Myxedema psychosis A protocol for a systematic review and a pooled analysis

<h3>Background</h3><p dir="ltr">Myxedema psychosis (MP) is a rare presentation of hypothyroidism. Although known for >70 years, a significant lack of systematic literature describing this condition exists. This limits the clinician's ability to identify and manage...

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Main Author: Mouhand F.H. Mohamed (16932579) (author)
Other Authors: Timo Siepmann (4349554) (author), Salah Suwileh (17151034) (author), Mohammed H. Mohammed (20351946) (author), Samreen Mohamed (20351949) (author), Lina O. Abdalla (9960494) (author), Abdel-Naser Elzouki (9376853) (author), Mohamed H. Mahmoud (12627835) (author), Dabia Al-Mohanadi (17032269) (author), Mohammed Danjuma (9960506) (author)
Published: 2020
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_version_ 1864513554036555776
author Mouhand F.H. Mohamed (16932579)
author2 Timo Siepmann (4349554)
Salah Suwileh (17151034)
Mohammed H. Mohammed (20351946)
Samreen Mohamed (20351949)
Lina O. Abdalla (9960494)
Abdel-Naser Elzouki (9376853)
Mohamed H. Mahmoud (12627835)
Dabia Al-Mohanadi (17032269)
Mohammed Danjuma (9960506)
author2_role author
author
author
author
author
author
author
author
author
author_facet Mouhand F.H. Mohamed (16932579)
Timo Siepmann (4349554)
Salah Suwileh (17151034)
Mohammed H. Mohammed (20351946)
Samreen Mohamed (20351949)
Lina O. Abdalla (9960494)
Abdel-Naser Elzouki (9376853)
Mohamed H. Mahmoud (12627835)
Dabia Al-Mohanadi (17032269)
Mohammed Danjuma (9960506)
author_role author
dc.creator.none.fl_str_mv Mouhand F.H. Mohamed (16932579)
Timo Siepmann (4349554)
Salah Suwileh (17151034)
Mohammed H. Mohammed (20351946)
Samreen Mohamed (20351949)
Lina O. Abdalla (9960494)
Abdel-Naser Elzouki (9376853)
Mohamed H. Mahmoud (12627835)
Dabia Al-Mohanadi (17032269)
Mohammed Danjuma (9960506)
dc.date.none.fl_str_mv 2020-06-26T03:00:00Z
dc.identifier.none.fl_str_mv 10.1097/md.0000000000020778
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Myxedema_psychosis_A_protocol_for_a_systematic_review_and_a_pooled_analysis/27924924
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
hypothyroidism
madness
myxedema
psychosis
systematic review
dc.title.none.fl_str_mv Myxedema psychosis A protocol for a systematic review and a pooled analysis
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Background</h3><p dir="ltr">Myxedema psychosis (MP) is a rare presentation of hypothyroidism. Although known for >70 years, a significant lack of systematic literature describing this condition exists. This limits the clinician's ability to identify and manage this entity properly. Hence, we aimed to systematically review the literature and summarize the presentation, diagnosis, management, and outcomes of this rare entity.</p><h3>Methods</h3><p dir="ltr">Systematic review following PRISMA guidance. We will perform a comprehensive search of PubMed, Medline, Embase, Google Scholar (first 300 hits), and Cochrane databases for published observational studies, case series, and case reports. We will use descriptive statistics to provide summary estimates of demographics, common presenting features, laboratory test results, imaging findings, treatment administered, and outcomes. Moreover, continuous variables will be compared by the Wilcoxon Mann Whitney test, whereas categorical variables will be assessed by the <i>χ</i><sup>2</sup> test. Bivariate and multivariate regression will be performed to assess risk factors associated with poor outcome. A scoping review revealed that a meta-analysis might not be feasible owing to the paucity of systematic studies describing the condition.</p><h3>Results</h3><p dir="ltr">This is the first systematic review examining this rare entity. Thus, the result of which will be significant. We hope that this review will help in identifying relevant predictive clinical or laboratory characteristics. Additionally, it identifies the best treatment strategies. The findings of this review will help increase our knowledge of this condition so as to recognize this condition promptly. Also, it will assist in differentiating MP from masqueraders, such as Hashimoto encephalopathy (HE). The results of this review will be published in a peer-reviewed journal.</p><h3>Conclusion</h3><p dir="ltr">This is the first systematic review exploring MP demographics, diagnosis treatment, and outcomes. The information gathered by this review will be necessary for patients, clinicians, researchers, and guideline makers.</p><h3>PROSPERO registration number</h3><p dir="ltr">CRD42020160310</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000020778" target="_blank">https://dx.doi.org/10.1097/md.0000000000020778</a></p>
