Evidence map›Paper›PMID 40762789›Full record

ArticleNeurology and therapy2025

Use of Corticosteroids in Myasthenia Gravis: Expert Opinion for Daily Management.

Renato Mantegazza, Giovanni Antonini, Matteo Gastaldi, Rocco Liguori, Michelangelo Maestri, Elena Pegoraro, Barbara Polistena, Carmelo Rodolico, Francesco Habetswallner

Abstract read
In one paragraph

Article in Neurology and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

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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.

Renato MantegazzaNeuroimmunology and Neuromuscular Diseases Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Giovanni AntoniniDepartment of Neuroscience, Mental Health and Sensory Organs (NESMOS), Sapienza University of Rome, Rome, Italy.
Matteo GastaldiNeuroimmunology Research Section, IRCCS Mondino Foundation, Pavia, Italy.
Rocco LiguoriDepartment of Biomedical and Neuromotor Sciences, IRCCS Institute of Neurological Sciences of Bologna, University of Bologna, Bologna, Italy.
Michelangelo MaestriDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Elena PegoraroDepartment of Neurosciences, University of Padova, Padua, Italy.
Barbara PolistenaC.R.E.A. Sanità, University of Rome Tor Vergata, Rome, Italy.
Carmelo RodolicoDepartment of Clinical and Experimental Medicine, University of Messina, "G. Martino" University Hospital, Messina, Italy. carmelo.rodolico@unime.it.
Francesco HabetswallnerDepartment of Clinical Neurophysiology, Cardarelli Hospital, Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMyasthenia gravis, a rare autoimmune disorder characterized by muscle weakness and fatigue, it is a mainly B-cell mediated condition with antibodies directed against the acetylcholine receptor or functionally related molecules at the neuromuscular junction. Corticosteroids are still the most used treatment, as they are cheap and characterized by a rapid response. However, their long-term administration is associated with frequent and often severe side effects.

methodsWe used the Expert Opinion methodology: a panel of eight neurologists, known to be experts in the management of MG patients, and one specialist in pharmacoeconomics, were brought together to discuss clinical relevant issues about the use of corticosteroids in MG.

resultsIncreasing doses of corticosteroids may temporarily exacerbate the symptoms of MG and clinical exacerbations can lead to severe consequences. In addition, prolonged chronic corticosteroid therapy carries a burden in terms of indirect costs due to side effects, which has prompted strategies to obtain the maximum benefits with minimal side effects.

conclusionThe panel concludes that, in the near future, therapeutic strategies based on the use drugs with better tolerability and potentially lower direct and indirect costs, will be necessary.

Indexed as

CorticosteroidsManagementMyasthenia gravis

Identifiers

PMID40762789
PMCPMC12450191

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LicenceCC BY-NC
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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.