Evidence map›Paper›PMID 39448737›Full record

ArticleCommunications medicine2024

Impact of commonly administered drugs on the progression of spinal cord injury: a systematic review.

Lucie Bourguignon, Louis P Lukas, Bethany R Kondiles, Bobo Tong, Jaimie J Lee, Tomás Gomes, Wolfram Tetzlaff, John L K Kramer, Matthias Walter, Catherine R Jutzeler

Erratum issuedAbstract read
In one paragraph

Article in Communications medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Lucie Bourguignon *Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland. lucie.bourguignon@etu.u-bordeaux.fr.ORCID http://orcid.org/0000-0001-8049-6461
Louis P Lukas *Department of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland. louis.lukas@hest.ethz.ch.ORCID http://orcid.org/0000-0001-9307-0945
Bethany R KondilesInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0002-9297-8529
Bobo TongInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
Jaimie J LeeInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0009-0009-6246-2773
Tomás GomesDepartment of Biosystems Science and Engineering, ETH Zurich, Basel, Switzerland.
Wolfram TetzlaffInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
John L K KramerInternational Collaboration on Repair Discoveries (ICORD), University of British Columbia, Vancouver, BC, Canada.
Matthias WalterDepartment of Urology, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0001-5347-1584
Catherine R JutzelerDepartment of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.

Funding

International Foundation for Research in Paraplegia (Internationale Stiftung für Forschung in Paraplegie) P192Paralyzed Veterans of America Research Foundation (PVA Research Foundation) 3195Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) IZLIZ3_200275Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) PZ00P3_186101Wings for Life (Wings for Life Research Foundation) 2017_044Wings for Life (Wings for Life Research Foundation) 2020_118
6 · The paper itself

Abstract

backgroundComplications arising from acute traumatic spinal cord injury (SCI) are routinely managed by various pharmacological interventions. Despite decades of clinical application, the potential impact on neurological recovery has been largely overlooked. This study aims to highlight commonly administered drugs with potential disease-modifying effects.

methodsThis systematic literature review included studies referenced in PubMed, Scopus and Web of Science from inception to March 31st, 2021, which assess disease-modifying properties on neurological and/or functional recovery of drugs routinely administered following spinal cord injury. Drug effects were classified as positive, negative, mixed, no effect, or not (statistically) reported. Risk of bias was assessed separately for animal, randomized clinical trials, and observational human studies.

resultsWe analyzed 394 studies conducting 486 experiments that evaluated 144 unique or combinations of drugs. 195 of the 464 experiments conducted on animals (42%) and one study in humans demonstrate positive disease-modifying properties on neurological and/or functional outcomes. Methylprednisolone, melatonin, estradiol, and atorvastatin are the most common drugs associated with positive effects. Two studies on morphine and ethanol report negative effects on recovery.

conclusionDespite a large heterogeneity observed in study protocols, research from bed to bench and back to bedside provides an alternative approach to identify new candidate drugs in the context of SCI. Future research in human populations is warranted to determine if introducing drugs like melatonin, estradiol, or atorvastatin would contribute to enhancing neurological outcomes after acute SCI.

Identifiers

PMID39448737
PMCPMC11502874

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.