Evidence map›Paper›PMID 36548746›Full record

ArticleToxins2022

Real-World Evaluation of the Tolerability to Onabotulinum Toxin A: The RETO Study.

David García-Azorín, Blanca Martínez, María Gutiérrez, Marina Ruiz-Piñero, Ana Echavarría, Álvaro Sierra, Ángel L Guerrero

Open access · goldAbstract read
In one paragraph

Article in Toxins, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Observational
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

7 authors at 2 institutions in 1 country.

David García-AzorínHeadache Unit, Neurology Department, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain.ORCID 0000-0002-3132-1064
Blanca MartínezHeadache Unit, Neurology Department, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain.
María GutiérrezHeadache Unit, Neurology Department, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain.
Marina Ruiz-PiñeroHeadache Unit, Neurology Department, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain.ORCID 0000-0002-1508-0168
Ana EchavarríaHeadache Unit, Neurology Department, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain.
Álvaro SierraHeadache Unit, Neurology Department, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain.
Ángel L GuerreroHeadache Unit, Neurology Department, Hospital Clínico Universitario de Valladolid, 47005 Valladolid, Spain.ORCID 0000-0001-7493-6002
Hospital Clínico Universitario de Valladolid · ESUniversidad de Valladolid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Onabotulinumtoxin A (onabotA) has shown efficacy in chronic migraine (CM), with good tolerability and a low rate of adverse effects, most of them not severe. The aim of this study is to evaluate tolerability and adverse effects of onabotA in clinical practice and to analyze if there is a relationship between tolerability to treatment administration, adverse effects' (AEs) occurrence and clinical response. We included patients with CM that received treatment with onabotA for the first time. Tolerability to treatment was evaluated by a 0-10 numeric rating scale (0: worst possible, 10: optimal tolerability). We assessed the presence of AEs by using a standardized questionnaire. Treatment response was based on the 50 and 75% responder rate between weeks 20 and 24, compared with the baseline, according to headache diaries. We analyzed whether the tolerability was associated with a higher frequency of AEs or a higher probability of clinical response. We included 105 patients, 87.7% female, with an age of 43.9 ± 10.7 years. Mean tolerability was 7.8/10 and 7.2/10 in the first and second onabotA administration, respectively. AEs were reported by (first-second) 71.4-68.6% patients. The percentage of patients with a 50% response was 56.3%. There was no association between tolerability and AEs' occurrence or clinical response.

Indexed as

Botulinum Toxins, Type AMigraine DisordersAdultChronic DiseaseFemaleHumansMaleMiddle AgedTreatment OutcomeBotulinum Toxins, Type Aonabotulinum toxin Aadverse effectschronic migraineonabotA

Identifiers

PMID36548746
PMCPMC9783903
OpenAlexW4311628015

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.