eu_rights_str_mv openAccess
id Manara2_400e5919227cd28a8e05cfe6690ffc5b
identifier_str_mv 10.1097/md.0000000000020778
network_acronym_str Manara2
network_name_str Manara2
oai_identifier_str oai:figshare.com:article/27924924
publishDate 2020
repository.mail.fl_str_mv
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rights_invalid_str_mv CC BY 4.0
spelling Myxedema psychosis A protocol for a systematic review and a pooled analysisMouhand F.H. Mohamed (16932579)Timo Siepmann (4349554)Salah Suwileh (17151034)Mohammed H. Mohammed (20351946)Samreen Mohamed (20351949)Lina O. Abdalla (9960494)Abdel-Naser Elzouki (9376853)Mohamed H. Mahmoud (12627835)Dabia Al-Mohanadi (17032269)Mohammed Danjuma (9960506)Biomedical and clinical sciencesClinical sciencesMedical biochemistry and metabolomicsNeuroscienceshypothyroidismmadnessmyxedemapsychosissystematic review<h3>Background</h3><p dir="ltr">Myxedema psychosis (MP) is a rare presentation of hypothyroidism. Although known for >70 years, a significant lack of systematic literature describing this condition exists. This limits the clinician's ability to identify and manage this entity properly. Hence, we aimed to systematically review the literature and summarize the presentation, diagnosis, management, and outcomes of this rare entity.</p><h3>Methods</h3><p dir="ltr">Systematic review following PRISMA guidance. We will perform a comprehensive search of PubMed, Medline, Embase, Google Scholar (first 300 hits), and Cochrane databases for published observational studies, case series, and case reports. We will use descriptive statistics to provide summary estimates of demographics, common presenting features, laboratory test results, imaging findings, treatment administered, and outcomes. Moreover, continuous variables will be compared by the Wilcoxon Mann Whitney test, whereas categorical variables will be assessed by the <i>χ</i><sup>2</sup> test. Bivariate and multivariate regression will be performed to assess risk factors associated with poor outcome. A scoping review revealed that a meta-analysis might not be feasible owing to the paucity of systematic studies describing the condition.</p><h3>Results</h3><p dir="ltr">This is the first systematic review examining this rare entity. Thus, the result of which will be significant. We hope that this review will help in identifying relevant predictive clinical or laboratory characteristics. Additionally, it identifies the best treatment strategies. The findings of this review will help increase our knowledge of this condition so as to recognize this condition promptly. Also, it will assist in differentiating MP from masqueraders, such as Hashimoto encephalopathy (HE). The results of this review will be published in a peer-reviewed journal.</p><h3>Conclusion</h3><p dir="ltr">This is the first systematic review exploring MP demographics, diagnosis treatment, and outcomes. The information gathered by this review will be necessary for patients, clinicians, researchers, and guideline makers.</p><h3>PROSPERO registration number</h3><p dir="ltr">CRD42020160310</p><h2>Other Information</h2><p dir="ltr">Published in: Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0" target="_blank">http://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1097/md.0000000000020778" target="_blank">https://dx.doi.org/10.1097/md.0000000000020778</a></p>2020-06-26T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1097/md.0000000000020778https://figshare.com/articles/journal_contribution/Myxedema_psychosis_A_protocol_for_a_systematic_review_and_a_pooled_analysis/27924924CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/279249242020-06-26T03:00:00Z
spellingShingle Myxedema psychosis A protocol for a systematic review and a pooled analysis
Mouhand F.H. Mohamed (16932579)
Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
hypothyroidism
madness
myxedema
psychosis
systematic review
status_str publishedVersion
title Myxedema psychosis A protocol for a systematic review and a pooled analysis
title_full Myxedema psychosis A protocol for a systematic review and a pooled analysis
title_fullStr Myxedema psychosis A protocol for a systematic review and a pooled analysis
title_full_unstemmed Myxedema psychosis A protocol for a systematic review and a pooled analysis
title_short Myxedema psychosis A protocol for a systematic review and a pooled analysis
title_sort Myxedema psychosis A protocol for a systematic review and a pooled analysis
topic Biomedical and clinical sciences
Clinical sciences
Medical biochemistry and metabolomics
Neurosciences
hypothyroidism
madness
myxedema
psychosis
systematic review