Evidence map›Paper›PMID 36078699›Full record

ArticleInternational journal of environmental research and public health2022

Excellent Response to OnabotulinumtoxinA: Different Definitions, Different Predictors.

Raffaele Ornello, Carlo Baraldi, Fayyaz Ahmed, Andrea Negro, Anna Maria Miscio, Antonio Santoro, Alicia Alpuente, Antonio Russo, Marcello Silvestro, Sabina Cevoli and 22 more

Abstract readMulticenter Study
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Review
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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

32 authors.

Raffaele OrnelloNeuroscience Section, Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, Via Vetoio 1 Coppito, 67100 L'Aquila, Italy.ORCID 0000-0001-9501-4031
Carlo BaraldiDigital and Predictive Medicine, Pharmacology and Clinical Metabolic Toxicology-Headache Center and Drug Abuse-Laboratory of Clinical Pharmacology and Pharmacogenomics, Department of Specialist Medicines, AOU Policlinico di Modena, 41125 Modena, Italy.ORCID 0000-0001-8432-1888
Fayyaz AhmedDepartment of Neurosciences, Hull University Teaching Hospitals, Hull HU3 2JZ, UK.
Andrea NegroDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Anna Maria MiscioHeadache Center, Unit of Neurology, Fondazione IRCCS "Casa Sollievo Della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Antonio SantoroHeadache Center, Unit of Neurology, Fondazione IRCCS "Casa Sollievo Della Sofferenza", 71013 San Giovanni Rotondo, Italy.
Alicia AlpuenteHeadache Unit, Department of Neurology, Vall D'Hebron University, 08035 Barcelona, Spain.
Antonio RussoHeadache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania "Luigi Vanvitelli", 81100 Naples, Italy.
Marcello SilvestroHeadache Center, Department of Medical, Surgical, Neurological, Metabolic and Aging Sciences, University of Campania "Luigi Vanvitelli", 81100 Naples, Italy.
Sabina CevoliIRCCS Istituto delle Scienze Neurologiche di Bologna, 40139 Bologna, Italy.
Nicoletta BrunelliHeadache and Neurosonology Unit, Campus Bio-Medico University Hospital, 00128 Rome, Italy.
Fabrizio VernieriHeadache and Neurosonology Unit, Campus Bio-Medico University Hospital, 00128 Rome, Italy.ORCID 0000-0002-9594-9336
Licia GrazziHeadache Center, Neuroalgology Department, IRCCS Foundation "Carlo Besta" Neurological Institute, Via Celoria, 11, 20133 Milan, Italy.
Luca PaniDigital and Predictive Medicine, Pharmacology and Clinical Metabolic Toxicology-Headache Center and Drug Abuse-Laboratory of Clinical Pharmacology and Pharmacogenomics, Department of Specialist Medicines, AOU Policlinico di Modena, 41125 Modena, Italy.ORCID 0000-0001-9273-2839
Anna AndreouHeadache Service, Guy's and St Thomas' NHS Foundation Trust, London SE1 7EH, UK.ORCID 0000-0002-7008-6626
Giorgio LambruHeadache Service, Guy's and St Thomas' NHS Foundation Trust, London SE1 7EH, UK.
Ilaria FrattaleChild Neurology and Psychiatry Unit, Systems Medicine Department, Tor Vergata University, 00133 Rome, Italy.
Katharina KammDepartment of Neurology, Ludwig Maximilians University München, 80539 Munich, Germany.
Ruth RuscheweyhDepartment of Neurology, Ludwig Maximilians University München, 80539 Munich, Germany.
Marco RussoHeadache Center, Neurology Unit, Neuromotor and Rehabilitation Department, Azienda USL-IRCCS Di Reggio Emilia, 42122 Reggio Emilia, Italy.
Paola TorelliHeadache Center, University of Parma, 43121 Parma, Italy.
Elena FilatovaDepartment of Neurology, Institute for Postgraduate Education, Sechenov First Moscow State Medical University (Sechenov University), 119435 Moscow, Russia.
Nina LatyshevaDepartment of Neurology, Institute for Postgraduate Education, Sechenov First Moscow State Medical University (Sechenov University), 119435 Moscow, Russia.
Anna Gryglas-DworakHeadache Center Wroclaw, 50-307 Wrocław, Poland.
Marcin StraburzyńskiDepartment of Family Medicine and Infectious Diseases, University of Warmia and Mazury, 10-719 Olsztyn, Poland.ORCID 0000-0002-9811-3526
Calogera ButeraNeurophysiology Service, IRCCS San Raffaele Scientific Institute, 71013 Milan, Italy.
Bruno ColomboNeurology Unit, IRCCS San Raffaele Scientific Institute, 71013 Milan, Italy.
Massimo FilippiNeurophysiology Service, IRCCS San Raffaele Scientific Institute, 71013 Milan, Italy.
Patricia Pozo-RosichHeadache Unit, Department of Neurology, Vall D'Hebron University, 08035 Barcelona, Spain.
Paolo MartellettiDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, Sant'Andrea Hospital, Sapienza University, 00189 Rome, Italy.
Simona GuerzoniDigital and Predictive Medicine, Pharmacology and Clinical Metabolic Toxicology-Headache Center and Drug Abuse-Laboratory of Clinical Pharmacology and Pharmacogenomics, Department of Specialist Medicines, AOU Policlinico di Modena, 41125 Modena, Italy.
Simona SaccoNeuroscience Section, Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, Via Vetoio 1 Coppito, 67100 L'Aquila, Italy.ORCID 0000-0003-0651-1939

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The identification of patients who can benefit the most from the available preventive treatments is important in chronic migraine. We explored the rate of excellent responders to onabotulinumtoxinA in a multicenter European study and explored the predictors of such response, according to different definitions. A pooled analysis on chronic migraineurs treated with onabotulinumtoxinA and followed-up for, at least, 9 months was performed. Excellent responders were defined either as patients with a ≥75% decrease in monthly headache days (percent-based excellent responders) or as patients with <4 monthly headache days (frequency-based excellent responders). The characteristics of excellent responders at the baseline were compared with the ones of patients with a <30% decrease in monthly headache days. Percent-based excellent responders represented about 10% of the sample, whilst frequency-based excellent responders were about 5% of the sample. Compared with non-responders, percent-based excellent responders had a higher prevalence of medication overuse and a higher excellent response rate even after the 1st and the 2nd injection. Females were less like to be frequency-based excellent responders. Chronic migraine sufferers without medication overuse and of female sex may find fewer benefits with onabotulinumtoxinA. Additionally, the excellent response status is identifiable after the first cycle.

Indexed as

Botulinum Toxins, Type AMigraine DisordersChronic DiseaseFemaleHeadacheHumansTreatment OutcomeBotulinum Toxins, Type Achronic migraineexcellent respondersonabotulinumtoxinApredictors of response

Identifiers

PMID36078699
PMCPMC9518492

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.