Evidence map›Paper›PMID 35386665›Full record

SynthesisFrontiers in allergy2022

Hypersensitivity to Gadolinium-Based Contrast Media.

M Teresa Gracia Bara, Alicia Gallardo-Higueras, Esther M Moreno, Elena Laffond, Francisco J Muñoz Bellido, Cristina Martin, Miriam Sobrino, Eva Macias, Sonia Arriba-Méndez, Rosita Castillo and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

11 authors.

M Teresa Gracia BaraAllergy Service, University Hospital, Salamanca, Spain.
Alicia Gallardo-HiguerasAllergy Service, University Hospital, Salamanca, Spain.
Esther M MorenoAllergy Service, University Hospital, Salamanca, Spain.
Elena LaffondAllergy Service, University Hospital, Salamanca, Spain.
Francisco J Muñoz BellidoAllergy Service, University Hospital, Salamanca, Spain.
Cristina MartinAllergy Service, University Hospital, Salamanca, Spain.
Miriam SobrinoAllergy Service, University Hospital, Salamanca, Spain.
Eva MaciasAllergy Service, University Hospital, Salamanca, Spain.
Sonia Arriba-MéndezAllergy Service, University Hospital, Salamanca, Spain.
Rosita CastilloAllergy Service, University Hospital, Salamanca, Spain.
Ignacio DavilaAllergy Service, University Hospital, Salamanca, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gadolinium-based contrast agents (GBCAs) are frequently used in magnetic resonance imaging (MRI) examinations to increase sensitivity in diagnoses. Recently, an increase in the description of hypersensitivity reactions to GBCAs has been detected. We performed research in PubMed, PubMed, SCOPUS, and EMBASE until September 2021, searching for studies regarding immediate and delayed hypersensitivity reactions to gadolinium-based contrast agents in which an allergy study was performed. The initial research identified 149 articles written in English. After excluding articles duplicated and articles that had irrelevant designs, 26 articles were included. Finally, 17 studies concerning immediate reactions, six studies concerning non-immediate reactions, and three concerning both that performed allergy evaluations were selected. In the review, we analyzed the characteristics of immediate and delayed reactions and the results of the allergy study and cross-reactivity. Skin tests seem to have acceptable accuracy, but drug provocation tests are still needed when skin tests are negative o to find alternative agents. Although cross-reactivity patterns are not well established, cross-reactivity seems to exist among macrocyclic agents. Notwithstanding, the number of patients analyzed is low and further studies are required. A management algorithm is suggested.

Indexed as

allergygadolinium based contrast agenthypersensitivityimmediate reactionsnon-immediate reactionsskin test

Identifiers

PMID35386665
PMCPMC8974732

What OpenQuestion holds

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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.