Evidence map›Paper›PMID 37288440›Full record

RevieweNeurologicalSci2023

Plasma exchange (PE) versus intravenous immunoglobulin (IVIG) for the treatment of Guillain-Barré syndrome (GBS) in patients with severe symptoms: A systematic review and meta-analysis.

Hany A Zaki, Haris Iftikhar, Mavia Najam, Maarij Masood, Nood Dhafi R Al-Marri, Mohamed Abdelgadir M Elgassim, Mohamed Fayed, Eman E Shaban

Abstract readReview
In one paragraph

Review in eNeurologicalSci, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

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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

8 authors.

Hany A ZakiEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Haris IftikharDepartment of Medical Education, Hamad Medical Corporation, Doha, Qatar.
Mavia NajamDepartment of Medical Education, Hamad Medical Corporation, Doha, Qatar.
Maarij MasoodEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Nood Dhafi R Al-MarriEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Mohamed Abdelgadir M ElgassimDepartment of Medical Education, Hamad Medical Corporation, Doha, Qatar.
Mohamed FayedEmergency Medicine, Hamad General Hospital, P.O. Box 3050, Doha, Qatar.
Eman E ShabanCardiology, Al Jufairi Diagnosis and Treatment, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose: Guillain- Barré syndrome (GBS) is a neuropathic condition that leads to the rapid development of impairments and is characterized by weakness and numbness or tingling sensation in the legs and arms and sometimes loss of movement and feeling in the legs, arms, upper body, and face. Currently, the cure for the disease is yet to be developed. However, treatment options such as intravenous immunoglobulin (IVIG) and plasma exchange (PE) have been used to minimize the symptoms and duration of the disease. Therefore, this systematic review and meta-analysis compared the efficacy of IVIG and PE in treating GBS patients with severe symptoms. Methodology: Six electronic databases, including PubMed, Embase, Scopus, ScienceDirect, Medline, and Google scholar, were scoured for articles related and relevant to our research. Additionally, more studies were obtained through the reference lists of the studies retrieved from these electronic databases. Quality assessment and statistical data analysis were conducted using Review Manager software (RevMan 5.4.1). Results: The search for relevant articles resulted in 3253 articles, of which only 20 were included for review in the current study. A sub-group analysis indicated no significant difference in the curative effect (Hughes score reduces by at least one score 4 weeks after GBS treatment; OR: 1.00; 95% CI: 0.66-1.52; Conclusion: Our study suggests that IVIG and PE have similar curative effects. Similarly, IVIG seems easier to use and thus can be preferred for treating GBS.

Indexed as

Guillain-Barre syndromeImmunoglobulinsIntravenousPlasma exchangeReviewSystematic

Identifiers

PMID37288440
PMCPMC10242495

What OpenQuestion holds

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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.