Evidence map›Paper›PMID 38273269›Full record

SynthesisBMC endocrine disorders2024

Combined glucocorticoids and cyclophosphamide in the treatment of Graves' ophthalmopathy: a systematic review and meta-analysis.

Qilang Xiang, Mengling Yang, Wenxuan Luo, Yuzi Cao, Shiquan Shuai, Xin Wei, Anji Xiong

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC endocrine disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.1field-weighted citation impact, top 15% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Pharmacologic Therapies for Active Moderate-to-Severe TED: A Comprehensive Systematic Review.Clinical medicine insights. Endocrinology and diabetes · 2026
    Review
  2. Article
  3. Review
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 4 institutions in 1 country.

Qilang Xiang *Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, China.ORCID http://orcid.org/0000-0003-0539-7468
Mengling Yang *School of Medicine, Chongqing University, Chongqing, China.
Wenxuan Luo *Department of Rheumatology and Immunology, Nanchong Central Hospital, The Affiliated Nanchong Central Hospital of North Sichuan Medical College/Nanchong Hospital of Beijing Anzhen Hospital Capital Medical University, Nanchong, China.ORCID http://orcid.org/0000-0003-3702-3487
Yuzi CaoDepartment of Rheumatology and Immunology, Nanchong Central Hospital, The Affiliated Nanchong Central Hospital of North Sichuan Medical College/Nanchong Hospital of Beijing Anzhen Hospital Capital Medical University, Nanchong, China.
Shiquan ShuaiDepartment of Rheumatology and Immunology, Nanchong Central Hospital, The Affiliated Nanchong Central Hospital of North Sichuan Medical College/Nanchong Hospital of Beijing Anzhen Hospital Capital Medical University, Nanchong, China.
Xin WeiDepartment of Ophthalmology, West China Hospital, Sichuan University, Chengdu, China. weixin_1982@163.com.
Anji XiongDepartment of Rheumatology and Immunology, Nanchong Central Hospital, The Affiliated Nanchong Central Hospital of North Sichuan Medical College/Nanchong Hospital of Beijing Anzhen Hospital Capital Medical University, Nanchong, China. xionganji@126.com.ORCID http://orcid.org/0000-0002-4342-3738
North Sichuan Medical University · CNAffiliated Hospital of Southwest Medical University · CNChongqing University · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of combined glucocorticoids (GCs) and cyclophosphamide (CYC) treatment in Graves' ophthalmopathy (GO).

methodsWe searched PubMed, Embase, Cochrane Library, and four Chinese databases (Chinese National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), WanFang, and SinoMed) for any published randomized controlled trials (RCTs) produced from inception to December 1, 2023. Articles obtained using appropriate keywords were selected independently by two reviewers according to the established inclusion and exclusion criteria.

findingsWe retrieved 1120 records which were eventually reduced to 13 RCTs which were then included in this evaluation. Pooled results indicated that the experimental group (CYC/GCs) showed a higher response rate than control group (GCs or negative control) (RR 1.27; 95% confidence interval 1.19 to 1.37). The subgroup analysis showed that the difference in response rates among treatment protocols (CYC/P, CYC/MPS, CYC/DEX) was not statistically significant (p = 0.23). IMPLICATIONS: The combination of GCs and CYC could be recommended as a therapeutic option for GO, especially in patients who experience recurrence after a withdrawal GCs, have a poor response to GCs, or cannot obtain monoclonal antibody agents for various reasons.

Indexed as

GlucocorticoidsGraves OphthalmopathyChinaCyclophosphamideHumansCyclophosphamideGlucocorticoidsCyclophosphamideGlucocorticoidsGraves ophthalmopathyMeta-analysisSystematic review

Identifiers

PMID38273269
PMCPMC10811849
OpenAlexW4391238612

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.