Evidence map›Paper›PMID 8995858›Full record

SynthesisThe British journal of general practice : the journal of the Royal College of General Practitioners1996

The clinical problem of Bell's palsy: is treatment with steroids effective?

I G Williamson, T R Whelan

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in The British journal of general practice : the journal of the Royal College of General Practitioners, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Corticosteroids for Bell's palsy (idiopathic facial paralysis).The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Management of peripheral facial nerve palsy.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2008
    Review
  6. Recent developments in Bell's palsy.BMJ (Clinical research ed.) · 2004
    Review
  7. Investigation and treatment of facial paralysis.Archives of disease in childhood · 2001
    Review
  8. Bell's palsy.The Western journal of medicine · 2000
    Article
  9. Bell's Palsy and Herpes Zoster Oticus.Current treatment options in neurology · 2000
    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

2 authors at 1 institution in 1 country.

I G WilliamsonPrimary Medical Care Group, School of Medicine, Southampton University.
T R Whelan
University of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A general practitioner can expect to see a case of Bell's palsy once every two years. Though uncommon, it has aroused controversy over its definition, its aetiology, and the best treatment. Although the majority of cases of this dramatic but usually self-limiting condition are seen in primary care, most of the literature comes from hospital studies. The evidence from four randomized controlled studies shows marginal benefit for steroids with a Mantel-Haenzel odd's ratio of 1.63 (95% CI 1.01 to 2.64); but, because of doubt about the methodology in some of the studies, this result must be interpreted with caution.

Indexed as

AdolescentAdultAgedFacial ParalysisGlucocorticoidsHumansMiddle AgedRandomized Controlled Trials as TopicReferral and ConsultationGlucocorticoids

Identifiers

PMID8995858
PMCPMC1239868
OpenAlexW1760616267

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.