Evidence map›Paper›PMID 36089938›Full record

ReviewJAAD international2022

Side effects of steroid-sparing agents in patients with bullous pemphigoid and pemphigus: A systematic review.

Faith A P Zeng, Anna Wilson, Tabrez Sheriff, Dedee F Murrell

Open access · goldAbstract readReview
In one paragraph

Review in JAAD international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Treatment of juvenile bullous pemphigoid with lebrikizumab.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Article
  3. Article
  4. Article
  5. Bullous pemphigoid.Nature reviews. Disease primers · 2025
    Review
  6. Review
  7. Review
  8. 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

4 authors at 2 institutions in 1 country.

Faith A P ZengUniversity of New South Wales, Faculty of Medicine, Sydney, Australia.
Anna WilsonUniversity of New South Wales, Faculty of Medicine, Sydney, Australia.
Tabrez SheriffUniversity of New South Wales, Faculty of Medicine, Sydney, Australia.
Dedee F MurrellUniversity of New South Wales, Faculty of Medicine, Sydney, Australia.
UNSW Sydney · AUSt George Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systemic glucocorticoids are first-line treatment options for autoimmune blistering diseases; however, their long-term use is associated with significant toxicities. Objective: To evaluate the side effects of steroid-sparing agents and compare them with those of steroids. Methods: We searched Cochrane Reviews, Embase, MEDLINE, and Scopus between October 1978 and May 2020 using the keywords "bullous pemphigoid," "pemphigus," "autoimmune blistering diseases," and "side effects." A total of 31 randomized controlled trials and retrospective case series were critically appraised. Results: This review includes a total of 1685 patients with autoimmune blistering diseases, of whom 781 had bullous pemphigoid and 904 had either pemphigus vulgaris or pemphigus foliaceous. Limitations: A major limitation is that because adjuvants are generally used in combination with steroids, only 12 of the studies reviewed included a "steroid-only" arm to allow for a direct comparison of side effects. Additionally, there is inadequate literature and lack of standardized grade reporting of specific side effects of each steroid-sparing agent. Conclusion: In the future, researchers should consider implementing the Common Terminology Criteria for Adverse Events, version 5.0, for reporting of all side effects to allow for consistency and standardization. It would be useful to have an index similar to the Glucocorticoid Toxicity Index to quantify these side effects.

Indexed as

AE, adverse eventAIBD, autoimmune blistering diseaseautoimmune blistering diseasesAZA, azathioprineBP, bullous pemphigoidbullous pemphigoidCsA, cyclosporinCTCAECTCAE, Common Terminology Criteria for Adverse EventsGC, glucocorticoidglucocorticoidsGTIimmunosuppressantspemphigusRCS, retrospective case seriesRCT, randomized controlled trialside effectssteroid-sparingTPMT, thiopurine methyltransferasetreatment

Identifiers

PMID36089938
PMCPMC9450124
OpenAlexW4292829433

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.