Evidence map›Paper›PMID 36818753›Full record

ArticleTremor and other hyperkinetic movements (New York, N.Y.)2023

Phenomenology and Physiology of Tacrolimus Induced Tremor.

Aparna Wagle Shukla, Caroline Lunny, Ibrahim Hisham, Jackson Cagle, Joyce Malea, Alfonso Santos, Ashutosh M Shukla

Open access · goldAbstract readCase Reports
In one paragraph

Article in Tremor and other hyperkinetic movements (New York, N.Y.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Shaking Up Essential Tremor: Peripheral Devices and Mechanical Strategies to Reduce Tremor.Tremor and other hyperkinetic movements (New York, N.Y.) · 2024
    Review
  7. Article
  8. Review
  9. 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

7 authors at 1 institution in 1 country.

Aparna Wagle ShuklaDepartment of Neurology, Fixel Institute for Neurological Diseases, University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0002-9757-9973
Caroline LunnyDivision of Nephrology, Department of Medicine, University of Florida, Gainesville, Florida, United States of America.
Ibrahim HishamDivision of Nephrology, Department of Medicine, University of Florida, Gainesville, Florida, United States of America.
Jackson CagleDepartment of Neurology, Fixel Institute for Neurological Diseases, University of Florida, Gainesville, Florida, United States of America.
Joyce MaleaDivision of Nephrology, Department of Medicine, University of Florida, Gainesville, Florida, United States of America.
Alfonso SantosDivision of Nephrology, Department of Medicine, University of Florida, Gainesville, Florida, United States of America.
Ashutosh M ShuklaDivision of Nephrology, Department of Medicine, University of Florida, Gainesville, Florida, United States of America.ORCID 0000-0002-1471-0324
University of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tacrolimus is a potent immunosuppressant drug commonly used after solid organ transplant surgery. The use of this drug is frequently associated with the emergence of tremors. There is little information on the clinical and physiological characteristics of tacrolimus-induced tremors. Characterizing these tremors is essential as they can promote the development of specific therapies. Methods: We describe four patients placed on tacrolimus immunosuppressant therapy following kidney transplant surgery and who developed tremors impacting their daily functional activities. We describe the clinical and physiological characteristics of the tremor and the response generated after a limb cooling test. Results: A postural and kinetic tremor mainly involving the distal hands was observed in our cohort. In the accelerometer-based assessment, the tremor amplitude was noted to be mild to moderate, and the frequency was 5-6 Hz. Cooling the forearm and the hand led to a temporary albeit significant reduction of tremor amplitude (p = 0.03). Limb cooling lowered the tremor frequency by 1 Hz in two patients with no change in the other two patients, and the statistical comparison was not significant (p > 0.05). Conclusions: Limb cooling may be pursued as a therapeutic option for addressing tacrolimus-induced tremor, as the patients in our cohort benefitted from temporary tremor suppression.

Indexed as

TacrolimusTremorForearmHumansImmunosuppressive AgentsUpper ExtremityImmunosuppressive AgentsTacrolimusadaptive devicecoolingdrug induced tremorlimb coolingphysiologytacrolimustacrolimus induced tremortremor

Identifiers

PMID36818753
PMCPMC9912847
OpenAlexW4318476291

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.