Evidence map›Paper›PMID 35813442›Full record

Trial reportComputational and mathematical methods in medicine2022

Effects of Plasma Exchange Combined with Immunoglobulin Therapy on Consciousness, Immune Function, and Prognosis in Patients with Myasthenia Gravis Crisis: A Prospective Randomized Test.

Xu Peng, Xiao-Bi Xie, Hong Tan, Dan Zhang, Bo-Tao Jiang, Jie Liu, Shuang Li, Ya-Rui Chen, Tao-Yang Xie

RetractedOpen access · hybridAbstract readRandomized Controlled TrialRetracted Publication
In one paragraph

Trial report in Computational and mathematical methods in medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Immunoglobulin for myasthenia gravis.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. To analyze the efficacy and safety of plasma exchange in the treatment of anti-NMDA receptor encephalitis.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2026
    Article
  3. Review
  4. Article
  5. Principles of Therapeutic Apheresis in Neurological Disease.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2023
    Review
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Xu PengDepartment of Neurology, The First Hospital of Changsha, Changsha, Hunan 410005, China.ORCID https://orcid.org/0000-0001-9493-993X
Xiao-Bi XieDepartment of Cardiology, The First Hospital of Changsha, Changsha, Hunan 410005, China.
Hong TanDepartment of Neurology, The First Hospital of Changsha, Changsha, Hunan 410005, China.
Dan ZhangDepartment of Neurology, The First Hospital of Changsha, Changsha, Hunan 410005, China.
Bo-Tao JiangDepartment of Neurology, The First Hospital of Changsha, Changsha, Hunan 410005, China.
Jie LiuDepartment of Neurology, The First Hospital of Changsha, Changsha, Hunan 410005, China.
Shuang LiDepartment of Neurology, The First Hospital of Changsha, Changsha, Hunan 410005, China.
Ya-Rui ChenDepartment of Neurology, The First Hospital of Changsha, Changsha, Hunan 410005, China.
Tao-Yang XieDepartment of Neurology, The First Hospital of Changsha, Changsha, Hunan 410005, China.
The First Hospital of Changsha · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Myasthenia gravis (MG) is an acquired autoimmune disease. The main clinical features of MG are skeletal muscle fatigue and pathological fatigue, which worsen at night or after fatigue, such as dyspnea, dysphagia, and systemic weakness. Plasma exchange (PE) is often used in patients with acute exacerbation of MG. Intravenous immunoglobulin (IVIG) is a collection of immunoglobulins from thousands of donors. IVIG can replace a variety of immunosuppressants or PE. However, the effect of PE or IVIG on patients' consciousness, immune function, and prognosis is not clear. Objective: A prospective randomized test of the effects of PE combined with immunoglobulin on consciousness, immune function, and prognosis in patients with myasthenia gravis crisis (MGC). Methods: Sixty patients with MGC treated from February 2019 to April 2021 were enrolled in our hospital. The cases who received PE were set as the PE group, and those who received PE combined with immunoglobulin were set as the PE+immunoglobulin group. The efficacy, clinical score, state of consciousness, immune function, acetylcholine receptor antibody (AChR-Ab), lymphocyte (LYM), albumin (ALB) levels, and the incidence of adverse reactions were compared. Results: The improvement rate was 100.005% in the treatment group and 83.33% in the PE group. After treatment, the clinical score of the PE+immunoglobulin group was lower than that of the PE group, and the clinical relative score of the PE+immunoglobulin group was higher than that of the PE group ( Conclusion: The treatment of MGC with PE combined with immunoglobulin can not only effectively enhance the consciousness and immune function of patients but also effectively promote the prognosis, and the safety of treatment can be guaranteed.

Indexed as

Myasthenia GravisPlasma ExchangeConsciousnessHumansImmunityImmunization, PassiveImmunoglobulin GImmunoglobulins, IntravenousPrognosisProspective StudiesImmunoglobulin GImmunoglobulins, Intravenous

Identifiers

PMID35813442
PMCPMC9262518
OpenAlexW4283744300

What OpenQuestion holds

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LicenceCC BY
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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.