Evidence map›Paper›PMID 38871821›Full record

ArticleJournal of neurology2024

Fatigue and associated factors in myasthenia gravis: a nationwide registry study.

Mattea Funke, Maria Eveslage, Jana Zschüntzsch, Tim Hagenacker, Tobias Ruck, Charlotte Schubert, Michael Schroeter, Andreas Meisel, Heinz Wiendl, Sarah Hoffmann and 1 more

Abstract readLetter
In one paragraph

Article in Journal of neurology, 2024. 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
–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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. New and Emerging Biological Therapies for Myasthenia Gravis: A Focussed Review for Clinical Decision-Making.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  8. Observational
  9. 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

11 authors.

Mattea FunkeDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149, Münster, Germany.
Maria EveslageInstitute of Biostatistics and Clinical Research, University of Münster, 48149, Münster, Germany.
Jana ZschüntzschDepartment of Neurology, University Medical Center Göttingen, Georg-August University, 37075, Göttingen, Germany.
Tim HagenackerDepartment of Neurology, Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, Hufelandstr. 55, 45147, Essen, Germany.
Tobias RuckDepartment of Neurology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Charlotte SchubertInstitute of Neuroimmunology and Multiple Sclerosis (INIMS), University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Michael SchroeterDepartment of Neurology, University Cologne and University Hospital, Cologne, Germany.
Andreas MeiselCharité - Universitätsmedizin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Center for Stroke Research Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Heinz WiendlDepartment of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149, Münster, Germany.
Sarah Hoffmann *Charité - Universitätsmedizin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Center for Stroke Research Berlin, Charitéplatz 1, 10117, Berlin, Germany.
Jan D Lünemann *Department of Neurology with Institute of Translational Neurology, University Hospital Münster, 48149, Münster, Germany. jan.luenemann@ukmuenster.de.ORCID http://orcid.org/0000-0002-3007-708X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fatigue is commonly associated with myasthenia gravis (MG), but factors contributing to fatigue development in MG are incompletely understood. This nationwide cross-sectional registry study included 1464 patients diagnosed with autoimmune MG, recruited between February 2019 and April 2023. Frequency and severity of fatigue was assessed at study inclusion using the patient-reported Chalder Fatigue Questionnaire (CFQ). Frequency of fatigue was 59%. Fatigue severity strongly correlated with both patient-reported and physician-assessed MG outcome measures (MG-ADL, MG-QoL15, QMG and MGFA classes) and was associated with a history of myasthenic exacerbation and/or myasthenic crises and a delay in diagnosis of more than 1 year after symptom onset. Fatigue was more prevalent in women and coincided with symptoms of depression, anxiety, and sleep dissatisfaction. Differences in fatigue severity were observed between antibody (ab) subgroups, with highest fatigue severity in LRP4-ab-positive patients and lowest fatigue severity in AChR-ab-positive patients. Fatigue is a frequent and clinically highly relevant symptom of MG. Early diagnosis and prevention of MG crises may limit the long-term burden of fatigue in patients with MG.

Indexed as

FatigueMyasthenia GravisRegistriesAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSeverity of Illness Index

Identifiers

PMID38871821
PMCPMC11319509

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.