Evidence map›Paper›PMID 35173510›Full record

ReviewJournal of central nervous system disease2021

Consensus recommendation on the use of therapeutic plasma exchange for adult neurological diseases in Southeast Asia from the Southeast Asia therapeutic plasma exchange consortium.

Fu Liong Hiew, Win Min Thit, Mathew Alexander, Umapathi Thirugnanam, Sasitorn Siritho, Kevin Tan, Seinn Mya Mya Aye, Ohnmar Ohnmar, Riwanti Estiasari, Norazieda Yassin and 8 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of central nervous system disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Efgartigimod treatment for therapy-refractory autoimmune encephalitis with coexistent NMDAR and LGI1 antibodies: a case report and literature review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
  3. 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

18 authors at 8 institutions in 8 countries.

Fu Liong HiewDepartment of Neurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0002-4708-3734
Win Min ThitUniversity of Medicine 1, Yangon, Myanmar.
Mathew AlexanderBrunei Neuroscience Stroke and Rehabilitation Centre, Pantai Jerudong Specialist Centre, Brunei Darussalam.
Umapathi ThirugnanamDepartment of Neurology, National Neuroscience Institute, Singapore, Singapore.
Sasitorn SirithoDivision of Neurology, Faculty of Medicine, Siriraj Hospital, Bumrungrad International Hospital, Bangkok, Thailand.
Kevin TanDepartment of Neurology, National Neuroscience Institute, Singapore, Singapore.
Seinn Mya Mya AyeAsia Royal Hospital, Yangon, Myanmar.
Ohnmar OhnmarUniversity of Medicine 1, Yangon, Myanmar.ORCID https://orcid.org/0000-0002-4866-9120
Riwanti EstiasariDepartment of Neurology, Cipto Mangunkusumo Hospital/Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia.
Norazieda YassinJerudong Park Medical Centre, Jerudong, Brunei Darussalam.
Paul Matthew PascoPhilippine General Hospital, Metro Manila, Philippines.
Say Saysavath KeosodsayNeurology Department, Mittaphab Hospital, Vientiane, Lao PDR.
Hoang Tien Trong NghiaDepartment of Neurology, Military Hospital 175, Ho Chi Minh, Vietnam.
Md Badrul IslamLaboratory Sciences and Services Division (LSSD), The International Centre for Diarrhoeal Disease, Dhaka, Bangladesh.
Sing Keat WongDepartment of Neurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
Shirley LeeDepartment of Neurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-8956-9858
Anupam ChhabraTerumo BCT Asia Pte Ltd, Singapore, Singapore.
Shanthi ViswanathanDepartment of Neurology, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia.
Hospital Kuala Lumpur · MYNational Neuroscience Institute · SGUniversity Of Medicine 1 Yangon · MMArk Medical Center · USInternational Centre for Diarrhoeal Disease Research · BDPhilippine General Hospital · PHSiriraj Hospital · THUniversity of Indonesia · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Therapeutic plasma exchange (TPE) is an effective and affordable treatment option in most parts of Southeast Asia (SEA). In 2018, the SEA TPE Consortium (SEATPEC) was established, consisting of regional neurologists working to improve outcome of various autoimmune neurological diseases. We proposed an immunotherapeutic guideline prioritizing TPE for this region. We reviewed disease burden, evidence-based treatment options, and major guidelines for common autoimmune neurological disorders seen in SEA. A modified treatment algorithm based on consensus agreement by key-opinion leaders was proposed. Autoimmune antibody diagnostic testing through collaboration with accredited laboratories was established. Choice of first-line immunotherapies (IVIg/corticosteroid/TPE) is based on available evidence, clinicians' experience, contraindications, local availability, and affordability. TPE could be chosen as first-line therapy for GBS, CIDP, MG (acute/short term), IgG, A paraproteinemic neuropathy, and NMDAR encephalitis. Treatment is stopped for acute monophasic conditions such as GBS and ADEM following satisfactory outcome. For chronic immune disorders, a therapy taper or long-term maintenance therapy is recommended depending on the defined clinical state. TPE as second-line treatment is indicated for IVIg or corticosteroids refractory cases of ADEM, NMOSD (acute), MG, and NMDAR/LGI1/CASPR2/Hashimoto's encephalitis. With better diagnosis, treatment initiation with TPE is a sustainable and effective immunotherapy for autoimmune neurological diseases in SEA.

Indexed as

autoimmune neurological disorderscentral nervous systemperipheral nervous systemplasmapheresisSoutheast Asiatherapeutic plasma exchange

Identifiers

PMID35173510
PMCPMC8842418
OpenAlexW3216763589

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.