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Thymectomy is a beneficial therapy for patients with non-thymomatous ocular myasthenia gravis: a systematic review and meta-analysis

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Title
Thymectomy is a beneficial therapy for patients with non-thymomatous ocular myasthenia gravis: a systematic review and meta-analysis
Published in
Neurological Sciences, July 2017
DOI 10.1007/s10072-017-3058-7
Pubmed ID
Authors

Kai Zhu, Jiaoxing Li, Xin Huang, Wei Xu, Weibin Liu, Jiaxin Chen, Pei Chen, Huiyu Feng

Abstract

Ocular myasthenia gravis, an autoimmune disease, is characterized by extraocular muscle weakness. Myasthenia gravis is closely associated with the functional status of the thymus gland. The efficacy of thymectomy for non-thymomatous ocular myasthenia gravis remains controversial. Here, we present the first systematic review and meta-analysis of studies assessing the outcome of thymectomy in patients with non-thymomatous ocular myasthenia gravis and found that the pooled rate of complete stable remission was 0.5074 with considerable heterogeneity. Furthermore, subgroup analysis showed that the efficacy of thymectomy differed according to geographical location. Furthermore, thymectomy outcomes are better in children than they are in adults. Thymectomy clearly represents an effective treatment for patients with non-thymomatous ocular myasthenia gravis. However, more multicenter, randomized, controlled clinical trials are now required to confirm these conclusions.

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Geographical breakdown

Country Count As %
Unknown 47 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 5 11%
Researcher 5 11%
Student > Doctoral Student 5 11%
Student > Postgraduate 5 11%
Student > Master 5 11%
Other 12 26%
Unknown 10 21%
Readers by discipline Count As %
Medicine and Dentistry 26 55%
Neuroscience 4 9%
Biochemistry, Genetics and Molecular Biology 2 4%
Psychology 2 4%
Nursing and Health Professions 2 4%
Other 2 4%
Unknown 9 19%