Evidence map›Paper›PMID 35922609›Full record

ArticleObesity surgery2022

Bariatric Surgery in Migraine patients: CGRP Level and Weight Loss.

Helia Hemasian Etefagh, Shahab Shahabi Shahmiri, Hamid Melali, Masoud Sayadi, Hossein Ansari, Arvin Shahzamani, Mitra Sadat Deyhimi

Abstract read
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In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 10 citations in OpenAlex.

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  12. Evaluation of the risk of hypertension in patients treated with anti-CGRP monoclonal antibodies in a real-life study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

7 authors at 3 institutions in 2 countries.

Helia Hemasian EtefaghDepartment of Neurology, Alzahra University Hospital, School of Medicine, Isfahan University of Medical Sciences, Hezar Jerib Street, Isfahan, 81746-73461, Iran.
Shahab Shahabi ShahmiriDepartment of Surgery, Division of Minimally Invasive and Bariatric Surgery, Minimally Invasive Surgery Research Center, Rasool-E Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Hamid MelaliDepartment of Surgery, Amin Hospital, School of Medicine, Isfahan University of Medical Sciences, Hezar Jerib Street, Isfahan, Iran.
Masoud SayadiDepartment of Surgery, Al-Zahra Hospital, School of Medicine, Isfahan University of Medical Sciences, Hezar Jerib Street, Isfahan, Iran.
Hossein AnsariDepartment of Neuroscience, Kaizen Brain Center, University of California, San Diego, USA.
Arvin ShahzamaniSchool of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Mitra Sadat DeyhimiDepartment of Neurology, Alzahra University Hospital, School of Medicine, Isfahan University of Medical Sciences, Hezar Jerib Street, Isfahan, 81746-73461, Iran. mitra.deyhimi@gmail.com.ORCID 0000-0003-3875-5356
Isfahan University of Medical Sciences · IRIran University of Medical Sciences · IRUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObesity makes migraine more prevalent and severe. Serum level of calcitonin gene-related peptide (CGRP) is associated with the severity of migraine attacks. Although the effect of weight and bariatric surgery has been studied on migraine, the role of CGRP in migraine remission after weight loss surgery needs more investigation.

methodsPatients with severe obesity who were bariatric surgery candidates and had been diagnosed with chronic migraine were included in this study. Weight, BMI, number of days with headache in the past 3 months, and severity of headaches in 10-point Likert VAS, Migraine Disability Assessment Scale (MIDAS) and Migraine Specific Quality of life (MSQ) questionnaire scores, and serum CGRP levels were evaluated before and within 6-10 months after surgery.

resultSixty patients with chronic migraine with severe obesity were included. Ninety-five percent of patients reported a significantly lower number of attacks (21 to 8, p < 0.001) and severity of headaches within 90-day (7.7 to 4.8, p < 0.001); MIDAS (64.4 to 25.5, p < 0.001) and MSQ scores (44.6 to 26.8, p < 0.001) and CGRP level (252.7 to 130.1, p < 0.001) were significantly reduced after surgery with a mean follow-up of 7.5 months. Changes in MIDAS, MSQ, and CGRP were significantly associated with weight-related variables.

conclusionBariatric surgery decreases the frequency of migraine attacks, lessens the severity of headaches, and improves the quality of life and disability as well as CGRP plasma levels, suggesting CGRP as a possible etiology in the migraine-obesity link.

Indexed as

Bariatric SurgeryMigraine DisordersObesity, MorbidCalcitonin Gene-Related PeptideHeadacheHumansObesityQuality of LifeTreatment OutcomeWeight LossCalcitonin Gene-Related PeptideBariatric surgeryCalcitonin gene-related peptideMigraineObesityWeight loss

Identifiers

PMID35922609
OpenAlexW4289637671

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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.