Evidence map›Paper›PMID 38937399›Full record

SynthesisNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2024

Subcutaneous immunoglobulins (SCIG) for chronic inflammatory demyelinating polyneuropathy (CIDP): A comprehensive systematic review of clinical studies and meta-analysis.

Ahmed Ramzi, Subhia Maya, Nadeen Balousha, Haneen Sabet, Ahmed Samir, Merna Raafat Roshdy, Ghalia Aljarrah, Sireen Saleh, Ahmed Kertam, Ibrahim Serag and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. 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.

Ahmed RamziFaculty of Medicine, Mansoura University, Mansoura, Egypt.ORCID http://orcid.org/0009-0000-1737-8235
Subhia MayaFaculty of Medicine, Damascus University, Damascus, Syria.ORCID http://orcid.org/0000-0003-0649-7049
Nadeen BaloushaFaculty of Pharmacy, Mansoura University, Mansoura, Egypt.ORCID http://orcid.org/0000-0002-4210-3089
Haneen SabetFaculty of Medicine, South Valley University, Qena, Egypt.ORCID http://orcid.org/0009-0001-9449-5707
Ahmed SamirFaculty of Medicine, Al-Azhar University, New Damietta, Egypt.ORCID http://orcid.org/0009-0005-6776-4501
Merna Raafat RoshdyFaculty of Medicine, Sohag University, Sohag, Egypt.ORCID http://orcid.org/0000-0002-9952-7245
Ghalia AljarrahFaculty of Medicine, Al-Balqa Applied University, Salt, Jordan.ORCID http://orcid.org/0009-0003-1231-7937
Sireen SalehFaculty of Medicine, Al-Quds University, East Jerusalem, Palestine.ORCID http://orcid.org/0009-0002-4123-0569
Ahmed KertamFaculty of Medicine, Ain-Shams University, Cairo, Egypt.ORCID http://orcid.org/0000-0002-9038-7901
Ibrahim SeragFaculty of Medicine, Mansoura University, Mansoura, Egypt.ORCID http://orcid.org/0000-0002-0085-022X
Mostafa Ramzi ShihaFaculty of Urban and Regional Planning, Cairo University, Giza, Egypt. Ramzy_220202@stud.furp.cu.edu.eg.ORCID http://orcid.org/0009-0001-4785-2273

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic Inflammatory Demyelinating Polyneuropathy (CIDP) presents significant treatment challenges due to its chronic nature, varied clinical presentations, and rarity. Subcutaneous immunoglobulin (SCIG) has emerged as a maintenance therapy, offering potential advantages in administration and patient experience over the previously recognized intravenous immunoglobulin (IVIG).

methodsWe included all clinical studies involving CIDP patients treated with SCIG from eleven databases up to March 2024.

results50 clinical studies were included in the systematic review, with 22 involved in the meta-analysis. These studies offer clinical data on around 1400 CIDP patients. Almost all studies considered SCIG a maintenance therapy, with the majority of results suggesting it as a viable substitute that may offer comparable or enhanced advantages. Studies covered aspects such as efficacy, safety, quality of life, practicality, economic evaluation, and patient preference. Meta-analysis showed SCIG significantly improved muscle strength and sensory function, had fewer and milder side effects, reduced relapse rates, and received a strong preference.

conclusionsFindings suggest that SCIG for CIDP maintenance not only provides a more feasible alternative, with economic evaluations showing considerable cost reductions over time, and patient preference for SCIG being pronounced, but may also deliver comparable or superior health outcomes. Ongoing research lines on formulations, techniques, and direct comparative studies are critical to further illuminate, enhance, and expand SCIG's role in treatment.

Indexed as

ImmunoglobulinsPolyradiculoneuropathy, Chronic Inflammatory DemyelinatingClinical Studies as TopicHumansImmunologic FactorsInjections, SubcutaneousImmunoglobulinsImmunologic FactorsChronic Inflammatory Demyelinating PolyneuropathyMeta-analysisPatient-Centered CarePatient PreferenceSubcutaneous ImmunoglobulinSystematic Review

Identifiers

PMID38937399
PMCPMC11470904

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.