Evidence map›Paper›PMID 41191245›Full record

Observational studyClinical rheumatology2026

Evaluation of predictors and clinical outcome after tapering of chronic systemic corticosteroids in Behçet's disease patients.

Rabab S Zaghlol, Ghada A Dawa, Wafaa K Makarm

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical rheumatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

3 authors.

Rabab S ZaghlolRheumatology and Rehabilitation Department, Faculty of Medicine, Zagazig University, Villat Al-Gamaa, Zagazig, Sharqia Governorate, Egypt. rababzaghlol@yahoo.com.ORCID http://orcid.org/0000-0002-2757-0340
Ghada A DawaRheumatology and Rehabilitation Department, Faculty of Medicine, Zagazig University, Villat Al-Gamaa, Zagazig, Sharqia Governorate, Egypt.ORCID http://orcid.org/0000-0001-7500-2447
Wafaa K MakarmRheumatology and Rehabilitation Department, Faculty of Medicine, Zagazig University, Al Qawmia Street, Zagazig, Sharqia Governorate, Egypt.ORCID http://orcid.org/0000-0002-3061-798X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify predictive factors for successful oral glucocorticoid (GC) tapering in a longitudinal cohort of Behçet's disease (BD) patients in remission or with low disease activity, and to evaluate post-tapering outcomes over a one-year period.

methodsThis is an observational longitudinal cohort study, focusing on BD patients who began GC tapering and achieved remission or low disease activity. Patients who achieved sustained remission or low disease activity while maintaining a prednisone dose of ≤ 5 mg/day were classified as "successful tapering," while those who failed to achieve this outcome were classified as "failed tapering". A regression model was used to identify predictors of successful GC tapering to ≤ 5 mg/day.

resultsA total of 72 BD patients were enrolled and followed-up for 12 months. Multivariate analysis confirmed that short disease duration (odds ratio (OR) = 0.395, 95% CI: 0.197-0.794, p = 0.009), low activity at disease onset (OR = 0.177, 95% CI: 0. 037-0.846, p = 0.03), low severity score for BD at baseline (OR = 0.092, 95% CI:.010-0.876, p = 0.038), and low C-reactive protein value at baseline (OR = 0.186, 95% CI:0.039-0.883, p = 0.034) were the predictors for successful GC tapering.

conclusionThe independent factors linked to success in tapering glucocorticoid in BD were shorter disease duration, low activity at disease onset, low severity score at baseline, and low C-reactive protein value. These findings suggest that they could be used in clinical settings to identify tapering candidates. Key Points •1- Behcet disease is a challenge to treat and usually necessitates a multidisciplinary strategy •2- Glucocorticoids have been used to treat almost all disease lesions •3- Long-term Glucocorticoids use is associated with adverse events •4- The independent factors linked to success in tapering glucocorticoid in Behcet disease were short disease duration, low activity at disease onset, low severity score at baseline, and low C-reactive protein value.

Indexed as

Adrenal Cortex HormonesBehcet SyndromeDrug TaperingGlucocorticoidsPrednisoneAdultC-Reactive ProteinFemaleHumansLongitudinal StudiesMaleMiddle AgedRemission InductionSeverity of Illness IndexTreatment OutcomeAdrenal Cortex HormonesC-Reactive ProteinGlucocorticoidsPrednisoneBehçetClinical outcomeGlucocorticoidsKey pointsPredictorsTapering

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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.