Evidence map›Paper›PMID 41694557›Full record

SynthesisThe breast journal2026

Efficacy and Tolerability of Methotrexate for Idiopathic Granulomatous Mastitis: A Systematic Review and Meta-Analysis.

Ying Han, LiHui Shi, YanRan Zhang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The breast journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
–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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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.

Ying HanDepartment of Science and Education, Tongzhou Maternal and Child Health Hospital of Beijing, Beijing, 101100, China.ORCID 0009-0005-8135-7750
LiHui ShiDepartment of Breast Surgery, Tongzhou Maternal and Child Health Hospital of Beijing, Beijing, 101100, China.ORCID 0009-0006-2009-9986
YanRan ZhangDepartment of Breast Surgery, Tongzhou Maternal and Child Health Hospital of Beijing, Beijing, 101100, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Idiopathic granulomatous mastitis (IGM) is a challenging inflammatory breast disease with limited standardized treatment guidelines. Methods: This meta-analysis systematically evaluated the efficacy and safety of methotrexate (MTX) in IGM, pooling data from observational studies. We assessed complete remission rates, recurrence rates, and severe side effects leading to MTX discontinuation using both common and random effects models, accounting for heterogeneity. Results: Nine studies were included. In analyses without control groups, the pooled complete response rate for MTX was 61.6% (95% CI: 40.4-79.2%), with significant heterogeneity ( Conclusion: Based on a pooled complete response rate of 61.6%, MTX appears to be an effective and well-tolerated treatment for IGM, though substantial heterogeneity exists in uncontrolled studies.

Indexed as

Granulomatous MastitisImmunosuppressive AgentsMethotrexateFemaleHumansTreatment OutcomeImmunosuppressive AgentsMethotrexatecomplete remissionidiopathic granulomatous mastitismeta-analysismethotrexaterecurrenceside effects

Identifiers

PMID41694557
PMCPMC12905005

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.