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June 8, 2019ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam)Open Access

Current treatment practice of Guillain-Barré syndrome

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Authors

CVChristine VerboonErasmus MCADAlex Y. DoetsLeiden UniversityGGGiuliana GalassiUniversity of Modena and Reggio Emilia

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Implication

Prospective cohort study reveals frequent immunotherapy use in mild and variant Guillain-Barré syndrome, highlighting a gap between clinical practice and evidence-based guidelines.

Key Points

  • To characterize the real-world treatment practices for Guillain-Barré syndrome across various disease severities, treatment responses, and clinical variants.
  • Analyzed prospective observational data from the first 1,300 patients enrolled in the International GBS Outcome Study.
  • Evaluated the use of intravenous immunoglobulin, plasma exchange, and other immunotherapies across patient subgroups, excluding 88 patients due to missing data or alternative diagnoses and analyzing 189 patients from Bangladesh separately.
  • Immunotherapy was administered to 92% (941/1,023) of patients outside Bangladesh, including 97% (724/743) with severe disease, 75% (126/168) with mild disease, and 76% (53/70) with Miller Fisher syndrome.
  • Among 235 patients with no improvement following initial treatment, 35% (82/235) received a second course of immunomodulatory therapy.
  • Treatment-related fluctuations occurred in 5% (53/1,023) of patients, of whom 68% (36/53) underwent re-treatment with intravenous immunoglobulin or plasma exchange.

Cite This Study

Verboon et al. (2019) studied this question.

synapsesocial.com/papers/6a747518f2cd31a1fadbd4fchttps://doi.org/10.1212/wnl.0000000000007719
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Regional variation of Guillain-Barré syndrome2018 · 340 citations
  2. 2Second IVIg course in Guillain‐Barré syndrome patients with poor prognosis (SID‐GBS trial): Protocol for a double‐blind randomized, placebo‐controlled clinical trial2018 · 45 citations
  3. 3Clinical features and prognosis of Miller Fisher syndrome2001 · 421 citations