Evidence map›Paper›PMID 21464196›Full record

SynthesisPediatrics2011

A systematic review of secretin for children with autism spectrum disorders.

Shanthi Krishnaswami, Melissa L McPheeters, Jeremy Veenstra-Vanderweele

Abstract readSystematic Review
In one paragraph

Synthesis in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Intravenous secretin for autism spectrum disorders (ASD).The Cochrane database of systematic reviews · 2012
    Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Gene therapy as an emerging treatment forFundamental research · 2024
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Newspaper Coverage of Autism Treatment in Canada: 10-Year Trends (2004-2013).Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2015
    Article
  13. Review
  14. Review
  15. Article
  16. The importance of autism research.Dialogues in clinical neuroscience · 2012
    Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

Shanthi Krishnaswami2525 West End Ave, Suite 600, 6th Floor, Nashville, TN 37203-1738, USA. melissa.mcpheeters@vanderbilt.edu
Melissa L McPheeters
Jeremy Veenstra-Vanderweele
Institute for Molecular Medicine · USPediatrics and Genetics · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextAs many as 1 in every 110 children in the United States has an autism spectrum disorder (ASD). Secretin is 1 of many medical treatments studied for treating the symptoms of ASDs, but there is currently no consensus regarding which interventions are most effective.

objectiveTo systematically review evidence regarding the use of secretin in children with ASDs who are aged 12 years and younger.

methodsWe searched the Medline, PsycINFO, and ERIC (Education Resources Information Center) databases from 2000 to May 2010 and reference lists of included articles. Two reviewers independently assessed each study against predetermined inclusion/exclusion criteria. Two reviewers independently extracted data regarding participant and intervention characteristics, assessment techniques, and outcomes and assigned overall quality and strength-of-evidence ratings on the basis of predetermined criteria.

resultsEvidence from 7 randomized controlled trials supports a lack of effectiveness of secretin for the treatment of ASD symptoms including language and communication impairment, symptom severity, and cognitive and social skill deficits. No studies have resulted in significantly greater improvements in measures of language, cognition, or autistic symptoms when compared with placebo; study authors who reported improvement over time did so equally for both the intervention and placebo groups.

conclusionsSecretin has been studied extensively in multiple randomized controlled trials, and there is clear evidence that it lacks benefit. The studies of secretin included in this review uniformly point to a lack of significant impact of secretin in the treatment of ASD symptoms. Given the high strength of evidence for a lack of effectiveness, secretin as a treatment approach for ASDs warrants no further study.

Indexed as

ChildChild Development Disorders, PervasiveChild, PreschoolDose-Response Relationship, DrugDrug Administration ScheduleFemaleFollow-Up StudiesHumansMaleRandomized Controlled Trials as TopicRisk AssessmentSecretinSeverity of Illness IndexTreatment OutcomeSecretin

Identifiers

PMID21464196
PMCPMC3387870
OpenAlexW2127867162

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.