Evidence map›Paper›PMID 36340912›Full record

ReviewHemaSphere2022

Comprehensive Diagnosis and Management of POEMS Syndrome.

Shirley D'Sa, Jahanzaib Khwaja, Stephen Keddie, Ryan Ys Keh, Duncan Smyth, Ruth Ronneberger, Suraiya Dubash, Suganya Sivabalasingham, Simon Wan, Chandrashekar Hoskote and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in HemaSphere, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. POEMS syndrome: A case report.Radiology case reports · 2026
    Article
  3. A Rare Case of POEMS-Associated Multicentric Castleman Disease with an Atypical Osteolytic PresentationTurkish journal of haematology : official journal of Turkish Society of Haematology · 2026
    Article
  4. POEMS syndrome with atypical presentation: A rare case.Journal of postgraduate medicine · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Monoclonal Gammopathy-Associated Neuropathy.Current hematologic malignancy reports · 2024
    Review
  14. Review
  15. Article
  16. Article
  17. Article
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

13 authors at 3 institutions in 1 country.

Shirley D'SaDepartment of Haematology, University College London Hospital, London, United Kingdom.
Jahanzaib KhwajaDepartment of Haematology, University College London Hospital, London, United Kingdom.
Stephen KeddieCentre for Neuromuscular Disease, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.
Ryan Ys KehCentre for Neuromuscular Disease, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.
Duncan SmythCentre for Neuromuscular Disease, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.
Ruth RonnebergerDepartment of Endocrinology, University College London Hospital, London, United Kingdom.
Suraiya DubashDepartment of Oncology, University College London Hospital, London, United Kingdom.
Suganya SivabalasinghamDepartment of Oncology, University College London Hospital, London, United Kingdom.
Simon WanInstitute of Nuclear Medicine, University College London, United Kingdom.
Chandrashekar HoskoteNeuroradiology, National Hospital for Neurology and Neurosurgery, University College London Hospitals NHS Foundation Trust, United Kingdom.
Stephanie BaldewegDepartment of Endocrinology, University College London Hospital, London, United Kingdom.
Jonathan SiveDepartment of Haematology, University College London Hospital, London, United Kingdom.
Michael P LunnCentre for Neuromuscular Disease, National Hospital for Neurology and Neurosurgery, Queen Square, London, United Kingdom.
University College London · GBUniversity College Hospital · GBNational Hospital for Neurology and Neurosurgery · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polyneuropathy Organomegaly, Endocrinopathy, Monoclonal protein and Skin changes syndrome is a rare multisystem condition with a range of manifestations which are often overlooked as trivial comorbidities, until their whole triggers the possibility of the diagnosis. The diagnosis is typically delayed by 12-16 months, by which time patients can be severely disabled. There are no established consensus guidelines. We provide clinicians a comprehensive blueprint for managing POEMS from diagnostic suspicion through the work-up, selection of therapy, follow-up, and treatment of relapse based on published evidence and our large single-center experience. A multidisciplinary approach is essential including expert hematologists, neurologists, histopathologists, radiologists, and neurophysiologists. The aim of treatment is to eradicate the underlying plasma cell dyscrasia, but there are limited trial data to guide treatment decisions. Supportive care considerations include management of endocrinopathy, neuropathy, thrombosis, and infection. Response assessment is centered on clinical, neuropathy, hematological, vascular endothelial growth factor, and radiological criteria. Future clinical trials are welcomed in this setting where evidence is limited.

Identifiers

PMID36340912
PMCPMC9624442
OpenAlexW4308549808

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.