Evidence map›Paper›PMID 39080053›Full record

ArticleJournal of neurology2024

Pre-thymectomy disease severity predicts outcome in acetylcholine receptor antibody-positive generalised myasthenia gravis.

Athanasios Papathanasiou, Chris R Tench, Philip A Ambrose, Saam Sedehizadeh, Radu Tanasescu

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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

  1. Myasthenia Gravis and Thymoma.Muscle & nerve · 2026
    Review
  2. Observational
4 · The record

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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

5 authors.

Athanasios PapathanasiouDepartment of Neurology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, NG7 2UH, UK. tpapathanasiou@gmail.com.ORCID http://orcid.org/0000-0002-0522-1086
Chris R TenchAcademic Neurology Group, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK.
Philip A AmbroseDepartment of Neurology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, NG7 2UH, UK.
Saam SedehizadehDepartment of Neurology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, NG7 2UH, UK.
Radu TanasescuDepartment of Neurology, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, NG7 2UH, UK.

Funding

Medical Research Council MR/T024402/1
6 · The paper itself

Abstract

introductionThere are only a few studies exploring post-thymectomy outcome in patients with acetylcholine receptor antibody (AChR-Ab)-positive generalised myasthenia gravis (MG).

objectiveTo assess the predictors of outcome in patients with AChR-Ab-positive generalised MG who underwent thymectomy.

methodsA retrospective study of 53 patients from a single neuroscience centre in the UK.

resultsThe mean disease duration from diagnosis was 6.2 ± 4.3 years. Pre-thymectomy, 37 patients had mild weakness affecting muscles other than ocular muscles, 11 patients had moderate weakness and 5 patients had severe weakness. 27/53 patients had thymoma. Post-thymectomy (mean duration of 5.7 ± 4.2 years), 34 patients (64%) had a good outcome characterised by Myasthenia Gravis Foundation of America Post-Intervention Status of complete stable remission (no symptoms or signs of MG for at least 1 year without any therapy) or pharmacological remission (no symptoms or signs of MG with some form of therapy) or minimal manifestations (no symptoms of functional limitations from MG but weakness on examination of some muscles with or without some form of therapy) on last follow-up visit. Having thymomatous or non-thymomatous MG did not predict the outcome. The only variable that did predict outcome was pre-thymectomy disease severity; patients with mild weakness before thymectomy had a favourable outcome. We found an accuracy of 83% predicting outcome (95% confidence interval (CI) 60%, 100%) with a sensitivity of 84% (95% CI 68%, 94%) and specificity of 81% (95% CI 54%, 96%).

conclusionDisease severity before thymectomy predicts outcome in patients with AChR-Ab-positive generalised MG.

Indexed as

AutoantibodiesMyasthenia GravisReceptors, CholinergicSeverity of Illness IndexThymectomyAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAutoantibodiesReceptors, CholinergicAcetylcholine receptor antibodyDisease severityGeneralised myasthenia gravisOutcomeThymectomy

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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.