 99 Zhang Zhidong Road, Wuchang District, Hubei Province, 430060, Wuhan, P. R. China.
Jiajia YaoDepartment of Neurology, Renmin hospital of Wuhan University, 99 Zhang Zhidong Road, Wuchang District, Hubei Province, 430060, Wuhan, P. R. China.
Zuneng LuDepartment of Neurology, Renmin hospital of Wuhan University, 99 Zhang Zhidong Road, Wuchang District, Hubei Province, 430060, Wuhan, P. R. China. lznprof@163.com.
Wuhan University · CNRenmin Hospital of Wuhan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of Glucocorticoids (GCs) on the treatment of Guillain-Barré syndrome (GBS) has been controversial. There is no information on whether specific subtypes of GBS respond differently to GCs. In this setting, we aimed to discuss whether GCs treating yield different effects in the distinct subtypes (acute inflammatory demyelinating polyneuropathy, AIDP; acute motor axonal neuropathy, AMAN). And further, we analyzed the impact of different doses on the outcome.

methodsMedical records of 448 patients with a diagnosis of classic GBS admitted to 31 tertiary hospitals, located in 14 provinces of Southern China, from 1 January 2013 to 30 September 2016, were retrospectively collected. And 251 patients treated with GCs alone (AIDP=189, AMAN=62) were reviewed and analyzed.

resultsAfter GCs treatment, the Hughes score of AIDP patients was significantly lower than that of AMAN patients at discharge (P=0.005) and 3 months after onset (P<0.001). Further analysis revealed that among AIDP patients, the high-dose group had significantly shorter hospital stay (P=0.023), lower Hughes score at nadir (P<0.001), at discharge (P=0.005), and 3 months after onset (P<0.001), compared with the low-dose group. However, for AMAN patients, the outcome difference between groups was nonsignificant.

conclusionOur data suggest that the high doses of GCs may result, at least in part, from the side of the duration of hospital stay and short-term outcome, favorable outcomes in AIDP patients. Therefore, we cannot completely deny the priority of GCs in the treatment of GBS, because the effect of different doses of GCs varies in treating different subtypes. More studies are needed in the future to further validate this issue.

trial registrationChiCTR-RRC-17014152 . Registered 26 December 2017- Retrospectively registered.

Indexed as

GlucocorticoidsGuillain-Barre SyndromeChinaHospitalizationHumansGlucocorticoidsGlucocorticoidsGuillain-Barré syndromeSouthern Chinasubtype

Identifiers

PMID35123436
PMCPMC8817496
OpenAlexW4225101041

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.