Evidence map›Paper›PMID 38161433›Full record

ArticleFrontiers in pediatrics2023

Risk factors for coronary artery abnormalities and resistance to immunoglobulin plus ciclosporin A therapy in severe Kawasaki disease: subanalysis of the KAICA trial, randomized trial for cicrosporin A as the first-line treatment.

Yuri Murayama, Hiromichi Hamada, Yuki Shiko, Yoshihiro Onouchi, Nobuyuki Kakimoto, Yoshihito Ozawa, Hideki Hanaoka, Akira Hata, Hiroyuki Suzuki

Open access · goldAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. An Update on Kawasaki Disease.Current rheumatology reports · 2024
    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

9 authors at 3 institutions in 1 country.

Yuri MurayamaDepartment of Pediatrics, School of Medicine, Wakayama Medical University, Wakayama, Japan.
Hiromichi HamadaDepartment of Pediatrics, Graduate School of Medicine, Chiba University, Chiba, Japan.
Yuki ShikoClinical Research Centre, Chiba University Hospital, Chiba, Japan.
Yoshihiro OnouchiDepartment of Public Health, Graduate School of Medicine, Chiba University, Chiba, Japan.
Nobuyuki KakimotoDepartment of Pediatrics, School of Medicine, Wakayama Medical University, Wakayama, Japan.
Yoshihito OzawaClinical Research Centre, Chiba University Hospital, Chiba, Japan.
Hideki HanaokaClinical Research Centre, Chiba University Hospital, Chiba, Japan.
Akira HataDepartment of Public Health, Graduate School of Medicine, Chiba University, Chiba, Japan.
Hiroyuki SuzukiDepartment of Pediatrics, School of Medicine, Wakayama Medical University, Wakayama, Japan.
Chiba University · JPChiba University Hospital · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To investigate risk factors for coronary arterial abnormalities (CAAs) and resistance to treatment in patients with Kawasaki disease (KD) receiving intravenous immunoglobulin (IVIG) plus ciclosporin A (CsA) as the first-line treatment, we performed a subanalysis of baseline data of participants in the KAICA trial, a phase 3, randomized study (JMA-ILA00174). Methods: All data of the patients enrolled in the KAICA trial, who had a Gunma score ≥5 at diagnosis and had been randomly assigned to either IVIG (2 g/kg/24 h) plus CsA (5 mg/kg/day for 5 days) ( Results: Pre-Z-max, defined as the maximum among Conclusions: Coronary artery enlargement before treatment is a major determinant of CAA even in KD patients treated with initial IVIG treatment intensified by addition of CsA. Baseline serum total bilirubin level was a risk factor associated with resistance to IVIG plus CsA.

Indexed as

ciclosporin Acoronary artery diseaseimmunoglobulinKawasaki diseasesubanalysis

Identifiers

PMID38161433
PMCPMC10755003
OpenAlexW4389793420

What OpenQuestion holds

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LicenceCC BY
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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.